10127 238TH ST SW.PDF111111111111
4155
10127 238TH ST SW
r
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 7D �✓ [�_DiJ i�'Y 7�
BUILDING PERMIT (NEW STRUCTURE): eA
COVENANTS (RECORDED) FOR:
CRITICAL AREAS :/ iM 1 DETERMINATION: ❑ Conditional Waiver ❑ Study Require Waiver
DISCRETIONARY PERMIT # S.
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSTs\Fomis\.Street File Checklist.doc
CA FI NO. r
Cacal Ar J c eas Checklist
- .-------------------------
---------------------------
Site Information (soils/topography/hydrology/vegetation) b�,Zkop� ?�1 r F�
1. Site Address/Location: / 0 /Z % a3 o� f`ej
2. Property Tax Account Number: D D 3 D Q 040ss C
3. Approximate Site Size (acres or square feet): J/d—" S� '
4. Is this site currently developed? X yes; no.
If yes; how is site developed? �7y W�x-
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: /U ; Approx. Depth: '
7. Site contains areas of seasonal standings water: ; Approx. Depth:
What season(s) of the year? Gc�-C,.
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? % Flows are seasonal? (What time of year?
10. Site is primarily: forested : meadow : shrubs mixed
urban landscaped (lawn,shrubs etc) ,Z(
11. Obvious wetland is present on site:
2 SCS mapped soil type(s'� ..:;:..:;%�.?t."'' `{ L.i''i> ?w�►
�.
M.,
Reviewed
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas File #: —
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept Z
City Receipt No:_ C 5
Date Mailed to Applicant:
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds Prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City, will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
PLEASE PRINT CLEARLY
Owner/Applicant:
/117fcr ci4nne_ CAS.
Name
%6/-27-C,23�'te-, 5j
Street Address
City State Zip
Telephone
Signature ' J
Date
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
d:neceptlongana1CACLHandotAAoc Revised 4110l2000
In $cj0
July 30, 2001
CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
Maryanne Enslow
10127 238" 5t Sw
Edmonds, WA 98026
Re: CHANGE OF ADDRESS
GARY HAAKENSON
MAYOR
This letter is to inform you of your address change. Due to the recent subdivision of your
property and the current existing homes address numbers, the following address change is
made, effective immediately:
10127 238th St SW has been changed to 10131 238th St SW
The City will notify all applicable departments of this address change. It is your
responsibility to notify all other interested parties, including the Post Office.
Please call me at (425) 771-0220 with any questions.
Lara Knaak
Permit Coordinator
Cc: Fire
Police
Public Works
Utility Billing
Address Files
Street Files
Engineering
Building Official
ADDRESS.DOC/TEMPBLDG
• Incorporated August 11, 1890 •
Sister City - Hekinan, Japan