PLN2021-0034+Civil Review Application Form+2.17.2022_12.02.51_PM+2687599Revised 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:
Applicant’s Signature:Date:
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.
******************************************************************************************
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
Herzer Short Plat
Brett & Cheri Herzer X
16209 75th Place WestPLN2021-0034
bherzer@windermere.com
(206) 261-7676
Puget Sound Planning, LLC
Brett Herzer
Lee A. Michaelis (425) 830-1046
lee.michaelis@pugetsoundplanning.com
02/17/2022
RECEIVED
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
FEB 25 2022