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signed land use application.pdf
df 1 �Ij City of Edmonds�� r b, Land Use Application I ARCHITECTURAL, DHSICiN'REVIEW FOR OFFICIAL USE ONLY J 'CUMPRFHENSIVE PLAN r'` NIFNDMEN-I I CONDITIONAL USE PERMIT FILE # ZONE, HOME OCCUPATION DATE RECD BY I FORMAL SUBDIVISION I SHORT SUBDIVISION PGC RF`.CEIPT # LOT LINE ADJUSTMENT HEARING DATE PLANNED RESIDENTIAL DEVELOPMENT OFFICIAL STREET MAP AMENDMENT. L1 HE, STAFF L P13 ADB CC I STREET VACATION I REzoNE -I SHORELINE PERMIT VARIANCE 1 REASONR'tBLE- USE EXCEPTION J OTHER: •JPLEASFNOTETHA TALL fNFORr19;[TIO1'CONTAIA'EDWITHINTHF A PLICA TION ISA PUBLIC RECORD • PROPERTY ADDRESS OR LOCATION 8609 244th St. SW, Edmonds, WA 98026 PROJECT NAME (IC+' APPLICABLE) 244th St. PROPERTY OWNER Mietzrier Brothers Properites, LLC PHONE# (425) 212-2490 ADDRESS 11611 Airport Road Suite B-1 Everett WA 98204 I -MAIL rnikem@a mietznergroup.com [ .ax # 425 212-2243 TAX ACCOUNT # 00463303100103, ao463303100105, a©4533'(:31©n1 02 SEC. 31 TwP. 27 N RNG. 04 E DESCRIPTION OF PROTECTOR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY) Project is to construct 11 units on approximately 0 88 acres. _ DESCRIBE HOWTHE PROJECT MEETS APPLICABLF CODES (ATTACH COVER LETTER AS NECESSARY) APPLICANT MietznerBrothers Properties LLC PI ZONE # (425) 212-2490 ADDRESS 11611 Air ort. Road, Suite B-1, Everett, WA 98204 E-MAIL mikemciJmietznergroup.com _ FAX# 425 212-2243 CONTACT PERSONIAGENT Brian Kalab P.E. J Insight Engineering Co. PHONE # (425) 303 9363 ADDRESS P.O. Box 1478 Everett WA 98206 E-MAIL _.tarian insightengineer t net ........ FAX# (425)303-9362 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 to whole or part upon false, misleading, inaccurate or incomplete invforinatlon furnished by the applicant, l isfher/its agents or employees. By my ;signature, I certify that the information and exhibits herewith submitted are true and correct to the hest of my knowledge and that I am authorized to tilt this application on e b alf ol`tEJe ow r as listed below. p SIGNATURE OF APPLICAN'TJAC PNT DATE Property Owner's Authorization certify under the penalty of perjury under the laws of the State of Washing a that the following is a true and correct statement: I have authorized the above ApplicantlAgent to apply for the subject land use application, and grant my permission for the public otliciak and the staff of the City of Ednnonds to enter the subject property I'vt the pu f i sp , in and li ong ne t to this application, SIGNATURE OF OWNER DATE Ques'ons`x Cat (425) 771-0220 Revised on 8,22'12 B - Land Use Applicu ion Page I f?/ I