01919e
4f'
CITY OF EDMONDS FILE #
BOARD OF ADJUSTMENT DATE .`��� �
APPLICATION FOR VARIANCE FEE $25.00
REC'T # IU��
HEARING DATE: - —�
APPLICANT: cD6O1lrLf) �� (4) ae�T-L1 ADDRESS T0, BOX _PHONE: 6 1-11
Indicate type or degree of interest in the property: %ft4't6i
OWNER:. Crc W DDRESS: 651 Umo ds k)aN fEjy,0ji�2®HONE: IM-004
LOCATION OF PROPERTY (ADDRESS) 51A- r2 24 Bej
LEGAL DESCRIPTION OF PROPERTY:
eery
LEGAL DESCRIPTION) CHECITD &APPROVED
USE ZONE: By Planning Department
ZONING ORDINANCE REQUIREMENT: RkA,W $tarjr&Jcn: iLA aermil:i 29.16& u ih an 461 ptwit
VARIANCE REQUESTED: &6X rcauja4iima ie 211ad, to uni-6.
STATEMENT OF CONDITIONS AND REASONS FOR REQUEST, IN ACCORDANCE WITH STANDARDS AND CRITERIA
ATTACHED: i"ke Si
STATE OF IIASHINGTON)ss.
COUNTY OF SNOHOMISH)
On this date, before me, the undersigned, a Notary Public in and for the State of
Washington, duly commissioned and sworn, personally appearedfilAmW 9- ooun5e1l ,who,
being duly s�-corn, on his/her oath deposes and says that (s)he has prepared and read the fore-
going statements and has acknowledged to me that the recitations contained therein are true,
and has signed this instrument as his/her free and voluntary act and deed for the purposes
therein mentioned,
Subscribed and sworn to before me this �r day of ,o: " 19'%%
residing aid
QQ�a Notary Public in and for the State of Was i gton.