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PLN198100008-2971r• 4 TO A7 CONNI CURTIS SUBJECT DATE REFUND OF $170.00 FOR NIR. !-!ALTER LESTER 10-28-81 Please redund toj1r. Halter Lester, 1047 Puget Drive, Edmonds 11A 98020, $170.00, a portion of which t.as paid to the City on Receipt #3012 dated 9-29-81. Mr. Lester has provided an attached request for withdirawal .of his item. Thank you. SIGNED DATE I SIGNED �1®4S 469 SEND PARTS I AND 3 WITH CARBON INTACT. - POLY PAK (50 SETS) rP 469 PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP RE 1I_VED 3CT .14 1981 TO �{.. AT EDMONDS FIRE DEPT. SUBJECT DATE 10-14-81 Rezone from RS--12 to BN at 1047 Puget Drive. Hearing date is October 28, 1981. ��SIGNED PLAN MM DEP='Mr DATE SIGNED "' Cl aE—® 4S 469 SEND PAR( �oa�AND 3 WITH CARBON INTACT. - POLY PAX (So SETS) V uv PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP 0 AFFIDAVIT OF POSTER STATE OF WASHINGTON ) ) ss. COUNTY OF SNOHOMISH ) FILE NO. R-8-81 APPLICANT Vlalt Lester 6 Hank Lewis being first duly sworn, on oath deposes and says: That on the I (-Oday of 0(4rn ,19__&-J--) , the attached Notice of Public Hearing was posted as prescribed by Ordinance, and in any event, in the Post Office and Civic Center, and where applic- able, on or near the subject property. Signed Subscribed and sworn to before me this day of 19 �( Notary Public in and for the State of Washington residing at i 13 FILE NO. R-8-81 APPLICANT Walt Lester AFFIDAVIT OF MAILING STATE OF WASHINGTON ) ) ss . COUNTY OF SNOHOMISH ) Maryanne Townsend being first duly sworn, on oath deposes and says: That on the /6eA' day of 16� �,19 & , the attached Notice of Public of Hearing was mailed as required to adjacent property owners, the names of which were provided by the applicant. Signed, Subscribed and sworn to before me this---"O day of , 19 k1 . Notary Public in and for the State of Washington Residing ate—rn�� V �J =,L 4E6 tY THE PLANNING ADVISORY BOARD WILL HOLD A PUBLIC HEARING WEDNESDAY OCTOBER 28TH 19 81 -,ON THE FOLLOWING APPLICATION: FILE NO., R-8-81 REZONE FROM Rs-12 TO BN (SINGLE FAMILY RESIDENTIAL. - 12,000 SQUARE FEET TO NEIGHBORHOOD BUSINESS) PROPERTY ADDRESS AND LOCATION 1047 PUGET DRIVE ZONE DISTRICT RS-12 THE HEARING WILL BEGIN AT % � 00 P .M. , IN THE COUNCIL CHAMBERS OF THE EDMONDS CIVIC CENTER, 250 FIFTH AVENUE NORTH. IF YOU WISH TO COMMENT ON THIS PROPOSAL, YOU MAY COME TO THE HEARING AND SPEAK. YOU MAY ALSO WRITE A LETTER STATING YOUR VIEWS WHICH WILL BE CONSIDERED AT THE HEARING. PLEASE ADDRESS THE LETTER TO THE COMMUNITY DEVELOPMENT DEPARTMENT AND INCLUDE THE ABOVE FILE NUMBER. IF THE ITEM IS CONTINUED TO ANOTHER HEARING BECAUSE THE AGENDA IS NOT COMPLETED, OR FURTHER INFORMATION IS NEEDED, THE DATE OF THE CONTINUED HEARING WILL BE ANNOUNCED ONLY AT THE MEETING. ADDITIONAL INFORMATION MAY BE OBTAINED AT THE COMMUNITY DEVELOPMENT DEPARTMENT, 505 BELL STREET, EDMONDS (PHONE 775-2525, EXT.VW.Z..,f/ THE REMOVAL, MUTILATION, DESTRUCTION, OR WAGRN'NCONCEALMENT OF THIS NOTICE BEFORE THE DATE ! QE THE HEARING IS A MISDEMEANOR PUNISHABLE BY FINE AND IMPRISONMENT. THIS NOT11, E MAY ICE REMOVED AFTER 10-28-81 STATE OF WASHINGTON, COUNTY OF SNOHOlYISH, PUBLIC HEARING' PLANNING ADVISORY BOARD. Atlip�terested persons are here pV -notified that Wed nes- dav,-f.he 28th daV of October, 1981 has been settas the date for hearing by thb City ot,-Ed- monds Plonnin6 AdVisoav Board on proposed Rezone Tcom RS-12 to ='BN ISifigle Family Residential ' 12,000 .square :Teel to Neighborhood Bustpess) of the property lo- cated 1047 Puget ,Drive. Said hearing will be at 7:00 p.m. in the Council Chambers of the Civic Center, Edmonds, Washington, and all interested persons are invited to appear. IRENE VARNEY MORAN City Clerk, City of Edmonds FILE NO. R-8-81 - ublished: Oct. 17, 198.1. , Affidavit of Publication The undersigned, being first duly sworn on oath deposes and says that she is Principal Clerk of the EVERETT HERALD, a daily news- paper printed and published in the City of Everett, County of Snoho- mish, and State of Washington; that said newspaper is a newspaper of general circulation in said County and State; that said newspaper has been approved as a legal newspaper by order of the Superior Court of Snohomish County, and that the notice .................................... NOTICE OF PUBLIC HEARING --------------------- •.............................................................................................. ___.._..._.....___ a printed copy of which is hereunto attached, was published in said newspaper proper and not in supplement form, in the regular and entire edition of said paper on the following days and times, namely: OCT. 17l 1981 -- ---- - -- -- -- ---- . and that said newspaper was regularly distributed to its subscribers during all of said period. ----------------------------------------------------------•-----------•->. Principal Clerk Subscribed and sworn to before me this ...1-th........... day of ------ ------ ----- QGTOrT 19,: _81, N ar Public in and for the State of Washington, i ng at Everett, Snohomish County. B-2-1 NOTICE_OF PUBLIC HEARING PLANNING ADVISORY BOARD All interested persons are hereby notified that Wednesday, the 28 th day of October , 19 81 has been set as the date for hearing by the City of Edmonds Planning Advisory Board on proposed Rezone from RS-12 to BN (Single Familv Residential - 12,000 square feet to Neighborhood Business) of the property located 1047 Puget Drive Said hearing will be at 7:00 p.m. in the Council Chambers of the Civic Center, Edmonds, Washington, and all interested persons are invited to appear. IRENE VARNEY MORAN City Clerk, City of Edmonds FILE NO. R-8-81 Publish: 10-17-81 1028 Puget Drive Edmonds, Washington October 22, 1981 Community Development Department City of Edmonds, Edmonds, Washington Dear Department: v j Re: File # R -8 -81 We oppose the change of zoning at 1047 Puget Drive from residential to neighborhood business. Out reasons are: 1) This change would produce even more traffic on an already over -loaded street in a residential area. How will you assure the safety of the school children at the nearby crossing? 2) The area is primarily residential, with little business potential. However if multiple use is the purpose, why zone it higher to business? 3) Other areas are available already zoned for such neighborhood business which have not been developed. These should be used first. Because the present owners have enjoyed a variance for many years to run an agency from his home at this location, there is no further need to grant this request. Please understand that we definitely object to any further increase in business activity at this location® Thankyou. Sincerely, Nell Elizabeth Schnarre Owner Harold H. Schnarre Owner 6-3 1lZ P ` C r3 /'�/� /� I1_ l 1 - Tract A r0 04 O `' ut 7 (� �1047 P GET DONE `- ° 3V EDMONDS, ASH. 8021i 51 LpT 4- C: 4 -oz4 14- 7. 4 G 3 3 U :.`' 4/ ty 79 1 y / 7 Oz t 9 039 '— 4 30 S-17 �7 S� l J HIND 4•n3! 1 90th �%e�'' J� rt i l ; L� r,µh I_I ll� a vl I o3 ST. S. W. (CHERRY ST) lw �-:> l e0` '`O: + / I r� G 7 1J J ^ 1 1047 5 0/;�` 6/ IF 4. 7 — �4'o�G` 4-066 q.oG9 4-070 4 I 4-074 �\'L rV— v L-` BLS co,. Go dmondS ,7� g /k /6, /o f t /Yoi>Q P / / r / — 1 :6/I 03 I oz 9 �^ 11- 4-063 / 4-G /�T2 i'r_ !Z �% \ \r // 4 080 CH DC/�� / . U4 1 1 1 ! I, IN \ ! \ ---- 84 4 !1I \vNN 4-097 \ Of I I OL Rq 9 r\ ,�r�y l l van (fir t'Je61 jS/J _ NO NZ\� /��i' r��iA�`, `' —C 4 03 05 `7 3 I IN 87 VA S 0� O S FOREST — rSZc b N tQ� 46 4 eta 89 INN IN 9 / \ y Qz 90 I I 03 XCEL lk TRACTS �. f �'�� Q\ t R �� I I o3 _ �� I I; �r� 17— THE SUNSTONE 0. CONDOMINIUM / Z 4' 92 0 IG I NAL PLAT OF NORTH E MONDS ' _ 0FT ar S S• Special Shoot for 40 r.._ _ ._... ._..._ t • (53/9J � a . ,or. Lot 4 0 N;�- .� TE:. " # ' Thl� is not a survey, it is a parcel mats . PA.A, .,#�-�'• ,�•�'" �� G{ . '��-U S �`) 11used for location of property .only :'_"! WALT LESTM I NSU ANCE AGENCY Choose your agent as you would your Doctor. September 29, 1981 11347 PUGET DRIVE, EDMDNDS, WASH. 98020 PHONE 774-1047 To: The Mayor, City Council and Planning Commission, of The City, of Edmonds. The property described in the attached petition. has been occupied for the last ten. years as a single family rental dwelling. Generally to the detriment of the property. the tremendous expense generated from poor usage and the increased noise level at night from both Puget Drive and Olympic View Drive, make it no longer desirable for'resi dential usage.. Both factors -are exceedingly objectionable. Other properties to the East, the South and the West are now principally commercial. We would like to -have this property rezoned to Office occupancy instead of residential. Basic arrangement would not have'to be changedas there is adequate space to the South for off-street parking or a U-shaped driveway could be installed immediately west of the house. Either or both methods. could be used. Existing landscaping could be extended to the South as required. General layout of the house would-be easily adaptedto the needs of a doctor, chiropractor, dentist, contractor, real estate or insurance agency or a combination. of almost any of the above. Letters from adjacent property owners are attached stating their approval. We appreciate your reviewing the attached petition. and hope for a favorable vote on. rezoning. Other information. will be 4er ed on. request. Thank you. ere Walt Le Marguerite pester Owners of the property. 1055 Puget Drive Edmonds, Wash. Oct. 21, 19�1 City of ndmonds, Planning Commission, Edmonds, Wash. Attin. D. Bowman Dear airs Reference is made to a letter in your files concerning request by Walter ,ester to petition for a rezone of a property located at 1424 Olympic View Drive. His letter to which I refer is dated August 29, 1981 and contains signatures of Walter, Joyce and Timothy Schoeneberg. Since we signed his letter the property has been put on the market for sale and there's a strong possibility that a new owner of subject property may desire to increase the heighth of the building, thus blocking out a considerable portion of my view of the sound. Therefore, I respectfully request that my signature and that of my wife Joyce and my son Timothy be removed from the aforementioned Walter Lester letter. Very truly yours, AUGUST 29,1981 TO TYIE C i TY OF EDMONDS RE: Rezone of property located at 1424 Olympic View Drive, Edmonds, WA. Owners: Walter R. and Marguerite Lester 1047 Puget Drive, Edmonds, WA. 98020 We recommend rezoning the balance of the above property to B-i, and have no objections to doing so. Sincerely, / TO THY_CITY ITY OF EDMONDS RE: Rezone of property located at 1424 Olympic View Drive, Edmonds, WA. Own.ers : Walter R. and Marguerite Lester 1047 Puget Drive, Edmonds, WA. 98020 We recommend rezoning the balance of the above property to B-N and have no objections to doing so. Sincerely, Ernest Gremmert August 26, 1981 TO ThTE CITE OF EDMONDS RE: Rezone of property located at 1424 Olympic View Drive, Edmonds, 14"A. Own.ers : Walter R. and I,lar guerite Tester 1047 Puget Drive, Edmonds, WA. 98020 We recommend rezoning the balance of the above property to B-N and have no objection.s,to doing so. Sincerely, 1 � jjjj u �� za TO THE. CITY OF EDMONDS RE: Rezone of property located at 1424 Olympic View Drive, Edmonds, 4IA. Owners: Walter R. and Marguerite Tester 1047 Puget Drive, Edmonds, WA. 98020 We recommend rezoning the.balance of the above property to B-N and have no objections to doing so. Sincerely, en Walters RAinier Bank Trust Real Estate P.O.Box 3966 Seattle, WA. 98124 PH. 621-4371 For Estate of Rex Strickland (Trust fund) (Service Station to South,) 9-29-81 TO T E 'CITY Or EDMOI,:'DS RE: Rezone of property located at 1424 Olympic View Drive, Edmonds, 'dA. Owners: Walter R. and Marguerite Rester 1047 Puget Drive, Edmonds, WA. 98020 We recommend rezoning the balance of the above property to B-N and have no objections to doing so. Sincerely, LI List of names of property owners adjacen.t, addresses ,-!'-and phone numbers (tier application. of Walt Lester on. property located 1424 Olympic View Drive, Eduzon.ds, WA) Ernest Gremmert 1428 Olympic View Drive 778-3211 Peggy Goldsmith 9108 olympic View Drive 778-7317 Harold Hodel 1306 11 it " 774-7088 Walt Schoen.eberg 1055 Puget Drive 778-3800 Strickland, Estate of/Trust fund of/ etc. C/O Rainier Bank Trust Real Estate, P.O.Box 3966, Seattle, WA. 98124 �Ph. 621-4371 Attn.: Ken Walters L q7 -7 7 10 qI Mom Gv A . #5W .Y4 9-h e ® Ll four ti /Vv -31V 0 ,4 yam/ z�s A1,3s .`f'%1N ; E THE RE..i ESTATE WITt'i RESPECT TO W191tCN THIS POLICY IS ISSLiED. B-30180 k That portion of vacated 'Lake Avenue and Block 44, flat of North Edmonds, according to the plat thereof recorded•in Volume 2 of Plats, page 75, records of the Auditor of the County of Snohomish, State of Washington, described as follows: Beginning at a point on the Easterly line of Third Street and intersection of the Northeasterly line of Bloc, 44; thence ;'worth 33*34' East along the Easterly margin of Third Street 70 feet; thence South 51*26' East 115 feet; thence South 8*38' West 109.40 feet; thence North 51*26' West 159.38 feet to the Easterly line -of Third Street; thence -North 38*341 East 30 feet to the point of aeginni,ng. (,* T 3 WALT LBTER, 1047 P►IGE? `DRWI,E CITY OF EDMONDS EDMONDS; WASH. 98020 Pboe 774-lov ENVIRONMENTAL ASSESSMENT PROJECT NAME DATE SUBt4ITTED The information on this form will be used to determine the effect of your action upon the environment of the City of Edmonds. Please answer each question as thoroughly as possible. LAND Area l' � % � Soils Type ;Q/V6 Limitations Description pf topography (% slope) olyE" &W—,2L G Z � NOTE: If grading or filling will Grading: Estimated s�� cubic yards 4P� exceed 500 cubic and filling plan yards a grading must be sub - Filling: Estimated cubic yards O mitted,with the application. 9 P� Estimated area to be paved (including buildings) f 7 Estimated area in open space (pervious surface) 2. WATER Stream - Estimated flow (cubic feet per second) Will stream be altered? #0SAbe#M1f yes, to what degree? Other water bodies? e-7Gf' Impact on storm drainage - Method of handling runoff .4 -4LAA'9- AeAiml 4i Adjacent to shorel nes zone? Ala Within 200 feet of MHH14? 3. VEGETATION Type and approximate number of trees Minimum HiamPtPr of trPPs to remain x % of rees to be removed 4. EXISTING LAND USE WITHIN 300 FEET RADIUS OF PROPOSED DEVELOPMENT: Single Multi - Vacant Family Family Commercial Other 5. CIRCULATION - ` Estimated increase in auto trips daily ,�� ^ Availability of public transportation f- 6. AREA OF IMPACT Neighborhood City-wide Regional 7. EFFECT ON AIR QUALITY S. CHANGES IN NOISE GENERATION VALT LFSM 1047 PUGET DRIVE EDMONDS, WASH. 98020 Phone 774.1047 ENVIRONMENTAL CHECKLIST Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires all state and local governmental agencies to consider environmental values both for their own.actions and when licensing private proposals. The Act also requires that an Environmental Impact Statement (EIS) be prepared for all major actions significantly affecting the quality of the environment. The purpose of this checklist is to help the agencies involved determine whether or not a proposal is such a major action. Please answer the following questions as completely as you can with the information available to you. Where explanations of your answers are required, or where you believe an explanation would be helpful to government decision makers, include your explanation in the space provided, or use additional pages. You should include references to any reports or studies of which you are aware and which are relevant to the answers you provide. Complete answers to those questions now will help all agencies involved undertake the required environmental review without unnecessary delay. The following questions apply to your total proposal, not just to the permit for which you are currently applying or the proposal for which approval is sought. Your answers should include the impacts.that will be caused by' your proposal when it is completed, even though completion may not occur until sometime in the future. This will allow all agencies involved to complete their environmental review now, without duplicating paperwork in the future. NOTE: This is a standard form being used by all state and local agencies in the State of Washington for various types of proposals. Many of the questions may not apply to your proposal. If a question does not apply, just answer it "not applicable" (N/A) and continue on to the next question. ;Y==;}jt', ►` ENVIRONMENTAL CHECKLIST rrah • r s ttara `•< t:ta �: stf A. BACKGROUND 1. Name of Proponent 2. Address aPP Phone Number of Proponent 77c/—77 /"l-loy7; 3. Date Checklist Submitted 4. Agency Requiring Checklist 5. Name of Proposal, if applicable 0 Ir, 6. Nature and Brief Description of Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature: 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental im- pacts, including any other information needed to give an accurate under- standing o the environmental setting of the proposal): -f- iI 17 1 V 7 n C�/I�1.! 8. Estimated Date for Completion of the Proposaf / 1 ,'/ 9. List of all Permits,'Licenses, or Government Approvals Required for all Pro osal (federal, state, and local — including rezones): Ax/ 10. Do you have any plans for future additions, expansions, or further activity related to or connected with this proposal? If yes, explain. `T z 11. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain. 12. Attach any other application form that has been completed regarding the proposal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: -1- e 9 B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required). YES MAYBE NO 1. Earth. Will the proposal result in: a. Unstable earth conditions or in changes in geologic substructures? b. Disruptions, displacements, compaction or overcovering of the soil? c. Change in topography or ground surface relief features? d. The destruction, covering or modifica- tion of any unique geologic or physical features? e. Any increase in wind or water erosion of soils, either on or off the site? f. Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel or a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 2. Air. Will the proposal result in: a. Air emissions or deterioration of ambient air quality? b. The creation of objectionable odors? c. Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? Explanation: 3. Water. Will the proposal result in: a. Changes in currents, or the course or direction of water movements, in either marine or fresh waters? b. Changes in absorption rates, drainage patterns, or the rate and amount of sur- face water runoff? K -2- YES MAYBE NO c. Alterations to the course or flow of flood waters? d. Change in the amount of surface water in any water body? e. Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? f. Alteration of the direction or rate Ilk of flow of ground waters? g. Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? h. Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, deter- gents, waterborne virus or bacteria, or other substances into the ground waters? i. Reduction in the amount of water otherwise available for public water supplies? Explanation: 4. Flora. Will the proposal result in: a. Change in the diversity of species, or numbers of any species of flora (in- cluding trees, shrubs, grass, crops, microflora and aquatic plants)? b. Reduction of the numbers of any unique, rare or endangered species of flora? c. Introduction of new species of flora into an area, or in a barrier to the normal replenishment of exist- Y - ing species? d. Recution in acreage of any agri- cultural crop? Explanation: -3- YES MAYBE NO 5. Fauna. WIll the proposal result in: a. Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? b. Reduction of the numbers of any unique, rare or endangered species of fauna? x c. Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? d. Deterioration*to'existing fish or wildlife habitat? Explanation:. 6. Noise. Will the proposal increase existing noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: • 8. Land Use. Will the proposal result in the alteration of the present or planned land 'use of an area?. 11 Explanation: Itt- 13 j rj .z.o z" i _i VA- _ 9. Naturh Resources. Will the proposal result in: a. Increase in the rate of use of any natural resource? b. Depletion of any nonrenewable natural resource? Explanation: Y -4- a YES MAYBE NO 10. Risk of Upset. Does the proposal involve a risk of an explosion or release of hazard- ous substances (including, but not limited to, oil, pesticides, chemicals or radiation) in the event of an accident or upset condi- tions? Explanation: 11. Population. Will the proposal alter the ocation, distribution, density, or growth .rate of the human population of an area? Explanation: &J-Q/ &/;�j t4LX� 1 12. Housin . Will the propos 1 affect existing ousing, or create a demand for additional housing? Ex l anati on: 7 A 13. Transportation/Circulation. Will the pro- posal result in: a. Generation of additional vehicular movement? b. Effects on existing parking facili- ties, or demand for new parking? c. Impact upon existing transportation systems? d. Alterations to present patterns of circulation or movement of people and/or goods? e. Alterations to waterborne, rail or air traffic? f. Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? Explanation: _ _ ��d �1�1 A M i !I �f� 7 X X -5- YES MAYBE NO 14. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: a. Fire protection? b. Police protection? c. Schools? d. Parks or other recreational facilities? e. Maintenance of public facilities, including roads? X f. Other governmental services? X .Explanation: 15. Energy. Will the proposal result in: a. Use of substantial amounts of fuel or energy? b. Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: 16. Utilities. Will the proposal result in as need for new systems or alterations to the following utilities: a. Power or natural gas? b. Communications systems?�P c. Water? d. Sewer or septic tanks? e. Storm water drainage? f. Solid waste and disposal? Explanation: -6- YES MAYBE NO 17. Human Health. Will the proposal result in the creation of any health hazard or potential health hazard (excluding mental health)? Explanation: 18. Aesthetics. Will the proposal result in the obstruction of any scenic vista or view open to the public, or will the proposal result in the creation of an aesthetically offensive site open to public view? Explanation: 19. Recreation. Will the proposal result in an impact upon the quality or quan- tity of existing recreational oppor- tunities? Explanation: 20. Archeological/Historical. Will the proposal result in an alteration of a significant archeological or his- torical site, structure, object or building? Explanation: C. SIGNATURE I, the undersigned, state that to the best of my knowledge the above information is true and complete. It is understood that the lead agency may withdraw any declaration or non -significance that it might issue in reliance upon this checklist should there be any willful misrepresentation or willful lack of full disclosur on my part. PROPONENT: AZZ44- WALL LESTER 1047 PUGET DRIVE EDMONDS, WASH. 99020 Phone 774.1047 -7- FILE# IC-- 8 -�9 1 CITY OF EDMONDS REZONE FEE $150.00 APPLICATION FOR REZONE CONTRACT REZONE $200.00 ENV.ASSESSMENT FEE_ ENV.CHECKLIST RECVD , RECT NO. 3 p I. ) HEARING DATE LQ —� �--� APPLICANT: ADDRESS 109 41''1 -PRAA1,Ct Deg &nON QS WAPH0NE # 7 /0 f� APPLICANT'S INTEREST IN THE PROPERTY: OPTION HOLDER RE CONTRACT HOLDER OTHER - Please Specify: CC.� OWNER Mfg M F- ADDRESS PHONE (If more than one owne��tach list or petition REQUEST REZONE FROM: TO: Statement of reasons or rezone request. (Statement may be attached. Please inrluciP anv nlanc fnr dPVPlnnmPT)r ) REQUIRED SUBMITTALS (Must be submitted at time of application) 1. Map drawn to scale of the area involved, showing all property lines, dimensions- existing buildings and streets. Indicate North and adjacent zoning. 2. Vicinity sketch of the area with subject property shaded in. Indicate North and adjacent zoning. 3. Environmental Checklist, completed, with the $35.00 fee. 4. Names and addresses of all property owners and street addresses within 80 feet of the boundaries of the proposed rezone site. This space to be completed by the Planning Division: Legal Description checked and approved by _ Date Release/Hold Harmless Agreement The undersigned applicant, his heirs and assigns, in consideration for the City processing the application agrees to release, indemnifv, defend and hold the City of Edmonds harlmess from any and all damages and/or claims for damages, including reasonable attorneys' fees, arising from any action or inaction of the City whenever such action or inaction is based in whole or in part upon false, misleading or incomplete information furnished by the applicant, his agents or employees. Permission to Enter Subject Property The undersigned applicant grants his, her or its permission for public officials and the staff of the City of Edmonds to enter the subject property for the purpose of inspection and posting attendant to this a plication. ignature .oOwner _oe� gent or Owner �" 0'4