Application.pdf............
City of Edmonds
Land Use Application
❑ ARCHITECTURAL DESIGN REVIEW
❑ COMPREHENSIVE PLAN AMENDMENT
❑ CONDITIONAL USE PERMIT
❑ HOME OCCUPATION
❑ FORMAL SUBDIVISION
❑ SHORT SUBDIVISION
❑ LOT LINE ADJUSTMENT
❑ PLANNED RESIDENTIAL DEVELOPMENT
❑ OFFICIAL STREET MAP AMENDMENT
❑ STREET VACATION
❑ REZONE
❑ SHORELINE PERMIT
❑ VARIANCE / REASONABLE USE EXCEPTION
IX OTHER: Development Code Amendment
• PLEASE NOTE THAT ALL INFORMATION CONTAINED WITHIN THE APPLICATION IS A PUBLIC RECORD •
PROPERTY ADDRESS OR LOCATION Citv Wide
PROJECT NAME (IF APPLICABLE) .. w -m.
PROPERTY OWNER City Wide
ADDRESS
E-MAIL,
TAX ACCOUNT #
PHONE #
FAX #
SEC. TWP. RNG.
DESCRIPTION OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY)
Code Amendment to create a Unit Subdivision Process
See project description cover letter and proposed code amendment text
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)_,,,,... ..............._......_..",
See attached Cover Letter
APPLICANT Bill Booth/Westgate Woods LLC PHONE # 206 854 8822
ADDRESS 2817 NW 94th St, Seattle, WA 98117
E-MAIL northbeachweb@msn.com FAX#
CONTACT PERSON/AGENT John Bissell, AICP PHONE # 206 498 3610
ADDRESS Harmsen Associates, 125 East Main St STE 104, Monroe, WA 98272
E-MAIL John@johnbissell.com
FAX #
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to
release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's
fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information
furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge
and that I am authorized to file this arepltlAcatir t �c l�}tr g aaf owrterc as 16 _� slow
SIGNATURE OF 4I"I'LI't:AN'1"//tiih08 ! "m DATE��
Property Owner's A
I, 11 certify under the penalty of perjury under the laws of the State of
Washington that the following is a true and correct statement: I have authorized the above Applicant/Agent to apply for the
subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the
subject property for the purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER
Questions? Call (425) 771-0220.
DATE
Revised on 8/22112 B - Land Use Application Page I of I