Laserfiche WebLink
CITY OF E f�ERETT <br />PLANNINGAND COMMUNITYDEVELOPIKENT <br />LAND (ISE PERMIT APPLICATION <br />O <br />O <br />O <br />a <br />0 <br />� <br />O <br />� <br />ea,�airv cine �a�wnna►c <br />Lot Certification FOR OFFfCE USB ONLT <br />NonconfortninQ Use/BuildinQ <br />Pluwn` Dirator's Review Proca:l Daision F7LE,� US�� �7i "q, <br />Plannin� Director's Review Praas I[ Dauion �„ �; <br />� �s T,O�/ �cErprr !l' +�� <br />5��� ����a��r� <br />� ���c���� � <br />sn�n s����� ; +! ' � <br />s��.� e�m ux: �� r� r MAI' !��� MAY 1}+n", <br />Spaisl Property Use: Review Procesi II <br />sp«�d Pmpemm use: ttev�ew Fro�Y OF EVERET'P ClTY OF EvERETT <br />Subdivision PIllnning Dept� <br />Vari�nu AA� N T <br />Other — cS�d�,r�-%.rl fo ,S'e/+8ruk�a5�l <br />plicant� N,�,«f�Y N I d%'/��{"r Si a(� r�'� !,a u.l;. S Phone_ � 6 7- 9a�c <br />dress � ��*'�tsl � � �. K.. � Fax �,..� <br />Property Owner P.. ,u r„ 4 n Da/,'�� ..-F Phone <br />Address � � ., , , <br />Primary Contact tuw�.a,.�.Pq�.� Phone <br />Address Fax <br />Property Address or Location :3.� n i �.-a ., ���O Hl�� <br />Tax Identi6cation Number G o/ �i7 3 84-2 <br />Legal Description c.n+�n+r�� Le� I� RIa�L� �9� 7;u N� �/„L �. �. Se <br />Zoning �Q •� Comprehensive Plan Designation <br />area of Propeny c.w..sw.. F.w� Gl�nn S'Q Ft <br />Project Description <br />I am the owner or un authorized by the owner to sign and wbmit this application. I grant pertnission for <br />City staff and agents to enter onto the wbject property for the sole purpox of making any inspection of the <br />property which is necessary to process this application. I certiCy under penalry of perjury of the laws of the <br />State of Washington that the infortnetion on this application and all information wbmined herewith is true, <br />complete, and corcect. <br />Signature by OwneNApplicand <br />City and State where this application is <br />r( . � ., i���.. _ <br />.. � <br />� 2930 Wetmore, Ste 100, Everett, WA 9S201 �(206)259-i731, Fa: (206)259-8742 <br />