BLD2023-0640+Liability_Landslide_Acknowledgement+5.23.2023_2.01.33_PM+3564409BLD2023-0640
APPLICANT/OWNER LIABILITY & LANDSLIDE ACKNOWLEDGEMENT
RECEIVED
Subject: Koh Residence (15604 75th P1 W Edmonds WA 98026) Jul 12 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
This statement confir rm that the accuracy of all permit submittal information warranted by the applicant/owner
Aife-1 pff . &0'q in a fonn which relieved the City and its staff from any liability associated with
reliance on such permit application submittals -
My application may reference the reports of prior consultants to the City; however all conclusions shall be those
of me M (COAft- J4-"land my design professionals.
Further, 1, Mi c. I( 0#understand and accept the risk of developing* in an area with potential unstable
soils and understand the required temporary and permanent erosion control and site maintenance issues
associated with specific geological hazards or conditions of the site that may affect slope stability over time.
I will advise, in writing, any prospective purchasers of the site, or any prospective lessees of structures on the
site, of the slide potential and on -going maintenance issues of the area and on the property.
STATE OF WAS1 INGTON COUNTY OF MCA N 17 S
Being first duty sworn, says: I am the owner/applicant or the representative
for the above named; 1 have read the foregoing statement, know the ontents thereof, and believe the same to
be true.
Signature of own�,phcant or representative
SUBSC:RIBl-D AND SWORN TO before me this - day of "' L
Signature- NOTARY pIfBLIC in and for the State of Washington
Print Name:
Residing m M
My commission expires: SANJAY KUMAR SAIGAL
Notary Public
Saigal
KUMq,QLp Advocates & Solicitors
NO7-ARC, �i� No. A-31-11, Level 31, Tower A,
Menara UOA Bangsa ,No. 5 Jalan Bangsar Utama 1,
� PUB��C Bangsar 59000 Kuala Lumpur
o- Tel: (603) 2284 0332 Fax: (603) 2284 1662
2 6 APR 2023