Land Use Application.pdfCity of Edmonds
Land Use Application
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• PLEASE.VOTE MAT ILL LVFOR-lf4 TIO.\' CO.VTa LVED id7THLY THE APPLICATION IS, I PUBLIC RECORD O
PROPFRTN ADDRESS OR Locki'[ON 17901 VISTA DEL MAR DR EDMONDS WA 98026
PRO,)E(`r N tN]E (Ir API•[.fc \s[;E) HITCHENS RESIDENCE
PROPEWI \ OWNER SCHWIMER STEVEN & IRINKA FAMILY TRIOtTN1, 4 (310) 924-0026
ADDRESS 6655 WILDLIFE RD, MALIBU- CA90265
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Parcel# 00914200001100
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See attached "Project
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See Attached "Analysis of Variance Permit Criteria"
Garth Hitchens
AI)I)Rl7SS 3380 126th Ave NE Bellevue. WA 98005
P1IO�I; # 425 882 9524
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The undersigned applicant. and his.'herits heirs. and assigns. in consideration on the processing of the application agrees to
release. indemnili. defend and hold the ON of Edmonds harmless from any and all damages- including reasonable attorneys
fees. arisin, from anv 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.
8v my signature- I certify that the inf6rination and exhibits herewith submitted are true and correct to the best ofm\ kno%\1tdue
and that I am authorized to file this application on the behalf of the ci%Nper as listed below.
SIG\:\ I t RE ois AI'1'1 IC:\\1 /A(it.\T
Property 0-wner's Authorization
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Dec 20, 2018
SG�l�3t W��2Q_ cerlify under tllc penalty of perjure under the laws ol [he Stare of
Wash in_toil that the following is a true and correct statement: i have authorized the above ApplicanuAgent to apply for the
subject land use application. and grant my permission liar the public officials and the start of the City of Edmonds to enter the
subject property for the purposes orinJj ection and posting attendant to this application.
SIG\A IVRF. 01:0\V\F.It
Qhtestions° Call (425) 771-0220.
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