Magnum Application.pdfCity 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
OFFICTAL STREET MAP AMENDMENT
STREET VACATTON
REZONE
SHORELINE PERMIT
VARIANCE / REASONABLE USE EXCEPTION
OTHER',
REC'D BY _...._ .......�
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HEARING ATE .
❑ HE '.03TAFF PB ❑ ADB — CC
• PLEASE NOTE THAT ALL INFOKIIATIOON C/O^NTAINEDy I FITH1A' THE APPLTCATIOA'IS A PUBLIC RECORD m
PROPERTY ADDRESS OR LOCATION to ,4? '" ,�p
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PROJECT NAME (IF APPLICABLE) �ow-
PROPERTY OWNER ..Z"hIl....�R PHONE#u�lZ�j
ADDRESSl +.._Tic, ta^l F
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TAX ACCOUNT #.p 27 G,.
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ISR:i4P,II}IT'i 14X4 OF PROJECT OR PROPOSED USE (ATTACH COVER LETTER AS NECESSARY )
I)FS(!9TiH(7WtTH�:1 TMEETS APPLICABLE CODES (ATTACH
..^^^C—OVE�R LETTER AS NN S'S.ARvLLY)n er
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APPLICANT
PHONE # �.� Z�� q )
ADDRESS� .� ...
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E-MAIL��,�a#� ......m�a ��. .._.._�69 ...... ,�1lItTNI.#�k
CONTACT PERSON/AGENT 2,0 '� _ ,r a , a a _y _ -
ADDRESS. �" p�+ ty �.�w ..+„�`�� `�
E-MAIL C� fwI.. t �T FAX ...
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to
release, indemnify, del'tand and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's
fees, arising from any ac6oa i 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 sigri nhire I a ew'IiPy that the information and exhibits hercw'n0i submitted are true and correct to the best of my knowledge
and that l ant AewNhori ctl lur file this application on the lid al nhe owner as listed below.
SIGNATURE OF APPLICANT/AGENT l_' DATE -�•}
Property Owner's Authorization
t l andnnrtn.� certify under the penalty of perjury under the laws of the Statc of
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..
4YalWawa ytC7tY� that ne �)asllruar un„ is a truer 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 theos
es of Ing nn t tlng
nn and ostia attendant to this application.
SIGNATURE F OWNER m _.... �ti .m �P .. ��d! ..,..._.. DATE
Questions? Call (47.5) 771-0220.
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Revised on c5'/2l/!? B - Land Use Application Page I of]
MAR 08 2016
Cover Letter for City of Edmonds, Land Use Application PLANNI
Project Name: Mangum Residence
Description of project or proposed use: Lower Floor to be converted to Accessory Dwelling Unit
Describe how the project meets applicable codes: The lower floor ADU would be attached to a
single-family dwelling unit and on-site parking is available. The primary dwelling is owner -
occupied. All Building Division and International Residential Building Code ADU Requirements
will be met with design proposals submitted in pending permit application # BLD201 S 1619.
March 07, 2016
Attn: Sean Conrad
Associate Planner
City of Edmonds
Dear Sean Conrad,
The owners at 625 61' Ave S. are applying for a conditional use permit for an Accessory Dwelling Unit (ADU) to be
located within the existing residence on the lower floor. The square footage of the proposed ADU is approximately
1,145 sq ft and it would completely take up the lower floor. The existing lower floor plan already encompasses several
aspects of an ADU, therefore requiring minimum alteration on the lower floor. The lower floor ADU will be attached to
a single-family dwelling unit above. Space for on-site parking already exists within the property. The primary dwelling
unit is owner -occupied and the goal is to make the lower floor ADU available to rent for someone in the community. In
the future, the owners plan to house aging family members in the lower floor ADU.
Regards,
C'10.�
Carmen Ulrich
Architectural Designer (Owner's Agent)
H2D Architecture + Design
ACCESSORY DWELLING UNIT AFFIDAVIT
On inoath, I certify that I reside at
�._k Edmonds, Washington, in
the primary or accessory dwelling unit [br more than six months of every year.
Assessor's Parcel Number: -1 0-3 2— � 0 0 2 0 S ZOO
-ZaC-h /QC(PlqLAM
atilf-c of Property Owner(s
STATE OF WASHINGTON )
COUNTY OF SNOTIOMISH)
Subscribed and swom to before me this
-2Ay of. t �E �,Xl
Residing at —L -Ac-
Notary Public
State of Washington
A CRUZ WEBSTER
My Appointment Expires Dec 14, 2016