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114111( <br /> • <br /> Iii.`:�o � �: •: .1,�ri f�:::=t�."`d'Develo �:e �.-` '��� <br /> 2nd Fleor;,Count' Atita`li stmt on Oast Nmtdln t10 . WA _ ete tial` : 388=3311r • <br /> MASTER PERMIT APPLICATION <br /> Applicant Contact Person(if different) <br /> 1. Name: TIM HOPKINS WESTERN ENGINEERS,INC. <br /> Mailing Address: P.O.BOX 151.14 13000 HIGHWAY 99 SOUTH <br /> City,State,Zip: MILL CREEK,WA 98021 ygO8a EVERETT,WA 98204 <br /> CI <br /> Phone#: (425)508-3346 (425)356-2700 0_ <br /> a <br /> Fax#: (425)356-2708 c <br /> Email: o 2. Relation of Applicant to Property(check one): ao R <br /> c n. rn <br /> Owner❑x Contract Purchaser❑ Lessee❑ Other(specify) _ _ Co <br /> 3. All Persons/Firms having an ownership interest in the property: t N <br /> Name: TIM&KIMBERLY HOPKINS . Phone (425)508-3346 r c > <br /> Address: P.O.BOX 15114,MILL CREEK,WA N8A2+i8o8a zu. o o <br /> Name: Phone a- _ r <br /> Address: <br /> 4 'General location of property(including nearest intersection): Sec 30 Twp 28N Range 5E.,WIv <br /> 1409126 STREET SE,EVERETT,WA 98208.THE PROPERTY FRONTS 126TH STREET SE AND IS <br /> APPROXIMATELY 410 FEET EAST OF THE 13TH AVENUE INTERSECTION: <br /> 5. Attach legal description of property.(If recording of legal description is required,the format MUST comply with Recording <br /> Requirements.) <br /> 6. List all Property Tax Account Numbers involved in this application(all 14 digits). Attach separate pages if necessary: <br /> 00459700100201 <br /> 7. Approximate acreage: 1.95 ACRES 8. Present Zoning: R-9600 <br /> 9. Present use of property: SINGLE FAMILY RESIDENCE <br /> 10. Source of water supply and name of water district,if any: SILVER LAKE WATER&WASTEWATER DISTRICT <br /> Method of sewage disposal and name of sewer district,if any: SILVER LAKE WATER&WASTEWATER DISTRICT <br /> 11. Permits requested from Snohomish County: <br /> ❑ Administrative Conditional Use• ❑ Site Plan-Revisions ❑ Shoreline Management Substantial <br /> ❑ Binding Site Plan(BSP) ❑ Plat Modification Development <br /> ❑ Conditional Use ❑ Preliminary Plat ❑ Shoreline Variance <br /> ❑ Major Revision- El Preliminary Short Plat ❑ Short Plat Modification <br /> Conditional Use,Variance • ❑ Rezone ❑ Special Use(CFJ) <br /> ❑ Major Revision-Plat ❑ Shoreline Management ❑ Title 30 SCC Variance <br /> CI,Site(Development)Plan Conditional Use <br /> 12. Explain your request and ALL proposed uses included in this proposal: <br /> 7 LOT SHORT PLAT WITH RETENTION OF EXISTING SFR.THE EXTENSION OF 125TH STREET SE.AND <br /> INSTALLATION OF ASSOCIATED DRAINAGE SYSTEM AND UTILITIES. <br />