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CITY of EV1v 4; `r-r <br /> �4 °LANai1i' ?rp rO w1R:J i!TY 'cEVELOPaMEiNT <br /> '' 7'/`Jm .. LAND USE APPLICATION <br /> 1) Name of Applicant CEMEX <br /> Address <br /> 20700 44th Ave W, Suite 240 FOR OFFICIAL USE ONLY <br /> city Lynnwood state WA zip Code 98036 TYPE: (( _- �1� /� <br /> Phone 435.673.6804 Alt ph FILE# 6 6 I- l 6�J <br /> 6'S P . 5-Y%£3 <br /> Email leon.surdykl@cemex.com FEE$ s,,rz' RECEIPT# 9—°6'2-Z3 <br /> 2) Primary Contact(if other than applicant) C `� Ebert ASSIGNED TO: L !`>U <br /> Address 2911-1/2 Hewitt Ave, Suite 1 a Y. r <br /> G �li' '€.'-� <br /> city Everett State WA Zip Code 98201 , CCI 2 8 , <br /> 016 <br /> Phone 425.258.9366 Alt ph.._. CITY OF Eve ETTT <br /> Email cjebert@harbormountaindev.com PLANNING DEP I <br /> 3) Property Owner(s) CEMEX <br /> Address Same as applicant City State Zip Code <br /> 4) Project Address or Location North side of Sievers and Duecy Boulevard <br /> Tax Parcel No(s) 28040100303700 Area of Property 110/4,791,600 <br /> p y(acres/sq ft) <br /> M-1 Industrial <br /> g <br /> Zonin Comprehensive Plan Designation <br /> 5) Brief Description of Project Four lot Binding Site Plan <br /> ... _... _._...._.... <br /> 6) Name of the planner who conducted or waived the Pre-Application meeting John Jimerson <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 Washi n that the information on this application and all information submitted <br /> herewith is true, corn and-correc . <br /> Signature Date /G�‘/::6 <br /> Ebert J. <br /> Please print name . ❑ Owner 0 Applicant CI Primary Contact <br /> City and State where this application is signed Everett WA <br /> City State <br /> 2930 ,f-trno; . venLe;Suite 8-: , aesett,W.�982L-;. 0 '425.25i,73:'. 1 www.everettwa.gov pz a. 1 M1,5 <br />