Sunde Application.pdfCity of Edmonds
Land Use Application
ARCHITECTURAL DESIGN REVIEW FOR OFFICIAL USE ONLY
7 COMPREHENSIVE PLAN AMENDMENT _
❑ CONDITIONAL USE PERMIT FILE # ?LK0019 ZONE EM I S
:1 HOME OCCUPATION DATE `v 16 REC'D BY AG
FORMAL SUBDIVISION sr��
SHORT SUBDIVISION FEE gol50-6 RECEIPT #
LOT LINE ADJUSTMENT HEARING DATE
-1 PLANNED RESIDENTIAL DEVELOPMENT
-1 OFFICIAL STREET MAP AMENDMENT —1 HE STAFF G PB El ADB C' CC
❑ STREET VACATION
11 REZONE
C SHORELINE PERMIT
C VARIANCE / REASONABLE USE EXCEPTION
E OTHER:
• PLEASE NOTE THAT ALL INFORMATION CONTAINED WITHIN THE APPLICATION IS A PUBLIC RECORD •
PROPERTY ADDRESS OR LOCATION 8629 238th St SW
PROJECT NAME (IF APPLICABLE) Sunde Townhomes
PROPERTY OWNER Thor Sunde PHONE # (425) 770-0844
ADDRESS 24225 85th Ave SE Woodinville, WA 98072
E-MAIL sunderentals@gmail.com FAX #
TAX ACCOUNT # 00463300700302 SEC. 31 TWP. 27 RNG. 04
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY).
(see attached)
DESCRIBE HOW THE PROJECT. MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)
(see attached)
APPLICANT Thor Sunde PHONE # (425) 770-0844
ADDRESS 24225 85th Ave SE Woodinville, WA 98072
E-MAIL sunderentals@gmail.com FAX #
CONTACT PERSON/AGENT Lee A. Michaelis, AICP Puget Sound Planning PHONE # (206) 250-7952
ADDRESS 5005 200th St SW, Suit 101 Lynnwood, WA 98036
E-MAIL lee.michaelis@pugetsoundplanning.com FAX #
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 in whole or part upon false, misleading, inaccurate or incomplete information
furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge
and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT DATE Z
Property Owner's Authorization
I, certify under the penalty of perjury under the laws of the State of
Washington that the following is a true and correct statement: I have authorized the above Applicant/Agent to apply for the
subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the
subject property for the purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER DATE
Questions? Call (425) 771-0220.
Revised on 8122112 B - Land Use Application Page 1 of I