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REVIEWED BLD2023-0389 McGourty Combination Request FormRECEIVED Jun 12 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT To: Snohomish County Assessor Attn: Property Control Division 3000 Rockefeller Ave 3' Floor Admin East M/S 510 Everett, WA 98201 BLD2023-0389 Splits/Combination Request Form ------------- Reviewed by ' City of Edmonds Planning Division - - - - - - - - - - - - - -� Phone: 425-388-3525 Fax: 425-388-3961 Dear Requestor: Items marked with asterisk (*) are required information. *From: (Name) Kelly McGourty *Check one: I am the B owner -or- ❑ power of attorney (document attached)* Mailing address: 1139 3rd Ave S, Edmonds, WA 98020 *Phone #: 206-718-4033 E-mail: kjmcgourty@hotmail.com *Tax account number(s) 00582000200901 *Select the action requested: ❑ Parcel Split 00582000200802 *Number of resulting parcels: *Please attach a complete legal description for each new parcel. Reference document Please attach copy or provide the Auditor's file #: Please note: RCW 84.56.340 requires property taxes to be paid in full for the year in which the property is being segregated. If there are taxes owing, we will not be able to segregate. ❑ Parcel Merge "combination" *Number of resulting parcels: 1 In order to combine, we need the following details to be in order. o All parcels must be held in the same ownership. If the names differ on the tax rolls, please provide copies of documents that show common ownership. o If the parcels lie in different Tax Code Areas, we may need to keep them separate. o All parcels must have the taxes paid current. ❑ Correction to legal description. Attach any documentation. *Date 06/11/2023 Request taken by *Signatures of all property owners: D An incomplete request may be mailed back. If there is a lending institute with an interest in this property, you may want to notify them of this request.