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r�`�� pueLic rsro�� Rddre;s Appl�cation <br /> ,. .i � <br /> l�;:�:� <br /> .` <br /> 6uildin T e: Sin le Famil Res!dence New ORevise ❑Preliminary(futur�j <br /> g VP �_._9 —__y --� ❑ <br /> Pleoserompletenumbereditems�l-7jandsuGmitbye-m�il[o: mbaley@ci.everettwa.org Ca114"t5-257-8813Jorotheroptions. <br /> 1.YOUf Ilaf112: ���NaradyChea ' D0tE:5/3/13 <br /> . . . .._ . .. .. . ._ .. . .. _ <br /> 2. (a) Mailing address: (b; Pho�ie (c) e-mail: <br /> Rc/MAX hletro Realty,Inc. : (206)335-9261 �narady�hotmail.com <br /> �2312 Eastlakc Ave E , , ' <br /> Seatlle WA �J8102 �� ' � � <br /> 3. Date needed (please allow up to 4 weel<s for assignment or verification): si+.ons <br /> 4. /,ddress submited for review:�oaoz Houy or <br /> 5. Current or proposed use of address submitted for review: <br /> 'House vras built with eMrance facing Dakot�Way. Flddress revision required from Holty.� ve to Dakola Way. City pioposed <br /> address is 10322 Dakotei Way. House pr•rmitted and fnaled as 10402 Holly Dr.,C1210 ';95, Basic 422. <br /> 6. Site plan attached (recommended to expedite request): lios2z oakotaway ��Yes/ No ❑ <br /> 7. (a) Owner name and mailing address: (b) Phone: (c) e-mail: <br /> IChen9 Sok Kvd 8 Eng Mouy Te 'I �'�(425)346-4132___ -. � jchhangkov@yahoo.com �� <br /> _ _._.. ._.____. <br /> '10322 Dako[a Way I �I <br /> �Everett,WA 9820A <br /> I � . .. .... __ . _ .. __.---__--._ _.i <br /> Date.• 5/15/13 FO2 OFFICE I/SE ONLY Log No.: A i 305-002 <br /> Current Parcel Address:10402 Holly Dr. <br /> Suggested Parcel Address:1o322 Dakota Way <br /> Owner written approval to revise parcel address received: �7 Yes/ No � <br /> Owner written approval for city proposed address received: O Yes / No ❑ <br /> COE ��aster Address: <br /> Nol yet assi�ned <br /> Go Sync GIS Map Aduress: <br /> Nol yel assigned <br /> Microfiche: <br /> Not yat assigned ' . <br /> Utility Billing: . _ <br /> To he verified <br /> �C'I"I711t SCfVILeS: <br /> 10402 Holiy Dr. <br /> Ficld address verified with photo: ❑ Yes / No � I <br /> Application(onn availab�c online at htt�?;//w�yyv.eyere_lh•�.,org[Get PDF.asp�dflD=S�I4fi I <br /> � ::y. <br /> .�j, <br />