4704 HARBOR LN 2018-01-02 MF Import

Cop)Avrt AS4k L6&-&r of AWA City ofEverett s h Planning & Community Development ADMINISTRATIVE DECISION APPEAL FORM (Do not alter form) Kearlev Examiner Review ❑ Appeal of Review Process I Decision ❑ Appeal of Review Process II Decision ❑ Appeal of Application of Development Standards ❑ Appeal of Short Subdivision ❑ Appeal of Binding Site Plan ❑ Appeal of Administrative Shoreline Permit ❑ Appeal of Unlisted Use Determination ❑ Other / FOR OMMIL LSE OAT Y FILE # FEES Ike) RECEIPT# I ZIV ASSIGNED TO. i CIEH _. NOV 0 9 lc'J D CITY OF EVERETT Permit Services 57AMPINDATE Name of Appellant LA rbSl`DohiLv 4 , C ihAm Phone a0d - ;JJ • /3 N Address ill h; City Syift 1 State_M_Zip ?>%%P if applicable, list all additional Appellants below: Name of Appellant #2 Tt1c11Qt. 6 cl)"C I Phone ' fZ.f ' Address i fr.,k'I+Lo a City vlT< 11 State VH1 ZipQi"?.p Name of Appellant #3 Phone Address City —State—Zip— Name of Appellant #4 Phone Address City State Zip Name of Appellant #5 Phone Address City State Zip PW01Irn -0i2 DECISION B •I G APPEALED (Attach Copy) Project Num erUM1a'611 Project Name Property Address or Location y 7,) n/' L r NL f Signature of Appellant Date i l - `i - lrapplicable: Signature of Appellant #2 Date Signature of Appellant #3 Date Signature of Appellant Signature of Appellant #5 Please Note: Policy requires that the appellant or the appellants representative be present at the public hearing. The borders ofpr noj,for all appeals provided fin• br the City of Everett Zoning Code shall be upon the Appellant. Ill appeals must be filed an lornts provided by the planning department and will not be considered valid unless theappeal f n-nr is filled out ck ar•ly, completely, and legibiv and is accompanied by the applicable fee. This.form shall not be altered in ant' rear.