01474rl
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CITY OF ED14OND-0 FILE NO. /22 c--
EDMONDS, WASHINGTON PLANNING COMMISSION APPLICATION DATE
(Subdivisions - Triplicate) RECI
(Plats Duplicate) FEE
SUBDIVISION (Appl. Deadline: 1st Wed.) PLAT (�(Appl. Deadline: Thursday, 3 wks
(Fee - $10.00) before 3rd Wed.)(Fee as set)
OWNER: 6,954e7VAol ADDRESS: 0000 wlw" PHONE:
REQUEST: 4-1
LEGAL PROPERTY DESCRIPTION: -We"11fl
ef,f,fP0 al" e- er e6wew ow
JIF-il�- IXWO4 - Z17411�!
Use Zone:
LEGAL DESCRIPTION'CHECKED & APPROVED
Kroll map No.: By Date
CERTIFICATION: I do hereby certify that I own or have an interest in the above
r_
legally'described 'described property, and further, that all adjoining property
which I own or''have
have an interest in; which has:not received:a previous
subdivision approval, is included herein
SKETCH: Show below or attach sketch of proposed subdivision,pe'Ir --e-xamp le shown on the
reverse side. On subdivisions, where possible, indicate location of existing septic
tanks and drain fields. Include vicinity sketch of the area per example shown on the
reverse side.
On subdivisions', attach statement of reasons why you propose to divide property in the
manner shown. Include any pertinent information not
--apparentsketch.