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00739I 3 4 5 6 7 8 9 10 .11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 36 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 46� 49 50 51 53 54 55 56 .57 58, 59 60 I 'o j @77. Ci..7 Of 4- DATE: A. $25 fee will be collected by the City of Edmonds for analysis of the'Environmental Checklist and the preparation of a Threshold Determination. No fee will be charged for proposals which would be categorically exempt if they were not located.in an environ- mentally sensitive area. ENV I RONRENTAL CRECKLIST F0101 I. BACKGROUND AV3 BMW- 2. Address and 11110 e fluia er of 1'rop01101IL: 17815 3RD AVE N. W. -126-- 3. ist- SuT)mii.T(.,7 7-20-77 4. AI,(!iicv 1(cquirim-, ChecklistN. 5. 11mllv i.f applic.l. 6. Wavure ant brici I)escripL.I.L11) ol C, r(.posa t 1 (7 l' fi-t,bUt1)(,.- -Lj,t1 .( menu, ;roil W101: fiiCtOrS liaL .Wil I give an accurate A' U1(kISLanding, . of it:S SCOI)e and 11,1LI1re) : I . .1 1 1 A STNGLE FAMILY DEVELOPMENT CONSTSTTNG-.OF 13 -.UNGT.E -EAMIT Y L T-QTq WJ-1 T Jap --,PRU]g!n nV IDTMT Tr UTILITIES. 7. r TFLT-' 1) J—s. the — IT Tc7i7E L I I ;."f 0 The proposal, .;).,; a:cll 1s V11C CXI'CTIL; of 01(1 I;Ind area affecLed by ally (11vir06160111-al impacts, including any other 11"O'Cd to JiVC --111 ;1CCU1-,1— UndcrSLand- i11j,' of L110 ellvi'r011111CIlLal sett:iIii,, of, the prono-al): THE PROPERTY IS LOCATED NORTHERLY AND EASTEEY' OF OLYMPIC UEW-D-R1VE.-ANDUEajERL)L-QF 76TH AVENUE TO.TB-E-KRTB 8. sti.11vil.ed DaLe 101- COMI)ICtiol', OT Ulu 176posecl A—c-t-i—onT APPROXIMATELY 6 MONTHS FROM ABOVE STATED.DATE. 9. or Govvi:11111611L Appl�-,V-517S RL-ClUIVE'd for the Proposal (federal, SLate and local— includi.tig re:,.oncs) CITY nP RDMnNnS P AN ING, ENGINFUJIM-AND— BUILDING DEPARTMENTS. -31-