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1100 12TH AVE N (6).pdf!filled in by Planning !� DAl4-1FILE 0 CITY OF MIONDS FEE REC'T M SUBDIVISION APPLICATION APO'S 'TITLE REPORT ,e_, � LOT-LINE ADJUSTMENT $10 LEGALS:''r x sting ropose �- SHORT SUBDIVISION - 4 lots or less; MAP ,-GRAt3ING PLAN - $10 per lot. SUBOIVISIAN - 5 tots, or more; fee is $B Per lot, or ENV. ASSE5L�CK'LIST ' 0005 per square foot of lot area in the Plat, whichever is greater. Minimum E/A FEEREC'T # fee is $50. This fee is applicable to {Determined by -- both preliminary and final plat submissions. 1 HEARING DATE SET: 1Ut APPLICANT: -P> CC'II�a1 C/0- ADDRESS:_'L{ PHONE: 7� 033 Indicate type or degree of interest in the property: C' Psi?fL p r R1rINER: iJ0 L is ADDRESS: ('ZrM, igotT1 PHONE: Z 77�'4a If other than applicant 1. REQUEST THAT THE FOLLWING DESCRIBED PROPERTY BE DIVIDED INTO LOTS. #; LOCATION OF PROPERTY: 1 i{� t'Z T}J C F 7tf __Y__r_'tld'r1� f LEGAL DESCRIPTION OF ENTIRE PROPERTY 4 To be completed by the Planning Department: y Use Zone 1ZL LEGAL DESCRIPTION CHECKED & APPROVED Kroll Map No. BY: DATE: 2. MODIFICATION OR VARIANCE OF REQUIREMENTS Applicant requests that the Planning Commission consider the following modifications: 's i Applicant requests_ that the Board of Adjustment hear a variance For the following: CERTIFICATION: I do hereby certify that I own the above legally described property, and further, that all contiguous property which I own, which has not received a previous subdivision approval, is included herein. I further certify that the attached list contains names, addresses and zip codes of all property owners within 80 feet of the subdivision as recorded with the County Assessor. I understand that street dedications may be'required in conformance with the Official Street Plan of the City,.of-Edmonds.. --� f ropjet-Cy none 11/76 f ? SHORT SUBDIVISION FOR AIB ASSOC. j j1 N `y W A\E PUGET SOUND MACi- HNERY DEPOT �' 19 FIVE ACRE TRS. 27 North Line of South 1/2 of TrcOt 27 60.00, W9.92 A ICRRPAQTI � � J RE',;fOYEq � :,.} .. ., N 6X/STlM7 10 0i f FAM N InRBSIPE'NCE p M O W o C J 1 15- ACo.oa$5 9 UTILITY EA E9AENT 10' DEDICATED STREET r F W WAGIN'ER'S > I ADD. 3 � Q t5 23' J J ;Zea. Mdetl' elon & e4eaaeiatea, ?Ke, °cs. atse ! �»e, FILE NO. ENGINEERS • SURVEYORS •PLANNERS .5.3 74 124 Mein Sheof Edmandt. Wa.h%-s•:n v6410 CH. ,•CA.W9 I- y0Y 0Htl7 ! or / f eoNl Quit Claim Beed (CORPORATE= FORM) THE GRANTOR A/$ Construction Corporation Cor and inconsideration of mutual benefits to be derived conveys and quit claims to The city of Edmonds, a municipal corporation the following described real estate, situated in the Countv of Snohomish State of Washington including any interest therein which grantor may hereafter acquiree f the feet The West Sof T feet of Pugetast SoundD.44 Machineryeet oDepot Five-AcreDTractsoWest half of Tract 2e 9 Records accord- ing to the plat thereof recorded in Volume 5 of fiats on page 47, of Snohomish County, Washington. IN WITNESS WHEREOF, said corporation has caused this instrument to be executedC,by its proper officers and its corporate seal to be hereunto affixed this !g7i- day of 2 Y1 0 < y 11-7 a ................... (.� • GCt!!r�.......................... ..................... $y....................................... • Secretary. STATE OF� ��W//ASHINGTON, ) as County ofr1�'• }1 before me, the undersigned, On this �/a L• day of � a Notary Public in and for the State of Washington. Sly commissioned and sworn, personally appeared to mt known to be the + President and Secretary, rrspectivdy, of a A.I. •' the t. and cknowleded the said instrument to he ee and voluntaryract andadeedeoft saidhcarpuratiun,tfor they uses andapurposesfioathht therein mentioned, and n stated that orixed to execute the � `tint and .,t tf}% �'al ahived is the corporate seal or said co ration. a�! �1i _� "d Witness my hand and official sea `lirreto affixed the day i d year first above wri;n., j �gj'oatl/c .c c�... Z .:.....:...... "ask. Noin and (or the State {i'oskinptoe, re 64,z4'_r_7. Tz RECEiVFr) CITY OF Ei?'?'1"IDSr JUN1 � 1978 RECORD OF SHORT Suc•.)IVISION Public Works aep[. oTy CURK C;vic C^nie� This is to certify that the properties as shown on the attached map (Exhibit "A") and described as follows: See Exhibit "B" Have been,.div-ded, under the provisions of the Edmonds Subdivision Ordinance (Sec.12.10) File No. =s .e,`wi subject to the following conditions and requirements: 1.- Exhibit "C": Hold Harmless Agreement Var i anc 1 o a I i ow l ots to access or, r• i vate road recto i t QJ (V -(i )pra� cutting restrictions nor Sf:4ti ti 12.10.050(C) (2). n.* Quit claim deed for turnaround at •_:: of 17th Avenue. Paving .. turn.round. 5. Twenty foot access easement plus fi•:e foot utility easement. 6. Eighteen feet of P:iving on access e.-,.,,-;ment. 7. Connection of all lots to sanitary ;nor. f;. U•t i I ity r•esements requriced as neces, iry for uti I iffy service. j 9. All new +using to be undersiround. 10. A,;;,roved drainage plan required and improvements to be Installec per Ordinance 1924. ALL I MPPOVEt U.TS REQUIRED PR i OP TO i SSUA' i4.1i OF BUILDING F'L(N I TS . ti Quit claim deed recorded under Auditor's File #7805240 72. Ijwe hereby certify that I/we are the legal owner(s) of the property descrit:d above. I/we warrant that all representations are true and correct and understand that in %:ie event of any misrepresentation or failure to comply with the conditions and regulations set forth herein, the City of Edmonds shall have the right to declare the subdivi, n void anc :-ecord a statement to that effect in the grantor -Grantee's Index in, the office of the SnohomishCount� Auditor. E NO 9LES TAX REQUIRED Signed: � _ Jug 7 -1978 ALM -10111? Rii I �? . SJE4�RS,, ash lreasa�r " �'_ t, -• �, ) It E:( : � is i )1 rt � � -`"` Dated th`,s J-161Il� day of 19-7q. f'I i Y ()L: I: DN" itilY° STATE OF ;tASHI"iGTO�d} ss: COUNTY OF SNOHOPII SH } _---� r, .,.� _. of .• - On this 8 7—mrsonally appeared before me 61 to me known to be, the individuals descr beu �•• uted he w11i and foregoing instrument, and ackno.vledged that �. 4 i, n file sXe as, free and voluntary act and deed, for the uses and par - Roses tnereirr Mentioned. 'GV de.r:my hand and official seal th�is_�day of 19�_ 1322 i:AUI 341 '••�� ` as JJ 5' ��� Y""�'�'� `r ��.Ww' �` �, • •,'"'x� Notary Pub1 in and or the tate of tJaslftingte. e ti "",,, • 3 (1 residing at __ a. 7.96 At)k • FILE NO. s-60-77 EXHIBIT "C" Owners, and all persons having any present or subsequent ownership 1 interest in these lands, and the successors and assigns of owners or other parties having any said interest, hereby agree that the City of Edmonds shall be held harmless in all respects from any and ,all a i claims for damages for injunctive relief which may be occasioned now or in the future to adjacent land or improvements by reason of the construction, operation and maintenance of the drainage system and hereby waive and release the City of Edmonds from any and all I claims for damages, excluding damage caused soley by an act or omission of said City and injunctive relief which the owners, or their successors or assigns, may themselves have now or in the i future by reason of the construction, maintenance and operation of said drainage system, r� ..�AUTI` ORIZED,., IF RELO DING EDMON DS 1-3y Page Of FILE NO. s-60-77 EXHIBIT "C" Owners, and all persons having any present or subsequent ownership 1 interest in these lands, and the successors and assigns of owners or other parties having any said interest, hereby agree that the City of Edmonds shall be held harmless in all respects from any and ,all a i claims for damages for injunctive relief which may be occasioned now or in the future to adjacent land or improvements by reason of the construction, operation and maintenance of the drainage system and hereby waive and release the City of Edmonds from any and all I claims for damages, excluding damage caused soley by an act or omission of said City and injunctive relief which the owners, or their successors or assigns, may themselves have now or in the i future by reason of the construction, maintenance and operation of said drainage system, r� ..�AUTI` ORIZED,., IF RELO DING EDMON DS 1-3y Page Of •. clry CLERK _ SHOR#S SUBDIVISION FOR A/B SSOC. Civic Center Edmonds, Washington (; y i i W E { S PUGET SoUtJ\1D NIA CHINEE RY DE: POT ' FIV E A(r TFt-S. 2 _ North line of South 1/2 o Tract 27 N 690 35 14"W • i ~� 8000' 109.92 o f) ICAR "rj cli I IU Ba i B f , . I_RfM6YElJt y f 3 E x is rin~s aq a+ ' SlNG4E FAMILY O a _ p � . � m RE5lDE'Nc-,''� o C4 D K>Z I DEG. DR. - g FA O FILE NO. 5.374 ' W P C _ f e, J _ z � N 3 CHI C'G ACCESS d UTILITY EASEMENT PTN DEEDED TO THE ' _ CITY OF EDMONDS 80.00' 52.15' $Harr _ i !0' DEDICATED tt0° p -r' r -STREET Iti N 890 34' 28 W Z r A THORIZED IFOR wR�CO1G \/V A (3 i`1 E R'S > I g' CITOF Et MONDS 2s 8V Set Iron pipe with plastic cap nod. 4561 (V 1 `� Set boat spike.with washer in asphalt .«. Land Surveyor's Certificate:rQ' t�l� a ` This short plat .orrectly represents A survey V, made by me or under my direction in conformance with the requirimients or ^;,propriate state and +s county statute and ordinance'. '•.+1..,,`t'`} LLL.., , .711le P t9�g L �. Date �Tz, )•�r`�r� 34 Certificate No.: 7B9Z VA322 r"AGF e,0. 77 0ArA e -2 -`?6 iso bow, 3 C .I. �y ����/�.r�� O �[ ��,�.r mea, IxCARWGGws Pr T'�OOCGccsi�Ld, -/1KG. mea, DEG. DR. - g FA DATE sl1Yl7� L F.;. F_G FILE NO. 5.374 ENGINEERS • SURVEYORS • PLANNERS _ _ _ ` _ )N Mein Street • Edmonds, Weshinyton 98020 CHI C'G SCALE / c 90 $Harr w .. CITY CLf i' . , •. civic t'i �..... ' } rdm(^h, `iia. If JAMES N, RECD LENOY F. mivatttON C, WAYNE JONES LLOYD N. NELSON r• ever_ fes` ENGINEERS • SURVEYORS • PLANNERS P6GLc� Ph 374 Mels S11 -i a Edmenda. W.01'stfon oHo:o o ,;nfi' 7ra.�nln March 24, 197B File No. 53713 LEGAL DESCRIPTIONS FOR AIB ASSOCIATES ENTIRE PROPERTY The south half of the west half of Tract 27, Puget Sound Machinery Depot Five -Acre Tracts, according to the plat recorded in Volume 5 of Plats, page 47, records of Snohomish County, Washington; EXCEPT the east 132.0 feet thereof; Situate in Snohomish County, Washington. PARCEL A The west 80.0 feet of the south half of Tract 27, Puget Sound Machinery Depot Five -Acre Tracts' according to the plat thereof recorded in Volume 5 of Plats, page 47, records of Snohomish County,Washington; SUBJECT TO an easement for ingress, egress and utilities over the south 15,0 feet of said west BO.0 feet, and TOGETHER WITH an easement for Ingress, egress and utilities over the south 15.0 feet of the west half of said Tract 27; EXCEPT the west 80.0 feet thereof, and EXCEPT the east 132.0 feet thereof; Situate in Snohomish County, Washington. PARCEL B The south half of the west half of Tract 27, Puget Sound Machinery Depot Five - Acre Tracts, according to the plat thereof recorded in Volume 5 of Plats, page 47, records of Sr—homish County, Washington; EXCEPT the west 80.0 feet thereof, and EXCEPT the east 132.0 feet thereof; SUt3JECT TO an easement for ingress, egress and utilities over the South 15.0 feet of the abovl�-described portion of said Tract 27; Situate in Snohomish County, Washington. Hno17ED 0,y " eWA,y'y" ,;aEi3tetta,.•'� irs44 �'0A'AL •Lai° 5.,c� RUT FOR i 'tyUi\1ONDS Page + Of VOL1322 FACE 35 Q� Uj O ,L.1 zui ial � 0 0,y " eWA,y'y" ,;aEi3tetta,.•'� irs44 �'0A'AL •Lai° 5.,c� RUT FOR i 'tyUi\1ONDS Page + Of VOL1322 FACE 35 May 17, 1978 MEMO T0: Harve H. Harrison Mayor FROM:, John A. LaTourelle, Director Community Development Department SUBJECT: ACCEPTANCE OF QUIT CLAIM DEED FOR RIGHT RP-L.TA V TN f llTai TTTATl+TTnTT T.rrmil oTtnr,m n•r..� te r... The applicant for this short subdivision, which was given preliminary approval December 29, 1977, is A/B Construction Corporation. A copy of the application and a plat map are attached for your review. A copy of .the Quit Claim Deed is attached. Council accept- ance is requested. '�14L zez le Attachments Quit Claim Deed (CORPORATE FORM) THE GRANTOR A/ti Construction Corporation for and in consideration of mutual benefits to be derived conveys and quit claims to The City of Edmonds, a municipal corporation the following described real estate• situated in the County of Snohomish State of Washington including any interest therein which grantor tnay hereafter acquire: The West 58.44 feet of the East 190.44 feet of the. South 15.0 feet of the West half of Tract 27, Puget Sound Machinery Depot Five -Acre Tracts accord- ing to the plat thereof recorded in Volume 5 of Plats on page 47, Records of Snohomish County, Washington. Tile ,yti •:h GP JJ S TW P IN WITNESS WHEREOF, said corporation has caused this instrument'to lie executed by its proper officers and its corporate seal to be hereunto affixed this day of a) t ,..;ty t 1 !78 ............. .................................' .......... ......:.................. BY- �) Prfe dent. �Ltael.�C�. lie .............. r Secretary. STATE OF 1WASHlNGTON, a County of -."9 y ()n this r� day of ) i'tcZ. t— before me, the undersigned, a Nt)tary Public in and for the Sone Ali tt'ashingum, Ebtip cumnrissinm•d and sworn, personally appeared and to me known m he the President and secretaty• respectively, of 1(e the cutporation that executed the foregoing iimmment, and acknowledged the said instrument to he the free and vuluntaty act and deed of 'ai'l cotpuraion, fur the u;eS wul putpn:a tbeu•ut nu•otiuuvd, and on oath stated that autborired to execute the said in>troment ;nti,that the -el) :dtixr•d is the con)orate seat of said 11'iuu•,s my haml and official seat" harts, of iNcd the day -1/ yru ina above written. i Not+vi• 1't+Glit and d )or fife Slate Washington, n ` � residing at GGA r C I T Y O F E D M 0 N D S ENGINEERING REQUIRII`fBM'S Fr" t PLATS A,'tD SUBDIVISIONS HEARING DATE VO -- 1. 1. Right-of-way: `Dap ftex rm TORA 000 A.'r vp Or- ort" ma, pep. P- fie, 2. Paving and Curbs :SVC AMplrlo"U %J@A)e. OPJ 2 MS 6 t *rO 3. Turn Around: 3 gee -p. Arr (W t -r" e� 4. Sidewalks & Planting Strip: 4 S. Access Easements: 5 Za S C' '�` F.VQ*ID • -M SEPV Lr L*T S 6. Water Mains: E 7. Fire Hydrants: 8. Sewers or Septic Tanks: CAAA)Gv1%0.3 Orr AL.L WS CACAT %%V3M " 9. Drainage: Install all necessary storm sewers and drainage facilities per ordinance 1924 u ed approvdrainage elan. Where drainage 5 agross ri property, all parties having any ownership i.nterepst in the lands being platted shall provide, as a restriction on the plat running with the land, that the City of Edmonds shall be held harmless from any and all claims for damages which may be occasioned to adjacent land by reason of the construction and operation of the drainage system, FILE NO. 's - (Vo a 71 REQ' P t V .Q' BOND PRIOR TO PRIOR TO POSTED COMPLETED RECORDING BLDG PER'1IT X X X X K K 3. v,1 to ENGINEERING REQUIRDOTrS FOR PLATS AND SUBDIVISIONS Page Two unless, releases of damages and/or drainage easements are obtained from the other property owners affected by said drainage. Any drainage problems created by change of contour during plat development must be corrected, prior to plat approval or release of plat bond. Final approval of plat (release of plat bond) will be withheld until actual drainage as installed has been in- spected by the City Engineer. Erosion controls shall be provided. The following statement shall appear on all plat sheets: Covenant: Owners, and all persons having any present or subsequent ownership interest in, these lands, and the successors and assigns of owners or other parties having any said interest, hereby agree that the City of Edmonds shall be held harmless in all respects from any and all claims for damages for injunctive relief which may be occasioned now or in the future to adjacent land or improvements by reason of the construction, operation and maintenance ance of the drainage system, and hereby waive and release the City of Edmonds from any and all claims for damages, excluding damage caused solely by an act or omission of said City and injunctive relief which the owners, or their successors or assigns, may themselves have now or in the future by reason of the construction, maintenance and operation of said drainage system. 10. Utility Easements and Access there to: 11 MQN�. NI)AMAWT -re A""s memimm A00 h4s itea 4 0. FO& UTILoryseLVICIF 11. Underground Wiring: To be provided in accord- l' ante with Ordinance No. 1387. Street Lighting shall be also provided with the necessary street A1 t 1 V ht standards and underround ound wiring connection. - gr VO*Mr ro .40 IPOTROT "GRIS Way RM10. 12. Excavation and Grading: Excavation and grading shall conform to the requirements out- lined in Chapter 70 of the Uniform Rdilding Code, 1967 Edition, Vol. 1. Where extensive grading and fill are involved in the development of a plat, a grading plan and specifications shall be prepared, REQ 1 D 'D BOND PRIOR TO PRIOREQ R TO POSTED COMPLETED RECORDING BLDG PER' TIT A ENGINEERING REQUIMENTS FOR PLATS AND SUBDIVISIONS Page Three ENGINEERING AIIIINISTRATIVE REQUIREMENTS In accordance with the platting rules and regula- tions of the Edmonds City Code, the sponsor or the application shall advise the City Engineer, in writing within 21 days of the above date, the method of assuring performance for the installation of site improvements. Improvements: Improvements to be provided by the developer shall conform to Section 12.08.350 of the Edmonds City Code and to the fore- going list of engineering requirements. Subdivision Ordinance No. 1703, Section 6. Section 12.10.060 Application and Fees: (d) Public mp�rove- went lns�e :tion Vee___ An inspection fee in the e amount of percent of the estimated construction cost' for the public improvements shall be provided sub- sequent to the approval of the development and engineering plans by the Engineering Department. Alternate method of providing site improvements are as follows: 1. By furnishing the City of Edmonds with a per- formance bond satisfactory to the City Fngineer, in which assurance is given the City that the installation of the minimum improvements will be carried out as provided in Section 12.08.350 of the Edmonds City Code. The amount of bond shall cover 110 percent of the Engineers' estimatd of public works and utility improvements. 2. By actual installation of improvements in accordance with the provisions of Section 12.08.350 and in accordance with the installation requirements and under the supervision of the City Engineer. Regardless of the method employed by the developer for the installation of improvements. "I\b improve- ments shall be finally accepted by the City of Edmonds until the developer furnishes the City with a bond in the amount of 15 percent of the cost of said improvements to guarantee said im- provements against defects in workmanship and/or materials for a period of two (2) years from the date of such final acceptance." Also, before final acceptance, an as -built drawing of site improvements shall be submitted -by the developer's engineer and approved by the City Engineer. REQ'D REQ 'D BOND PRIOR TO PRIOR TO�� D CONPLETED RECORDING BLDG PER`UT ENGINEERING RE UIRRMNTS FOR PLATS AND SUBDIVISIONS RFQ'D REQ'DBOND j Page Four PRIOR TO PRIOR TO POSTED COMPLETED RECORDING BLDG PETITT { The City Engineer will review plans for improve- ments, prior to the start of construction. Notify the City Engineer of the schedule of construction prior to commencing work (M WORK WILL, BE UNDERTAKEN IN THE PUBLIC RIGHT-OF-WAY UNTIL-AUTHORIZED BY TILE : t ENGINEERING DEPARDIENT). If you have any questions concerning the above, I please contact the City Engineer's office. CWiENTS � 1 a a. a. { �ff b b. ' t C. C. { �pp :U H yP p �i dig V _- PULL R s - ml PROJECT NAME: A. cAtIcsor. co - F I LE a-17 ASSESSMENT DATED: U AN ENVIRONMENTAL REVIEW OF THE PROPOSAL HAS BEEN COMPLETED AND THE FOLLOWING DETERMINATIONS HAVE BEEN MADE: A0 go%4&e * M%� — A04001or 1cl, mol I--- %%. cal-mtrub—ag 0*Ac PREPARED BY: REVISED: 10/77LV ATE m CORRESPONDENCE 14 iRRt9CiIO'jNS I J + Date TO: �C��`�^ LOCATION El For Your Information ❑ Please Supply More Details Please See Me About This For Your Comments 17 Far Your Approval Please Advise Present Status ❑C4 Please TakeNecessaryAction For Your Signature ❑ For Immediate Action ❑ Please Investigate and Report ❑ Please Prepare Reply For Your Future Consideration For Your Files E3 Please Reply ❑ ❑ Please Handle E3Please Advise ❑ Please Read and Destroy Please Send COPY of Reply ❑Your Memo Dated Please Note and File u Please Note and Return Subject E]was COMMENTS: forwarded (for his reply) to: E 1 y f From LOCATION RICO -UTILITY Line form No. 55.242 4 io be filled in by Planning DATE C.7/► FILE #� -99 t 0 , CITY OF EDt10NDS L FEE Q REC T # SUBDIVISION APPLICATION „r AFO,S_ j�TITLE REPORT t/ ; LOT -LINE ADJUSTMENT $10 �_• LEGALS:��� �E,x,�st ng Proposed - SHORT SUBDIVISION - 4 lot per lotor s; MAP c/ GRAO%NGPANi8 er lot, or ENV. AS✓ LIST SUBDIVISION - 5 lots or more; fee s $ R 0005 per square foot of lot area in REC'T # the Plat, whichever is greater. Minimum E/A FDetermined by fee is $50. This fee is applicable to both preliminary and final plat suubmissions. a HEARING DATE SET:_��F� �� APPLICANT:ADDRESS: -L i'-, 5 `«f/�l� �� iY PHONE: ?? - �� Indicate type or degree of interest in the prope rty:HONE: ADDRESS:PHi + OWNER: i1 D �- C�5 i If other than applicant' 1. REQUEST THAT THE FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO �" LOTS. LOCATION OF PROPERTY: LEGAL DESCRIPTION OF ENTIRE PROPERTY To be completed by the Planning Department: r. Use Zone gs:--tz, LEGAL DESCRIPTION CHECKED & APPROVED " Kroll Map No. BY: DATE: 2. MODIFICATION OR VARIANCE OF REQUIREMENTS Applicant requests that the Planning Commission consider the following modifications: I applicant requests that the Board of Adjustment hear a variance for the following: s, CERTIFICATION: I do hereby certify that I own the above legally described property, and further, that all contiguous property which I own, which has not received a previous subdivision approval, is included herein. I further certify that the attached list contains names, addresses and zip codes of all property owners within 80 feet of the subdivision as recorded with the County Assessor. I understand that street dedications may be required in conformance with the official Street Plan of the City of -Edmonds, Propgrty Ener 11/76 W .. ' PRu. L' FtAtdE OL -051 �f' :i''1° DATE SUNUTTED i ENVIRO.N11 ITAL ASS£SSt-1ENT In order to meet the requirements of the State Environmental Policy Act of 1971, the responsible official must make a declaration of environmental impact as early as possible in the process of evaluating a project. The information in this form i,ii l l be used to determine :•ihether it will be necess- ary to require an environeiental impact statement. If an impact statement is not required, a Statement of Negative Declaration will be placed in the file. If an impact statement is required, a draft statement must be filed with this office, public notice given and a revie-.i period of 30 days alloyed. The final statement and comments must be filed with the Department of Ecology, Office of the Governor and t) e Ecological Commission. The Edmonds Planning Staff will assist you in any xray vie can in accumulating this information and :,ie would appreciate your cooperation. 1. Land: Area in acres I r Soils type hl �1 C/ ' � Limitations NOVICH_ Description of topography (% slope) FLAT U)I t -H /t ��Ltci T c P 15 r2 t4cV.ZTr Grading: estimated cubic yds. NOTE: If grading or filling vri� exceed 500 cubic yards Filling: estimated cubic yds. J;J0t1E. a grading and filling plan must be submitted with the 2. Water: application. Stream - estimated flow (cubic feet per second) NL, NE Will stream be altered? N 0 N F_--` To what degree? _.C(_C_iq[r Impact on storm drainage (increase in run-off)� �'� • _JJ-TLrz_ :C1'' VC (-t1�C V (`'l�l1a `—T-�T t� Estimated area to be paved % Estimated area in open space E40 % Shorelines: within 200 ft. of Ftean Nigher High Water Adjacent to shorelines zone �( i _ ° ^ � . Environmental page 2 ~ . � 3. removed� � Type of trees % to be Minimum diameter of trees to remain � Ground cover % to be removed ~ ' Proposed landscaping, if any 4. Existing Land Use within 300 ft. radius of proposed development: 5. ^ Estimated increase in auto trips daily Estimated demand for public transportation NC NJE_ Degree of change on adjacent streets L-461 N E�. 6. Area of im.oact: ` neighborhood city-wide regional . . 7. Effect on air quality: 8. thanges in noise generation: Vacant Single Family Nu I ti - Fami 1 y Comm. Other North x East Wes t 5. ^ Estimated increase in auto trips daily Estimated demand for public transportation NC NJE_ Degree of change on adjacent streets L-461 N E�. 6. Area of im.oact: ` neighborhood city-wide regional . . 7. Effect on air quality: 8. thanges in noise generation: Lm "i DATE: f-:; 105)%n MEMO TO: Building Division Community Development Department FROM: Engineering Division Public works Department -7 Ayll SUBJECT: ANEA—J e-- --7 60 CM15TO After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsi actor. (2) The contractor is required to keep the abutti2nLstreets ed of di -t and debris caused by the construction. (3) A "FId'7ht-of-IVav Construction Permit" is required tram Tne Engineering Division of Public ttiorks, for any work within the Public Right -of -Way or public easement. (4) Driveway slope not to exceed 140. po ICLI i ARE: rIqD F-QQ-Yr0Q Fit -a - PW 5/77 DATE: Z5 MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: After review of,the subject building permit Application, we have the following comments: Coordination of the location of any structure with respect to utilities, streets, property lines and driveway g aUes is the responsibility of the contractor. {2J The contractor is required to kee the butting streets clean - bo a art an e ris cause y t e con traction. {3 A "Ri ht-o£-l;'av Construction Permit" i re uired from the Engineering Division of Public i;�orks, or any work within the Public Ri ht-of-i;Ta f ar uhlic ease ent, (4) Driveway _slope not to exceed 14%. PW 5/77 l A A /�1 I l.Ju 0 ----- -- - .13LIC WORKS DEPARnfd'n CHECKLIS!- - - Date BUILDING PERMIT REVIEW I 10 w, �.` ,�� Address Street Right -of -Way Existing; ���� � READ Access Easements Existing 1!!!2- 'g READ I Utility Easement Existing REQD r� Lot per Subdivisions -&O-171 Plat Assessor Map Z Site Plan Checked for Accuracy _ �,. Underground Wiring Reqd. 94 Check Accuracy of Legal Description 15 7a Eavirorumntally Sensitive Area w Environmental Checklist Reqd. No z Flood Hazard Zone No 0 Shoreline Management Area Slope, Soil, Vegetation () Stream, Creek, Drainage Basin NkD Existing Zoning Per Code Amenities Design Board Approval Reqd. Poor,- , ADB # Approval Board of Adjustment Approval Reqd. Review By: 9,3 Date: Existing Water Maar Size S " c- Water ruin Regd. - Service Line Reqd. W hydrant Size Existing o C� Hydrant Reqd. Per Fire Code Size Detector Check Meter Regd. F. -%o Cross Connection Inspection two Fire Department Ca m-ents Water Meter Charg%,Regd. rs Review b y: ,c`a;;- Date: -T 916 � ` Septic Tai sign pprove ate: Septic Tank Permit Reqd. A4 Permit No. Sanitary Sewer Availability cle,• Proj . _ Drawing No. -7• File No. w Side Sewer Availability ov i9gT� Sanitary Sewer Connection Fee Regd. iO Oce "51-16' d�L! Review By: = Date: a.K Y 0 �Open Ditch�Reqd- Z, iC Culvert Reqd. —Size P4 Catch Basin Reqd.' N4A'e Indicate on Site Plan. 0 Shoulder drainage maintlij, collection on swale open runoff_�,- C./ H to R-u-ihol regd. V / Indicate on Site Plan Soil Conditions and Ground Water Field Checked 211-:;, Date Review b Street Paving Rcqd. Aw— Curb and Cutter Reqd. 111,4f . . ..... .. Sidewalk Reqd.-, &h Curb Cut for Driveway Reqd., ce, Right -of -Way Construction Permit Reqd. . ... . ... .. Bond Reqd. for Public LTVrovmvents Street Name Sign Reqd. (n Other Signing Reqd. Pre Permit Site Inspection made on . .... . . 0 BY: S9,JER U NW WATER STREET A ENICMEMNG Special. Requiraivnts listed in menta to ConT=it:y Development Department, Building Division > BYDate — 15 P_Nj--- o All items filled in on Building Permit Application BY j SeL_ Date P4 Drawings Stamped and Notations Dbde P4 .1BY k Date Approved by P03lic Department Revised: lv 10-1977