Microsoft Word - ADU Statment.pdf
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address:
Edmonds, Washington
Legal Description:
Assessors Parcel Number:
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05.015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding
the regulations imposed on Accessory Dwelling Units.
Property Owner Signature:
Property Owner Name (printed):
Date:
STATE OF WASHINGTON )
)
COUNTY OF SNOHOMISH )
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses
and purposes mentioned in this instrument.
Notarys pressure seals must be smudged. Dated:
Signature of
Notary Public:
Residing at:
My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.