PLN197600106-7331.pdfCITY OF EDMONDS
PLANNING DEPARTMENT
CIVIC CENTER ANNEX, EDMONDS, WASHINGTON 98020
APPLICATION FOR APPROVAL BY AMITIES DESIGN BOARD
I, (We) the undersigned, hereby make application to the City of Edmonds for Amenities
Design Board approval (or modification of a previous approval) of the accompanying plans:
for (nature of use):
tv zc plans are attached ereto an ma e
a part ereo T e ollowing are pertinent acts with respect to the proposed development.
1. Name and address of applicants): LL ►+ E. VfkN -Do�
PHONE: 7 7 8 - 7s 0 5"
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2. Applicant's interest in property: owner agent for owner ( ) architect
leasee ( ) other O'
3.
Name and address of owners) (tea o N
VAN DjiZlE,
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4.
Location of property: Street Number:
l3 0 U 6Lylrr,oiL'
or Common Address:
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S.
This property is presently zoned:
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6.
Use for which approval is requested is
specifically described as
follows:
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7.
Existing use of property:
S. If approved, work on project will begin about:
9. Estimated time for completion of work: ;2
10. Attac}mients Nim1ber
1 (We) hereby certify to the best of my (our) knowledge, that the statements and infoi-ination
contained herein are in all respects true and correc .
Signature of Appi.i.cant