Not an adu statement.pdf;1-775
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N II"E 1,L[Ni _' [i N IT'S
1.21 5`11 Avenue N'. I dinon&, WA 98020
Pli€3ne =125.771.(}220 k, Fax 425.771.022.1
Property Address (Street, City, State, Ilam
828 Carr- Road. F',di-i€ ods, WA 98020
Parcel It,
27032400214200
��I`IECEIVEED
f ..._` t O 44 20H� 6
i:'.'t L. V i. (,I'M� ,I I;i "I l ull i IVUS
CitkP1141F
have read the re°tltiii°enients Iter Accessory DwOling I.'nits contained in Chapter 20.21 o the
Edmonds C OnIMUnity Development Code (I: (.,`D(`) and understand that an Accessory Dwelling
t."P (ADU) as defined iii is CDC Section 21.05.0 15 is prohibited Until the MCIuire;d .- D
permit(s) are approved and any re€:luRed inspections are tinalized.
I also tinderstand that in ADU 1wririit cannot be approved tinless all the criteria in Chapter 20.21
eine. Met. and all die necessary items are sub) -pitted, including an affidavit o1`()cc[jpancy and a
covenant to tie filed with the Snohomish (.-,minty regarding the reF ukithns imposed on AILAK
I ann Uyg requesting U) establish an Aceemory Dwelling Unit on ill)- property as part oFthe
su ject Iitiildinwg pen -nit application €Fisc: No. BI:I: 0161 27 L and I W ol ain
all aplAicable AD(f permits if I choose to es6bli5li an the I'uttire prior (o establishing..
Such ADI.. I understand aicit the city's review of the su ss€:pct bUildin() permit application does
not imply any fimire approval of an � DU,
dt cxlare under penaltjy qfjwejuty I= that the above itrlbrtnation is sum ( ranwa and
rom leter, and that I am the owtier ii °tlse above a e,wTiber Sro,i erl),.
Print Name. I- lirabeth Bird
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r�.Signa urc wbe,°v h 1i .x�"A' iN.wmF4 ii^ t Jw,r�l+wl L�...� S
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