OWNER LIABILITY.pdfAPPLICANT/OWNER LIABILITY & LANDSLIDE ACKNOWLEDGEMENT
Subject: Nylander Residence, 1641175th Place West, Edmonds, WA
-PCT 29 2015
DEVELOPMENT SERVICES
COUNTER
This statement confirms that the accuracy of all permit information is warranted by the applicant/owner
(Lance Nylander) in a form which relieves the City and its staff from any liability associated with reliance
on such permit application submittals.
My application may reference reports of prior public consultants to the City; however all conclusions
shall be those of me, Lance Nylander, and my design professionals.
Further, I, Lance Nylander, understand and accept the risk of developing in an area with potential
unstable soil and understand the required temporary and permanent erosion control and site
maintenance issues associated with specific geologic hazards or conditions of the site that may affect
slope stability over time.
I will advise, in writing, any prospective purchases of the site or any prospective lessees of structures on
the site, of the slide potentials and on-going maintenance issues of the area and on the property.
STATE OF WASHINGTON, COUNTY OF' r"
LNW C -e, N)y � Being first duly sworn, says: I am the owner/applicant or the
representative for the above named; I have read the forgoing statement, know the contents thereof,
and believe the same to be true.
Signature of owner/applicant or representative
SUBSCRIBES AND SWORN TO before me on this day of
' 201
S�ntur OTARY PUBLIC in and for the State of Washington
Print Name.( rLt.
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