PLN2021-0037+Civil Review Application Form+2.2.2022_3.24.48_PM+2657793Revised 12/9/2021
PROJECT INFORMATION:
Project Name:
City Project #:Project Address:
Owner Name:Short Subdivision Formal Subdivision
APPLICANT INFORMATION:
Applicant Name:Phone #:
Company Name:E-mail Address:
CONTACT PERSON FOR REVIEW COMMENTS (IF DIFFERENT THAN APPLICANT):
Contact Name:Phone #:
Company Name:E-mail Address:
By signing this application, the applicant acknowledges it is their responsibility to ensure the review of the
civil construction plans is complete and approved by the Engineering Division prior to the preliminary
subdivision expiration date.
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Civil Submittal Instructions for Applicant
-Submit all files through www.MyBuildingPermit.com.
-Fees will be due following submittal. Note that additional fees may be required during the civil review
process.
City of Edmonds
Subdivision Civil Plan Review Application
Applicant’s Signature: Date: