01953s
• CITY OF EDMONDS ' FILE # V-14-11
BOARD OF ADJUSTMENT .DATE
APPLICATION FOR VARIANCE FEE 125.00
REC'T
2-S
HEARING DATE:% �• ' 1
APPLICANT: /Se"DDRESS/LJ /„'7 eS„ PHONE:
Indicate type or degree of interest in the property: 'rr e.e—
OWNER: ADDRESS: PHONE:
LOCATION OF. PROPERTY (ADDRESS) S -*r7
LEGAL DESCRIPTION OF PROPERTY:
LEGAL DESCRIPTION CHECKED & APPROVED
USE ZONE: Q___,1- By Planning'Department
ZONING ORDINANCE REQUIREMENT: D ,
VARIANCE REQUESTED:
STATEMENT OF CONDITIONS AND REAS NS FOR REQUEST, IN ACCORDANCE WITH STANDARDS AND CRITERIIA
ATTACHED: S'�P'O eq 4A'.1 Ire a /� /� ��J�'C. �Cerl��S' lJrj !de/
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STATE OF WASHINGTON)ss. —4PIL
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COUNTY OF SNOHOMISH) Signature icant, Ow er Representative
On this date, before me, the undersigned, a Notary Public 'n and for he State of `
Washington, duly commissioned and sworn, personally appeared ,who,
being duly sworn, on his/6w oath deposes and says that (w)he has prepared anti read the fore-
going statements and has acknowledged to me that the recitations contained therein are true,
and has signed this instrument as his/4w- free and voluntary act and deed for the purposes
therein mentioned.
Subscribed and sworn to before me this .! day ofn 19 _.
residing at J�a•cc,
Notary Public in and for the State of Washington.