02115CITY OF EDMONDS
BOARD OF ADJUSTMENT
APPLICATION FOR VARIANCE
FILP-4 V
DATE
FEE
RECT
APO' S
HEARING DATE:
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APPLICANT Ragnar E. Gustafson ADDRESS 7921 -Cypress Place
CITY & ZIP Edmonds, 98020 PHONE 771-4736
INDICATE TYPE OR DEGREE -OF INTEREST IN PROPERTY Owner
LOCATION OR ADDRESS OF PROPERTY 7921 - Cypress Place, Edmonds
LEGAL DESCRIPTION OF PROPERTY See. attached.
U.
VARIANCE REQUESTED: Allowance of 28' 6" maximum auasage-height from original &
aver. ground level. -a
KYLI -Px cr,- -ToALLdw 1ZE5 ADD 1T% V f4 -M Z o 11 19 A$oV E
FOR OFFICE USE ONLY �n M�Ti�D �T 6AT-- 0 O t'
USE ZONE:
ZONING ORDINANCE REQUIREMENT:
STATE OF WASHINGTON) ss.
COUNTY OF SNOHOMISH).
Signature of. Applicant, Owner, or
Representative
On this date, before me, the undersigned, a Notary Public in f the State
of Washington, duly commissioned and sworn, personally appeared0� .,,�,e� _ ,
who, being duly sworn, on his/her oath deposes and says that (s)he has pre aced
and read the attached statements and has acknowledged to me that the recititations
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 day of 19 7/n
Notary Pu c in awl for the State of Washington,
residing
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