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e <br /> OPP CITY of EVERETT <br /> '--J PLANNING and COMMUNITY DEVELOPMENT <br /> .:;. i LAND USE APPLICATION <br /> 1) Name of Applicant CASe+h•• Sala <br /> Address 5200 /VeA r Je e y1 W (' FOR O//F��F/CIAL USE ONLY <br /> City ve �,e- - State W IN Zip Code `182d3 TYPE: S PI'� <br /> Phone LI25-2 y=45/ Alt ph FILE# SW" 1.(-1 — °1� <br /> Email Cc' S•ety3" 61)efic .inW.Ccrv, FEE$ 511 RECEIPT# LOC <br /> 2) Primary Contact (if other than applicant)�wc7,r- L otA ktex,e ASSIGNED TO: j1 { <br /> Address /// sue" Av.e, � Q � Q U LS <br /> City kirk_( ( State IX)P- Zip Code RF033 ' o D <br /> Phone $'4Z5-S4'2 -7.7o( Alt ph 42s-- 15-)34 4 J t JUNorn — $ 2017 <br /> Email '(✓ loL�vier� ( GteSO °v • c <br /> CITY OF EVERETT <br /> 3) Property Owner(s) SG i✓veire - / LAG Planning Dept. <br /> Address Sw ?0,,r4.4.,t Ave, City kA/ (5on'q lip State v 2 Zip Code (170 ra <br /> 4) Project Address or Location `5240 vx, Wcwa-- <br /> Tax Parcel No(s) 6 o '3 9.3�j3co l vo U Area of Property(acres/sq ft) 3•S1 Acre. <br /> Zoning E Comprehensive Plan Designation <br /> 5) Brief Description of Project See. 4-N-et, h•e�( <br /> 6) Name of the planner who conducted or waived the Pre-Application meeting ke(S-en. . 4 p. eA <br /> 7) Authorization: I am the owner or am authorized by the owner to sign and submit this application. '1 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 mplete, an correct. <br /> Signature Date (p/le/7�, '•1- <br /> Please print name ice,voY- Lx,:Avim-L 0 Owner 0 Applicant 'I: Primary Contact <br /> City and State where this application is signed 'eveAre } , VA9(- <br /> City State <br /> 2930 Wetmore Avenue,Suite 8-A Everett,WA 98201 • 425.257.8731 • www.everettwa.sov • Updated 2016 <br /> 6P,e) <br />