BLD2020-0564_Other__adu_statement_-_signedSTATEMENT ON ACCESSORY
DWELLING UNITS
DEVELOPMENT SERVICES DEPARTMENT
121 5"' Avenue N, Edmonds, WA 98020
Phone 425.771.0220 0 Fax 425.771.0221
Property Address (Street, City, State, Zip): I Parcel #:
I have read the requirements for Accessory Dwelling Units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an Accessory Dwelling
Unit (ADU) as defined in ECDC Section 21.05.015 is prohibited until the required ADU
permit(s) are approved and any required inspections are finalized.
I also understand that an ADU permit cannot be approved unless all the criteria in Chapter 20.21
are met, and all the necessary items are submitted, including an affidavit of occupancy and a
covenant to be filed with the Snohomish County regarding the regulations imposed on ADUs.
I am not requesting to establish an Accessory Dwelling Unit on my property as part of the
subject building permit application (File No. ), and I will obtain
all applicable ADU permits if I choose to establish an ADU in the future prior to establishing
such ADU. I understand that the city's review of the subject building permit application does
not imply any future approval of an ADU.
I declare under penalty of perjury laws that the above information is true, correct and
complete, and that I am the owner of the above described property.
Print Name: Sharon Larsen
Signature:
Date: Jun s, 2020
Revised on 712312013 ADUStatement Page I of I
adu statement
Final Audit Report
Created:
2020-06-08
By:
Heidi Helgeson (heidi@h2darchitects.com)
Status:
Signed
Transaction ID:
CBJCHBCAABAAgefwbeJSM6ZRsD0_ImyDN48xGtZIIU_9
"adu statement" History
Document created by Heidi Helgeson (heidi@h2darchitects.com)
2020-06-08 - 3:01:07 PM GMT- IP address: 50.46.198.9
2020-06-08
Document emailed to Sharon Larsen (sharon.larsen@frontier.com) for signature
2020-06-08 - 3:01:39 PM GMT
Email viewed by Sharon Larsen (sharon.larsen@frontier.com)
2020-06-08 - 3:33:37 PM GMT- IP address: 50.34.49.252
dp Document e-signed by Sharon Larsen (sharon.larsen@frontier.com)
Signature Date: 2020-06-08 - 3:35:09 PM GMT - Time Source: server- IP address: 50.34.49.252
Signed document emailed to Heidi Helgeson (heidi@h2darchitects.com) and Sharon Larsen
(sharon.larsen@frontier.com)
2020-06-08 - 3:35:09 PM GMT
E Adobe Sign