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■ <br />■ <br />i■ <br />i■ <br />■ <br />■ <br />■ <br />■ <br />.ITY OF EVERETT <br />PLANNING & COMMUNITY DEVELOPMENT <br />LAND i�SE PERMIT APPLICATION <br />Boundary Line Adjustment <br />Lot Ccrtification <br />Nonconforming UsdBuilding <br />Planning Direclor's Review Process I Dccision <br />Planning Director's Rcvicw Process II Decision <br />Rczone <br />SEPA (and conccptual sitc plan revicw) <br />Shorcline <br />Shori Subdivision <br />Special Property Usc: Review Process II <br />Special Property Usc: Review Yrocess III <br />Subdivision <br />Variance <br />Othcr <br />'hone 415• Sal • 60 ! 5 <br />Fax 360�bbb'• �1�5 <br />Property Owncr 91��lE' Phone <br />Address <br />PT(tI1�CyCO11I7C1(ifo�hcrthana�licanq ,Sj}!(i%F Phone, <br />Address F� - <br />Proper[y Address or Location ��$/ �kAIUD �4fi� El2"1�t7% r!.�%� 9��� 1 <br />Tax Parcel Number 00 �375 - 770 -0/5'- 00 „�,,,,,�„g �,d i�q-���•�d� <br />LC6�� DCSCrlpllofl (aitacl� if n«ccsary) -O6 S� ���5 cf G�D. Co .� <br />Zoning Ql ��� Comprehensivc Plan Designation <br />Aren of PropeRy en��sq�� Fm> �9 43 � S <br />Project Dcscription �G'�MR.. FsP1W'� �iKC1�1 �.F X 3 S� <br />Name of thc planner who conducted the Pre-Application meeting co�s�s��a w���tt) . <br />I am the owner or am authorized by the owner to sign and submit this application. I gant pertnission <br />for City staff and agents to erter onto tlic subject property for the sole purpose of making any <br />inspection of the property wl�ich is necessary to process this application. I certify under penalty of <br />perjury of the laws of the State of Washington that the information on this application and all <br />information submilteci hercwith is true, complete, and coacct. <br />Signaturc by OwnedApplicandAgent .� Date l�1 /� <br />City and State whcrc this application is signcd �G!/�'k1r%'7 > %v�— <br />C��y State <br />�I � <br />