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P k t(e <br /> CITY of EVERETT <br /> PLANNING and COMMUNITY DEVELOPMENT <br /> LAND USE APPLICATION <br /> 1)Name of Applicant Ti1t IV)e v,ba/ga.r- <br /> I <br /> Addressp44; <br /> Q l! 1 / „[� S T V ( FOR OFFICIAL USE ONLY <br /> / l� ! <br /> City ZvtreifState Id Zip Code ` O/ TYPE: z t ACCESC <br /> Phone Job 3 0149t'( Alt ph FILE# 1,1r q— — o3 t <br /> Email -Zatne,dg- -r- 44; a /Ci 1000 , c0 44' FEE$ 2O1'"`9ECEIPT# 209-032. <br /> U f1 <br /> 2)Primary Contact(if other than applicant) ASSIGNED TO: et:� 4 .4 10.. . <br /> Address f tEl ` <br /> City State Zip Code <br /> Phone Alt ph JUL 1 8 2017 <br /> Email CITY OF EVERETT <br /> Planning Dept. <br /> 3)Property Owner(s) / f <br /> Address Mil WA $ 7 City ►er+e7f State * Zip Code 989291 <br /> q . <br /> 4)Project Address or Location /$ I I 14-M S T r✓PrP re/74 W 94-2.0/ <br /> Tax Parcel No(s) Area of Property(acres/sq ft) <br /> Zoning R- 2.. Comprehensive Plan Designation <br /> J I _I <br /> 5) Brief Description of Project Tear do of) Old sed (i 30'Size) a4 d ,6 r, r/c/ <br /> e( f1 e /D'X G20'3;24-) on //aJ s;-/e <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, complete, and correct. <br /> Signature _ e Date <br /> -7. /9 . <br /> 7 /? <br /> Please print name ,nei! r Ail, [�J Owner ❑Applicant El Primary Contact <br /> City and State where this application is signed <br /> City State <br /> 2930 Wetmore Avenue,Suite 8-A Everett,WA 98201 o 425.257.8731 a www.everettwa.gov e Updated 2016 <br /> 1 <br />