02404r
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CITY OF EDMONDS
BOARD OF ADJUSTMENT
APPLICATIOtJ FOR VARIANCE
FILE #
-DATE 6 .7�,
FEE $25.00
P.EC-T
HEARING DATE:
a w` "�d' � Goa` Z PHOt�JE : `I i5 -34�
APPLICANT: �,,r Tay, S . „ ?;;�, ADDRESS mac, -L3(— SW
Indicate type or degree of interest in the property:�-
OWNER: P.,xc1.a.r-sj Sw�,, ,'1DDRESS: N PHONE: ze z- k o.4co
LOCATION OF PROPERTY
(ADDRESS)
LEGAL DESCRIPTION OF
PROPERTY: L.a s 3 4
Q LK-/osA-s
r-s+ ' A
1.
o o Sko LEGAL DESCRIPTION CHECKED & APPROVED
By !Tanning Department
USE ZONE: PIS
ZONING ORDINANCE REQUIREMENT:
VARIANCE REQUESTED: 12e ,,e !- tk0.2v- Uzi- wuli� 6-e-
t
CRITERIA
STATEMENT OF CONDITIONS AND REASONS FOR REQUEST, IN ACCORDANCE WITH STANDARDS AND 4
j
ATTACHED: "L'ti� o Q s� c e cJ�r b �"
aA-:S
STATE OF WASHINGTON)ss.
COUNTY OF SNOHOMISH )
Signature of Ap licant, 0 ner or resentative
On this date, before me, the undersigned, a Notary Public in and for the State of
Washington, duly commissioned and sworn, personally appeared c-1c�cauv� e- J o r ,who,
being duly sworn, on his/her oath deposes and says that (s)Ile 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. �� II
Subscribed and sworn to before me this Z Ldy o f ;nd
"'State
esiding at (�af�eNotary Pblic, nF the of Washington.