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Mueller Applications.pdff Edrnonds Land Use Ap[:)Hcatiori IN I Mi A IWI I I I IT I URAL DESIGN kPit' I F W 101 COMITHIENSIVE 111,AN Amf�m),mf-,N F IN I CONDI ViONAI, USI, PEIRMI I' FIII� lit l0%If'�0CCIJPA I fON )A, I I %Ai Cif is 1W �i0 ..... . . . . . . Folzmm, summ/lslmr Q SITowt X 1,01'11NU ADDU STMI I ll,',AIZING DATH Ri;S[DENJ [At, DFINFLOP'NIFIN F 101VAIT I PB AD13 I CC Ot-rlcml, S rRIT 1, l AMENDti S110+1 VACAI10N — - - ------ lztzom.,. SHORELINFATIMIl' Ott 1,oc,%j,i4AN _209,Caspars Sheel, Edmonds,VY8 .. ............. .... .... - -------- -- . .. . .... ............ Nimcc I, NAMF,(lf'AVNACABl1X) 11not'lii Betsy MU(MCH PI low H ADDRE,SS 12909 Roosevelt Rd. Snohomish, VVA 96290 ...... .... ... .. x y TAXAccok,Ni4 27032400214600 24 fwp 27 Rc(3 Lot l4wI adjustrnient to provide 30'wide, access piarthandle to p �.fl cel "A" VI FR AS NFCFS';AWf meets a tot lineAjLlstrnent requirements APPLICANT In"Vestolents, I.L.C, 425-673-1,100 ygrtblCdSS 4()()1 198tlf St. SK,#2 Lviinwood, W,A 98036 ... ..... . . Todd@Echelbargercorn 425-673-1111091 CONI fAC t'PERSON/AGEN1 AC) mfs I KN I I. FAN 11 Ilie applicant, mid his/her/ifs heirs. and asslgns,, in cowsi(j(mmon on the powe�.smg of ife appliumon aprees to lr&aso, indemriif),, defined and hold the City ol'Ldmowk hajjuN,,,,s Itont any mid oll dmila(,es, mi'llrding reasonali aW,)MCY's ltqni, misim fiom any mfion or inthidion based in Whole or [I upon false, uosl(Ndiing, inaccul:Mc or incoll4fletic 1146viiniltion Winkhed by tree iippueant, irsnwiiill,, agewor emplovecs BY my Signature, I cettily ti the ntbomliion 'Ind exhili jjefey,,jtjt �qibmitted we true nwi cornea/ to the bwst ofiny knowkxji,,(! and thirt I mo oudionecd to file this applioation on ille .... .... .. . .. .... ... ...... -, .. . ... . . . ....... /,", IM I I SIGNA I ui�k� (w AI'm UAGFN I' lh,opeily Owner's Aullhodzilfion I, B(Itsy Mil uerofy, under the lwriie)10f of pelf lry undo ilw Im"', of (ho state of WiijS,jj7Ij,1!joII that OW, I01kioYML!, IS a IRW marl coormt Mak"Inclitl I hirvo aolhori/`ed dw abovc Applic( mt/Agumt to apply for tho SUbjC(A krld USC and gmW my til orossirm i4)r ille public offwmls and dic" ";[tilt of ille Chy ofl-,dmonds to enM ,Uh cct pmjwcily, lm the poqmncs imd posling �fltondmt to lhis �yplmtlom Slo;111,\ rmw of Ow,Idt DA I F C'al 1 02�',) 771-0220 .. ........ . 2a t r red 'm 8 0 hl I UI 2 a . . ....... . . . ....... ............... , City of Edmonds Land Use Application F.] ARCHITECTURAL DESIGN REVIEW Ll COMPREHENSIVE PLAN AMENDMENT 11 CONDITIONAL USE PERMIT FILE # ZONE f7 HOME OCCUPATION DATE REC'D By El FORMAL SUBDIVISION F1 SHORT SUBDIVISION FEE — RECEIPT# IX LOT LINE ADJUSTMENT HEARING DATE U PLANNED RESIDENTIAL DEVELOPMENT 0 OFFICIAL STREET MAP AMENDMENT E HE 0 STAFF 11 PB 11 ADB 11 CC El STREET VACATION [1 REZONE 0 SHORELINE PERMIT F1 VARIANCE / REASONABLE USE EXCEPTION E OTHER: 0 PLEASE NOTE, THAT ALL INE, ORAIA TION CONTAINED WITHIN THE APPLICATION IS A PUI)LIC RECORD 0 PROPERTY ADDRESS OR LOCATION 209 Gaspers Street, Edmonds WA PROJECT NAME (IF APPLICABLE) PROPERTY OWNER John Weller PHONE# ADDRESS 209 Caspers Street Edmonds 98020 E-MAIL FAX # TAX ACCOUNT # 27032400215300 SEC. 24- TWP. 27 RNG. 3 DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY) Lot line adjustment to provide 30' wide access panhandle to parcel "A" — DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)__ Meets all lot line adjustment requirements APPLICANT Echelbar er Investments, LLC PHONE# 425-673-1100 ADDRESS 4001 198th St. SK #2 Lynnwood, WA 98036 E-MAIL Todd@Ectielbarger.com FAX# 425-673-1109 CONTACTPERSON/AGEN,r Todd Echelbarger PHONE# ADDRESS E-MAIL FAX 4 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, histher/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 application on the behalf of the owner as listed below. SIGNATURE OF APPLICANVAGENT . . .. . . .. . . .... . .. ... . DATE Property Owner's Authorization I, John Mueller certify under the penalty of perjury under the laws of the State of Washington that the following is a true and correct statement; I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposespf iospection and posting attendant Co this application. 1.111,111.111, 1 11111, SIGNATURE OF OW§�R /& av "o "I DATE 1 -1 I �4 , I t"I Questions? Call (425) 171 0220 Revised on 8122112 B - Land Use Application Page 1 of] City of Edmonds Land - Applicationit ❑ ARCHITECTURAL DESIGN REVIEW No= EMEM ❑ COMPREHENSIVE PLAN AMENDMENT 0 CONDITIONAL USE PERMIT 'FILE # ,ZONE 0 HOME OCCUPATION DATE REC'D BY 0 FORMAI. SUBDIVISION 0 SHORT SUBDIVISION FU 1;tltiCWT # J 'LOT LINE ADJUSTMENT HEARING DATE :1 .PLANNED RESIDENTIAL DEVELOPMENT D OFFICIAL STREET MAP AMENDMENT 0 HE ❑ STAFF 0 PB D ADB ❑ CC ❑ STREET VACATION 0 REZONE ❑ SHORELINE PERMIT 0 VARIANCE, /RBASONABLEUSE EY.CEPTION 0 OTHER: o PLEASE NOTE THAT ALL IIVFO UfATION CONTA1AWD FF77H N THE AP.PUCATION IS; l PURUC.RECO.RO PROVERTXA))I))1g5SO)t)LOcATION 209 Caspers Street, Edmonds WA IVR03FCT )NAME (IF APPLICABLE) PROPERTY OWNFR Michael Mueller p} PHONE i §7C'><o� I ADDRESSAA,��l7'&Z �,�/.NCE C'uL,:J R l /�SI iOZ'�l U� �� ` -536 70 &MAIL/tG4C'�(C?r- ✓Yd"p, �2 Iyn4 1, e01,n FAX# TAX ACCOUNT # 27032400214600 SEC. 24 TWP. 27 RNG. 3 DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY) Lot line adjustment to provide 30' wide access panhandle to parcel "A" DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY) Meets all lot line adjustment requirements APPLICANT Echelbarger Investments, LLC PHONE# 425-673`1100 ADDRESS 4001 198th St. SW. #2 Lynnwood, WA 98036 F--TVIAIL Todd@Echelbarger.com FAX# 425-673-1109 CONTACT PERSON/AGENT Todd Echelbarger PHONE # Al,MSS 8 -MAIL FAX # 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 oT irtfrsction based in whole or part upon false, misleading, inaccurate or incomplete information fumisbed by the applicant, bis/bsT/its agents or employees. By my signature, I certify Ilial the information aid exhibits herewith submitted are true and correct to the best of my l:oowiedgc and that I am authorized to file this application on the behalf oftbe owner as listed below. �f SIGNATURE OF APPLICANT/AGENT j DATE Property Owner's Authorization I, Michael Mueller certify under the penalty of perjury under the laws of the State of Washington that the following is a true and correct statement: I have authorized the above Applicant/Agent to apply for the subject land use application and grant my , ertuissiou for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of insp no and ing attendant to this ieation. J SIGNATURE OF OWNER_ DATF �G 4;-, Questions? Cil (425) 771-0220. Revised on 8/22/12 B - land Use Application P19- I Qf I