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01310fj6l p ENVIRONMENTAL CHECKLIST A. BACKGROUND , 1. Name of Proponent sacs C Ewing: and -William T. Bone 2. Address and Phone Number of Proponent (Ewing) 17522 Talbot Road, Edmonds, 37 McGilvrey East, Seattle, Wa. 98112 Wa., Tel.: 778-3773; (Bone) 23 a Date Checklist Submitted Dec.3.18 1978- 1 - � i 4. Agency Requiring Checklist City of Edmonds Planning Department s 5. Name Of Proposal, if applicable Ewing and Bone Subdivision j }, 6. Nature and Brief Description of Proposal (including but not limited to its size, general design elements, and.other factors that will give an accurate understanding of its scope and nature: ThP or000sed action involves the subdivision of a 1.95 acre site into five single family residential lots with access road and necessary utilities. 7. Location of Proposal (describe physical affectedsetting any environmentalproposal, im-as well as the extent of the land area pacts, including any other information needed to give an accurate under. s-tanding of the environmental setting of the proposal e property is situated in an established urban residential.area and is p � developed The ground sur a e slonps northerly at a --gradient. of approximately 10% 300/6To the north of the property lies the unim- proved County Park (University of Wa property) This development would provide an improved access to this property. 8. Estimated Date for Completion of the Proposal 9. List of all Permits, Licenses, or Government Approvals Required for all Proposal (federal, state, and local — including rezones): 1. Approval of preliminary and final subdivision plat by City of Edmonds agencies. 2. Issuance of residential building permits by City of Edmonds agencies. 10. Do you have any plans for future additions, expansions, or further activity related to or connected with this proposal? If yes, explain. Upon completion of•plat development, permits will be requested for construction of 5 new homes. 11. Do you know of any plans by others which may affect the property covered by your proposal? If ;des, explain. No '12. Attach any other application form that has been completed regarding the proposal; if none has been completed, but is expected to be filed at some future date, describe.the nature of such application form: See attached Subdivision Application Form - - M� 4 F 1