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. . <br /> �. CITY of EVERETT <br /> unncl -004 <br /> 6..-A PLANNING and COMMUNITY DEVELOPMENT <br /> LAND USE APPLICATION <br /> 1) Name of Applicant rii ace ±'h cASP v1 e\\\_5 <br /> Address 153, — S i 55: y L t..J FOR OFFICIAL USE ONLY <br /> City E, 1 qe( State � {, . <br /> fk Zip Code .o3 TYPE: <br /> 1 <br /> Phone -5 ---N3 -Coi Alt ph 9c S "950 3314 FILE# <br /> Email 'Kcc(en ,\b(DCCfMC't d ne,-.\' 1 FEE$_ RECEIPT# <br /> 2) Primary Contact(if other than applicant) Sar ASSIGNED TO: {� E'y ��-1 <br /> - c <br /> Address (� <br /> r,70) EIIIIYAM <br /> City State Zip Code i'� <br /> Phone Alt ph 2 <br /> SEP 1 5 2011 <br /> Email <br /> CITY OF EVERETT <br /> 3)Property Owner(s) i _[— �'1 . 5 Planning Dept. <br /> Address SOVr l '- City State Zip Code <br /> 4) Project Address or Location \` 3D.- S 1 5' (L S CUC ife--4 <br /> Tax Parcel No(s) Area of Property(acres/sq ft) <br /> Zoning 74)—0 0000-0 Li&2omprehensive Plan Designation t.�3 A(}1,�\ . .e . GA,4,(7N <br /> 5) Brief Description of Project rP v^(\C>t3' ..--)--uo C,( i\-A `k. - --c e3 <br /> 6) Name of the planner who conducted or waived the Pre-Application meeting <br /> 7)Authorization: I am the owner or am authorized by the owner to sign and submit this application. I grant <br /> permission for City staff and agents to enter onto the subject property for the sole purpose of making any <br /> inspections of the property which are necessary to process this application. I certify under penalty of perjury <br /> of the laws of the State of Washington that the information on this application and all information submitted <br /> herewith is true, c d`te,a andl correct f I Signature , ( LY Date 1 ) <br /> Please print name �, /,� 1,e1/1u -�,cqs gpwnerpplicant .Primary Contact <br /> City and State where this application is signed /JECe-4-t--- , WA <br /> City State <br /> 2930 Wetmore Avenue,Suite 8-A Everett,WA 98201 • 425.257.8731 • www.everettwa.aov • Updated 2016 <br />