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C/TY OF EVERETT <br /> PLANN/NG & COA�MUNIT3'DEVE! �PMENT <br /> ��� I AND USE PERMIT.9PPLlCATIO�� � � L• u i': i_� � � <br /> � � <br /> JiJ,�� � , ; ,,;,. <br /> ❑ liound;u� l inc .ldjusitncnt � <br /> � Lut Ccnification FOR OFFICE(1.�Z1t�117(},'p �l <br /> ❑ Nonconforminglisc�[3uilding `I�j'�'�y p�;��. 'FRFT`i' <br /> ❑ Planning Dircctor s Rcvicw Pruccss f Dccision F1Lf: �1���+ .-L_. C/� � — � � �� <br /> ❑ I'lanning Dircctor's Rev����� r�oo�55 �t n��s���, ��y � n <br /> ❑ Rezonc FL•'ES �l/l!�' RECEIP7'?lJ���� <br /> ❑ SCVA(and conccptual site plan rcvicw) <br /> ❑ Shorclinc <br /> ❑ Short Subdivision D �((��n�1(/2 <br /> ❑ Spccial Properly Usc: Rcvic�a Proccss II �`-'� � L/ L� D <br /> ❑ Spccial Propciiy Use: Revicw 1'rocess 111 <br /> ❑ Subdivision JUN 2 9 2^G9 <br /> ❑ Varian �SI` �I <br /> ���a,��_��"l� �� CIPe QDIA'�%r�vic�l"T <br /> �. o <br /> Applicnnt__ �� � f�C.`V\ Phone �ZS 7�C�' �.� <br /> Addrcss_,�]J W(l,tn. El,`�,� $2 U I Fa� <br /> I'r�,pertyO��ncr t-��� Cti �a'� L'l,�'1 Phonea2u�,-41y—Z9y�( <br /> Address �`1 I �J Qroa. 'WC�f. �� nc , ����.,2U1 <br /> Primary Contact��r��i,�T w����M,i��,��n � _ ���lOI1C_ <br /> :\ddress Pax <br /> Property Rddress or Location �j � � � �I'�� I ���� <br /> Taxl'arcelNumbcr_pc.�43 '13�3a�Dc��on � <br /> �.C6'al Dcscriplioni�im�n�rn«<ss�ni l[j�� IG���t(/ i�Kl.\ OT L �.� ��x-li� O � � ' L <br /> Tuning�� Comprchensi�e Plan Dcsignation <br /> Arca ol'Properly�n«rs sy��rrn�i '�j�0 5 •f-�. <br /> Project Dcscription_Qj�oL'��a�p <br /> '� <br /> Name of thc planner�vho conducted Ilic Pre-Application meeting����.�E����,.��,,•�� �Qne S� <br /> I am the owncr or am authonud by Ihc o�vncr to sign and submit this application. I grant perniission <br /> for City staf}' and agenls to cnter onto thc su�ject property for lhe sole punmse nf making any <br /> inspection of the property ���hich is necessary to process this application. I certify under pcnalty of <br /> perjury of the laws of the Slate of \Vashington that the information on this application and all <br /> infortnation submittcd hcrcwith is true, complcte, and corcect. <br /> Signature by OwnedApplicant/Agent �C�1 �/��'•�_ Datc �r � Y G I <br /> Cit}� .md Statu���hrrc this application is sigucd ��U-e�,� , _ �V�_ <br /> Ciri� State <br />