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. t CITY of EVERETT <br /> PLANNING and COMMUNITY DEVELOPMENT <br /> LAND USE APPLICATION <br /> e Name of Applicant DF LT F 21 1 k 5 �" A—L! .L ,06- <br /> 'FOR OFFfClAL L)SEONLY: � .`4 <br /> Address ' 5 e P _ . <br /> City V3 i„ StateitU, 4— Zip Code 700 <br /> TYPE: 6f)?(Sr- <br /> Phone4? 2 -1lJ! T? Alt ph FILE#/ eeA, vo- U.3(p <br /> Email PC /4-,V&7 Ev���r���(,� -• �O1 FEE$ RECEIPT# — <br /> ® Primary Contact(if other than applicant)_ ASSIGNED TO: �}C�-�V <br /> Address <br /> City State Zip Code RECEIVED <br /> Phone Alt ph OCT 18 2O1 <br /> Email CITY OF EVERETT <br /> PLANNING DEPT <br /> © Property Owner(s) 0/-- <br /> Address 3Ze.X' f' !7AA._5 •• City to c/we,";nr- State t-U-+ Zip Code Vecli <br /> o Property Address or Location 11 — • <br /> Tax Parcel No(s) Area of Property(acres/sq ft) <br /> ZoningC—l 4.e1L1 t..11--Pic . Comprehensive Plan Designation 4-•�'Ch,,e4,4a4s t?y <br /> • Brief Description of Project 5 7CiL -- tA'Ef/ eu ed-PTS <br /> Co/4/br ezey_.4-4 S . <br /> 57e4r zort47.Ls - <br /> o Name of the planner who conducted or waived the Pre-Application meeting <br /> o 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 ofthe_property which are necessary to process this application. I certify under penalty of perjury <br /> of the I ws of the State-of-Washington that the information on this application and all information submitted <br /> here ith is true, co�m'p et ,a`nd correct. <br /> SigQature "' l '�— _ — - Date ` /.° <br /> Please print name: -- • c -,ti D-. wner ,pplicant j Primary Contact <br /> City and State where this application is signed ies - <br /> City State <br /> 2930 Wetmore Avenue,Suite 8-A Everett,WA 98201 G, 425.257.8731© F 425.257.8742 o www.everettwa.org e Updated 2009 <br />