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. ,��<<. ��. � �,�� �>>.�;��,.�. �.r c�y <br /> , --------_ ���.. c���� C��e <br /> � CITY OF E T�ERETT <br /> P�.�4NNING & COMMUNITYDEYELQPMEN7' <br /> LAND USEPERMITAPPLICATION <br /> ❑ Boundary Linc Adjustmenl ��h��� •,�� ; , � �': '�" •+'� �'�'+q,t r' *;�ca <br /> ❑ LotCcrtificaticn �^ : �i�' ,^ �t ,i� : ;. <br /> ❑ Nonconfonning UseBuild'uig % �{��'� a � <br /> ❑ Planniog Director's Revietv Process I Dccision Y � <br /> ( i � �S. r� <br /> ❑ Planning Director's Revicw Process ll Decision �' � � , , ti !'� x,: <br /> ❑ Rezonc '� �� � ""�,t ' `� <br /> ❑ SEPA + J ��� � <br /> ❑ Shorelinc <br /> ❑ Short Subdivision <br /> � <br /> ,> : <br /> ❑ Spccial Property Use: Revicw Process II , <br /> `Yt F�k . i y '< : <br /> ❑ Special Propert}�Usc: Revicw Proccss II[ ,�', h u� �, .�.� �,�t$;� '�u'< <br /> t .r �y�.7 � <br /> ❑ Subdivision �� �' � y��,�. ,���' <br /> O Vari:uice k'�v� � ,, z 's,• �s'�`� �": <br /> I� Other �y�Ce MDD �IGINIDN � �� �{isc },.„ � p:�.q�',�a��.� <br /> 1 � � �j� `'����9}T�� 1 �)r � �J�.h��r���F� 1. <br /> . . ..1 , . __ ._ . . .. ... <br /> Applicant �A�w14n9 i' �! Vl[nN _ Phone C�� =� )u�51 3/c��. <br /> Address�3r�i Low�gnr� �v� �= ��esetr WA �l8'201 Fax �,. ls� `iyz - 5-��� <br /> ProperiyOwner $q�r�Nhr Si���i Phone <br /> Address �301 __( nw�sa�2fl .�}V�. E=ur✓c�r l-[�q- 48'Zol <br /> Primar,� CO11Y8CL(ifothttlhanapplican�) `��•`��l � 4��. 4 Photte�(.,i� l {D'j - l�/ l� <br /> Address i..� ,•� ��. ,... �.�� � ,;.� �� . Fax _ <br /> PropertyAddressorLocation 13671 GDNai3�tR0 AV�G EvP�rrt+�_ WA- q8'Z.O ! <br /> Tax Parcel Number Zq O5 I �d0 30 l 4 00 <br /> n�11 <br /> ).egal Description�aaa���;rn���s�.�� �$G A-fi'A�H1M�/6LT _ <br /> Zoning Q-Z Comprehensive Plan Designation ( .3 S F D _ <br /> Arca of Properiy�na�sis�,�„�F��� <br /> ProjecL Description SP� A-�TA c�l Yi��Pw+ � �� i1-vl tl NOl71 S � . 2 4� 3 <br /> Name of the planner who conducted the Pre-Application meeting�a s���a��a��•M� <br /> 1 am the owner or am authorized by the owner to sign and submit this application. I grant permission for City <br /> stafT'and a�ents to enter onto the subject property for the sole purpose of making any inspection of the property <br /> which are necessary ro process this application. I certify under penalty of perjury of tLe laws of the State of <br /> Washington that the information on this application and all information submitted herewith is true, complete, <br /> and corcect. <br /> Signature by OwnedApplicanVAgent �,, kE(:_�ti Date I� - I� �: � _ <br /> City and State where tl�is application is signed � V o c <- 1� __ �, '. 1� <br /> City State <br /> �- �iTfA�t�+w��� �4s � �Nd l�4oms I � Z -Ir3 <br />