MAG Land_Use_Application 15 Dec 2016.pdfCity of Edmonds ir
Land Use Application
fX ARCHITECTURAL DESIGN REVIEW
❑ CiONIPREHENSIVE PLAN AMENDMENT
❑ CONDITIONAL USE PERMIT FILE## ZONE
❑ HOME OCCUPATION DATE RECD By
❑ FORMAL SUBDIVISION
❑ SHORT SUBDIVISION FEE RECEIPT#
❑ LOTLINEADJUSTMENT HEARING DATE
❑ PLANNED RESIDENTIAL DEVELOPMENT
❑ OFFICIAL STREET MAP AMENDts+a ❑ HE ❑ STAFF ❑ PB ❑ ADB ❑ CC
❑ STREET'VACATION
❑ REZONE
❑ SHORELINE PERMIT
❑ VARIANCE / REASONABLE USE EXCEPTION
❑ OTHER:
0,P'LEASE NO TE THA TALL INTORItI;f TION CONTAINED 99THIN THE APPLICATION IS A PUBLIC iREECOR'D a
PROPERTY ADDRESS OR LOCATION 21300 HIGHWAY 99
PRO,TECT NAME (IFAPPLICABLL) Replacement Facility for Magic Toyota.
PROPERTYOWNER Broadus Family LLC PHONE# 866.858.1,515
ADDRESS 21300 Hwy 99 Edmonds, Wa. 98026
E-MAIL da.vid@magictoyota . cam FAX# NA
TAxACCOUNT# 00580700000601, 2, 4, 5, 7, 8 SEC. 29 Twp, 27 RNG, 4 EWM
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY)
See attached Memo from Strotkatnp Architects
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)
See attached Memo from Strotkamg Architects
APPLICANT Strotkamp Architects PHONE# 206.979.8320/360.854.9907
ADDRESS P.CI. Box, 501, Burlington WA 98233
B -MAIL dhestes aia@frontier.com FAx# IlA.
CONTACT PERSONIAGENT David Estes, aia PHONE# 206.979.8320/425.316.
ADDRESS P.O. Box 501 Burlington WA 98233
E-MAIL dhestes aia@frontier.cam tsarchitects@ccFAwt.net
The undersigned applicant, and, his/her/its heirs, and, assigns, in consideration on the processing of the application agrees to
release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's
fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information
furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge
and that I am authorized to file this appHeation on the behalf of the owner as listed below.
S IGNATuRE OF APPLICANT/AGENT DATE
Property Owner's Authorization
I, certify carder the penalty of perjury under the laws of the State of
Washington that the following is a true and correct statement: I hzve authorized the above Applicant/Agent to ap ly for the
subject land use applies" n; Attd��rant my pel ssss r the publie officials and the staff of the City of E maonds enter the
subject property for the p� oses u pectipost' ndant to this application.
SIGNATURE OF OWNER r.-' � DATE r
Questions? Call (425) 771-0220.
Revised on 8122112 B - Land Use Application Page I of]
0979