410 SW EVERETT MALL WAY 2018-01-02 MF Import

' CITY OF EVERE71' PLANNING AND COMMUITY DE LIGATION ELOPMENT LAND USE PERMIT A ❑ Boundary Line Adjustment FOR OFFICE USE ONLY ❑ Lot Certification ❑ Nonconforming Use/Building FILE 4 ❑ Planning Director Determination IIA (Landscap@@ 11 Planning Director Determination IIB hart anc8) FEE $ RECEIPT fl_ ❑ Planning Director Determination IIC ❑ Rezone ❑ SEPA ❑ Shoreline ❑ Short Subdivision ❑ Special Property Use IIB ❑ Special Property Use IIIB r ❑ Subdivision STAMP IN DATE ❑ Variance ❑ Other Phone "^`l ,ze_3a9t Applicant n tr t' A t Fax U KL � i nc\ 17a_na34 Address -___ .,r __ _ ynntroo Phone - �a7 ing hats c'a'' --- - Property Owner11111110 Address 929 r Phone Primary Contact (if other then applicant) Same Fax Address Everett WA Property Address or Location 410 Everett Mall Way Tax Identification Number 5182-000-008-01 Legal Description (attach if necessary) See Attached Comprehensive Plan Designation Law „�P rnmm-Multi SaIai1Y Zoning C 1 General Comm 30.229 sq,ft. ; Area of Property (Acres/Square Feet) IIL Construct 5500 sq.ft. vrood-fraate retail buildin requesting landscape. e. Project Description _ . variance t ro osal with Steve In alsbe List the name of the planner you have discussed your kin rntission for City staff landscapr buffer adjacent to that used by and submit this application. I Brant Pe ro which is I am the owner or am authorized by the owner to sign -d this of making any inspection of the p PertY and agents to enter onto the subject Property for the sole Purpose necessary to Process this application. I cedify under penalty of Pequry of the laws of the and correct and Washington ereby agree h"don and all information submitted herewith is lee' sand agents from any and all claims, information on this app whether real or to defend, Pay, and save harmless the City of Everett its officers,tio employees, of said claims em to ees, including costs, expenses and attorneys ices incurred n incluinvestding the his successors, assigns, P Y be hereafter made by any person including the undersigned upon any maps, designs, otherwise which may its officers, employees, and agentsto be drawn and agents, arising out of reliance by the City of r any statements including the reasonable inferences drawings, plans or specifications, information to any application. therefrom contained in the application or submitted along with said Th1n Signature by Owner/Applicant/Agent_�-- City and State where this application is signed City State t8 2930 Wetmore, Ste 100, Everett, WA 98201 if (206)259-8731, Fax (206)259-8742