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:r CITY of EVERIJI <br />'7 PLANNING and COMMUNITY DEVELOPIV1EiNfF <br />PRE -APPLICATION MEETING REQUEST FORM <br />Except for minor land use decisions, all projects are required to participate in a pre -application meeting. The Applicant can <br />explain the proposal and find out on a preliminary basis the departments involved, the process and key regulations/issues. <br />The meeting will not provide an exhaustive review of all potential issues, and will not result in formal decisions. <br />SUBMITTAL ITEMS: 1) Pre-App Meeting Request Form, 2) Fee - See current Fee Schedule, 3) 17 folded site plans (include <br />prelim landscape plan), and 6 elevations. For multi -family projects or in the B-3, BMU, C-2ES, E-1 or MUO zone, submit an <br />additional 3 site plans and 3 elevations. 11" x 17" plan size is preferable, if to scale and legible. The meeting will be scheduled <br />within a few days and the Primary Contact will be notified. <br />SUBMIT APPLICATION BY MAIL OR IN PERSON TO: City of Everett Permit Services Counter - ATTN: PRE-APP SUBMITTAL <br />3200 CEDAR ST 2ND FL, EVERETT, WA 98201. After submitting, email plans to planning@everettwa.gov. <br />QUESTIONS? Call 425.257.8810 - Option 3 e M-F 8-4 Closed 12-1 . Email: planning@everettwa.gov . www.everettwa.gov <br />Meeting Location: Public Works Dept/Permit Services Counter/Fauver Conf Rm - 3200 Cedar St., 2°d FI, Everett, WA 98201 <br />Meeting Date: 2-0/16Meeting Time: OQ Pre-App# /4o —e2o,215 <br />Project Planner: -36 0 I1'1P.1 Sp j Email: % /N? C !'S0/'1 �e�/Q I f �G{%Q , Up V <br />s.,r............................................................................. <br />Phone: <br />Distribution: Fire <br />Parks <br />Police <br />Public Works <br />Primary Contact <br />Long Range <br />PUD <br />Econ. Dev. <br />Planner's File <br />D. Review Team <br />Jim Venturo (site plan & elev) <br />Paul Kaftanski (site plan) <br />Edward Golden (site plan & elev) <br />Tony Lee (11 site plans & 2 elev) <br />(cover only) <br />David Stahlheim (site plan & elev) <br />Richard Lothamer/Tom Hovde/ <br />John Petosa (cover only) <br />Lanie McMullin (cover only) <br />(cover, 2 site plans & elev) <br />TBD (3 site plans & 3 elev) <br />P <br />HNUINND <br />JUI 0 7 201'.3 <br />CITY OIL EVERET 1' <br />Planninq gent. <br />Fee: t)Cj 61 Receipt #: �L0 02 <br />Applicant "' HCA (' r 'g3NOPCHKI14 60• Email rtrr�P VW=IlrrA C't1�Ii�NTA� YNGA- bCA dRB� <br />Address V(ZO VO1 of,XC City - State WA Zip W t Ph 4Z5. 06e, qZ,1 <br />Primary Contact �lt� iIA-10V rK�r r�-►) Email Ei3� <br />Address 4��5 RyREP_tCity CU=_State Zip (01 Ph 006 G?5 -3300 <br />Project Address 4130 60(RX2Y LtiV1WM G; Project Tax Parcel No(s) 2qo53100y4W 5OO <br />Proposed Use YI�VA Existing S.F. Proposed S.F. OM Total S.F �I T <br />Proposed No. of Dwelling Units -OA Total No. of Dwelling Units rA Type of Construction <br />Occupancy Group Occupant Load Zoning_ Comprehensive Plan Designation <br />Description of Project (attach if necessary) '05F— AVA64F� <br />Authorization: I a he owner or am authorized by the owner to sign and submit this request. I grant permission for City staff and agents to enter <br />onto the subject prop y for the sole purpose of making any inspections of the property which are necessary to process this request I certify under <br />penalty of perjury of t e laws of the State of Washington that the information on this application and all information submitted herewith is true, <br />complete, and corr h­1 <br />Signature Q Date 07- U ` - 1 0 ❑Owner ❑ Applicant X Primary Contact <br />Print Name City and State where this application was signed -��"+ M �lA <br />UPDATED JANUARY 2016 <br />