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CITY OF EDMONDS VILE NO.
EDMONDS, WASHINGTON PLANNING COMMISSION APPLICATION DATE
(Subdivisions - Triplicate) RECIT NO.
(Plats - Duplicate) FEE_____LL.2 Z
SUBDIVISIO 4 Appl. Deadline: Ist Wed.) PLAT (Appl. Deadline: Thursday, 3 weeks
(Fee - $10.00) before 3rd Wed.) (Fee as set)
APPLICANT: Robert Glerbe ADDRESS: 8229 Talbot Rd* E&,nazLdFHONE:_FL§:1&1Q-
OWNER: " a ADDRESS: of 4 W — PHONE: a —
REQUEST: Subdivision
LEGAL PROPERTY DESCRIPTION: Tr. 77 78 Tnibet Park
Use Zone: LEGAL DESCRIPTION CHECKED & APPROVED
Kroll Map No.: ByDate , .
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 her
Property owner
SKETCH: Show below or attach sketch of proposed subdivision per example 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 apparent on the sketch.
V