HASB APPLICATION.pdfCIV
City of Edmonds
�Y �� 2017
Land Use Application „,yE�t1PfV1ENT SERVICES
COUNTER
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
J STREET VACATION
❑ REZONE
❑ SHORELINE PERMIT
J VARIANCE / REASONABLE USE EXCEPTION
J OTHER:
0 PLEASE NOTE THAT ALL INFORMATION CONTALVED WITHIN THE APPLICATION IS A PUBLIC RECORD •
PROPERTY ADDRESS OR LOCATION 614-616 5TH AVENUE SOUTH. EDMONDS, WA 98020
PROJECT NAME (IF APPLICABLE) HOMESTREET BANK- EDMONDS BRANCH
PROPERTY OWNER HOMESTREET BANK PHONE # 206-389-6314
ADDRESS 601 UNION STREET. SUITE 2000 SEATTLE WA 98101
E-MAIL SUSANTERRIBY@HOMESTREET.COM FAX # 206-389-6351
TAX ACCOUNT # 27032600-100900, 27032600-102900, 27032600-102300 SEC. 26 TWP. 27 RNG. 03
DESCRIPTION OF PROJECTOR PROPOSED USE (ATTACH COVER LETTER AS N ECESSARS) ....
REFER TO ATTACHED COVER LETTER
DESCRIBE HOW THE PROJECT MEETS APPLICABLE CODES (ATTACH COVER LETTER AS NECESSARY)
REFER TO ATTACHED COVER LETTER
APPLICANT BRAD BARBEE
ADDRESS 1101 SECOND AVENUE, SUITE 100, SEATTLE WA 98101
E-MAIL BRAD.BARBEE@ MG2.COM
CONTACT PERSON/AGENT BRAD BARBEE
ADDRESS 1101 SECOND AVENUE, SUITE 100, SEATTLE WA 98101
E-MAILBRAD.BARBEE@ MG2.COM
PHONE # 206-962-6639
FAX # N/A
206-962-6639
FAX # N/A
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 application on the behalf of tthhheee owneraslisted below,
SIGNATURE OF APPLICANT/AGENTiarAXu DATE, 05/03/2017
Property Owner's A thorization
I, ,C�� certify under the penalty of perjury under the laws of the State of
Washmgton that the followitrue 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 in ction and posI. attendant to this application.
SIGNATURE OF OWNER DATES tI
testion5` Call (425) 771-0220,
Revised on 8/22/12 B - Land Use Application Page t of 1