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CITY of EVERETT <br /> PLANNING and COMMUNITY DEVELOPMENT <br /> E V E R E T T LAND USE APPLICATION <br /> WASHINGTON <br /> 1) Name of Applicant M, J Z <br /> Address 0 96 A`, earMe A_zzl-' FOR OFFICIAL USE ONLY <br /> City f VQ/nD)l State )yIr Zip Code 8l 27 TYPE. <br /> Phc14 6) S`1-/b-.i 779 Altpl�-)& 6)1-120•1-OSS FILE# <br /> Email W des we5l-Qrri FEE$ RECEIPT# <br /> 2) Primary Contact (if other than applicant) <br /> ASSIGNED TO: <br /> Address —' <br /> City State Zip Code <br /> Phone Alt ph — <br /> Email ' <br /> 3) Property Owner(s) M • W des' b•�', �'1/I e/'ri S <br /> Address �e' lx J lne `,*I? e- City M elw" State W,� Zip Code %S'Z-741 <br /> 4) Project Address or Location 3�2-/ -ru 14 AvehUe- ye re 1-6 W-4 Yff2 0 / <br /> Tax Parcel No(s) 00yU 771 ao /0 G G Area of Property (acres/sq ft) � 0 U a 'q <br /> Zoning SF/2 Comprehensive Plan Designation SrR <br /> 5) Brief Description of Project <br /> he�v 2/�e�YI �? eral Lu rnaeg, coc1n ,t <br /> %C,4CGIy1 ce,,ngl��r'. /�;X�'� �Oy- �o�l� � E' /'c�nDylc -/6n <br /> il <br /> 6) Name of the planner who conducted or waived the Pre-Application meeting C'�/?d t gerxsxu- <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 Washington that the information on this application and all information submitted <br /> herewith is true, complete, and correct. <br /> Signature in- lf//zy,. • Date <br /> Please print name M �S`/nQ ��/��S /19 Owner N Applicant Primary Contact <br /> City and State where this application is signed +/L'rf •, , 14/4 - <br /> City State <br /> Z>;,=.`:Eimore Avenue,Suite 8-A Everett,WA 98201 9 425.257.8731 9 www.everettwa.eov • upciateu /'uit, <br />