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; .. <br /> =:< <br /> CITY OF EVERETT <br /> PLANNINGAND COMMUNITYDEVELOPMENT <br /> LAND USE PERMIT APPLI�ATION <br /> � BOB11�������� FOR OFFICE USE ONLY <br /> O Lot Certification <br /> O Nonconfortning UseBuilding ��� �� 1����5 � ��-96 <br /> O Planning Director Detem�inat�on IIA <br /> pPlannin Director Detemunation II� oo � <br /> planning Direccor Detertnination IIC FEE S I�� �C�T'�1 �'U w <br /> R mzlm <br /> � �_ � [SItJISQULS � axo <br /> ❑ Rezone <br /> O SEPA //!c� ��- � fl ' p � w E <br /> O Shomline , o�a x a <br /> p Short Subdivision ,3% 4�i3 APR 3 O 1� � F d <br /> O Special Properry Use IIB /� � x <br /> if:�V/� � a�c <br /> O Spocisl Propecty Use IIIB f l 6 C1TY OF EVERETT z <br /> O S u b d ivision �. A p , x E~�., <br /> O Variance �a <� <br /> � Other x w� <br /> �p�i��� Phone -,es n�z, ��-. �� <br /> Address 10525 rtwy.,_99 So Evere <br /> �� ru ou�ne F� " <br /> Property Owner 'Poshi &Pilrang Owa Phone 745-8531 <br /> Address _ n P .S.W. Lynn ,Wa. 98037 <br /> Primary Contact(itana u�an aPpiican�) Phone <br /> Address F� <br /> Property Address or Location <br /> i a.:Identification Number `f�f L -c�o -o� Z - o <br /> Legal Description�acract�ifnecess.ry) ��+�►+E^ <br /> Zoning C-1 Comprehensive Plan Designation `f• � M�� �-�'��"�`�"•�• <br /> Area of Properry(ncrcs�sawre Fac> 4b,000 SQFT. <br /> Project Description R.v. Park <br /> List the name of the planner you have discussed your proposal with Mr.steve Inqalsbe. <br /> I am the owner or am suthoriud by the owner to sign and submit this application. [gcant pertnission for City staff <br /> and agenu to enter oMo the subject prope�ty for the sole purpose of making any insPecuon of the property which is <br /> necessary to procas tLis application. I certify ueder penalty of pequry of the laws of the State of Washingwn t� :; '. ^ <br /> informadon on this application and all infomiation submitud herewith is we, complete, and cocrect a�d hereby ag�.s <br /> to defend, pay, and save lisrtnless the City of Everett, its officers, employees, and ageets from any and al� c�aims, <br /> including costs, expenses and attameY�s fas ��R� � �°esugauon and defense of said claims whether real or <br /> othenvise which may be hereafter made by any person including the undersigned, his successors, azsigns, emploYees, <br /> and agrnts, azising out of reliance by the Ciry of Everett, its officers, employoes, and aBrnts uPon any"�aps, designs, <br /> drawings> Plans or specifications, infortnation or any statemenu, including the reasonable inferences W be drawn <br /> thercfrom contained in the application or submitted along with said application. <br /> Date ��� �' ��� <br /> Signature by OwnedApplicandAgent '%���' �i��'� — <br /> Ciry and State where this application is signed��%% --� ' ��` <br /> City State <br /> � 2930 Wetmore, Ste L00,Everett,WA 98201 � (206)259-8731, Faz (206)259-8742 <br />