01562. 'o
CITY CF EDMONDS-
EDMONDS, WASHINGTON PLANNING COMMISSION APPLICATION
Subdivisions - Triplicate
(Plats - Duplicate)
VILE No, -/- G 7
DATE /L - .2 8 -6 6
RECIT NO.6_'J'
FEE y- d
i,{+t,._
SUBDIVISION(��(Appl. Deadline: —1eWed.) PLAT (Appl. Deadline:
(Fee - $10.00) before 3rd Wed.) (Fee as set)
APPLICANT: BAN BERNHOFT ADDRESS: 17006 TALBOT PARK PHONE: PAR 8-3593
EDMONDS., WASH.
OWNER: ADDRESS: 1; n et PHONE:. n
i
REQUEST: °TH�R AT CONSID6TION BE GIVEN THE -PROPOSED, -PLAT HEREWITH SUBMITTED AND THAT APPROVAL
BE GRANTED
LEGAL PROPERTY DESCRIPTION:
ATTACHED PR1 T
Use Zone:
S- /
LEGAL
DESCRIPTION CHECKED & APPROVED
Kroll Map No.t
BY
-- Date
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, i.s.i nd herein.
Pro 0 er
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 perti:pent information not apparent on the sketch.