Laserfiche WebLink
►�;c�c�aZ-�� <br /> CITY OF EVERETT <br /> PLANNING & COMMUNITY DEVELOPMENT <br /> LAND USE PERMIT APPLICATION <br /> O Boundary I.ine Adjustmcnt POR OFF/CE USE ONLY <br /> 0 Lot Ccrtification FILE# <br /> ❑ Noncon(orming Uae/Building <br /> O Planning Direclor's Review Proccss I Decision FEE 8 RECE/PT N <br /> O Planning Direclor's Rcview Process II Decision — <br /> O Rewnc <br /> ❑ SEPA <br /> ❑ Shonline <br /> � Short Subdivision <br /> O S�cial Property Use: Rrvicw Proccss 11 <br /> O Special Property Use: Revicw Process iil <br /> O Subdivision STAMPIND,ITE <br /> ❑ Variance <br /> ❑ Other <br /> �veeu��r�r .4Pveev� trNu���l s�-�3—a+r,r �rP o3-�0�,e-s1 ea-ozs—� <br /> Appiicant��d(��t,,b�'� Phane�S72 -�e <br /> Address�Ly.} �c.rucE-,1VF.E?.$TE�y/ SF.ITstF t�vt Fax ��1Z-$T!�'/ <br /> PropertyOwner it1►�,��e� �� �L . � Phone[��77-/.t4$ <br /> Address yool sE .rs*�'sr. ��q.3$Cy 8�**�aucseeEi,4�7Z?iG—eS-.ro <br /> Primary Contact��ran«n,��arrr�p_�F'r'L�,nn�.5 Phone�,nZ,g�'� <br /> nddress�1 y�(__ Fe,S'Ct„�e �,ve�*3rF/e/ S�"T'�fs�ax7�2.8 3�/Y <br /> Property Address or Location_�(p/0 L�/E-'���N w Y q8��9 <br /> 'fax Parcel Number��� D O �Q'f�? <br /> LCSBI DCSCCIfI[IOtl(al�sch if n�c�.vary)_��c'�_��/�F/ED ��6��� �� <br /> Zoning C ;�,. Comprehensive Plan Designation y�_��ED L�___ <br /> A[�xoPPfO�Cfty(Acres/SQuarcFmi) � g/5�,� . <br /> Project Description eeNrrtvc.f 2 yyZ rF _��,p,� E-XP�S�?F__d%'-<J�e4,.r7' <br /> s��-��� <br /> Name of the plunner who con ucted thc Pre-Application meeting�a�:�����m <br /> 1 am the owner or am nuthorized by the owner to sign and submit this application. [ grant permission <br /> for City staff and agents ro enter onto the subject property for the sole purpose of making any <br /> inspection of the properiy which is necessary to process this application. t certify under penalty of <br /> perjury of the laws of the Slale uP Washinglon ih�t the inform ion this application and all <br /> information submitted herewith is lrue and o c <br /> Signature by Owner/ApplicanUAg n! _ Date 2 d OJ" <br /> City and State where this application is signed F r7Z_�____, �t�.t� <br /> City State <br />