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1136 GRAND AVE A&B 2016-01-01 MF Import
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1136 GRAND AVE A&B 2016-01-01 MF Import
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Last modified
3/9/2017 4:38:22 PM
Creation date
2/21/2017 11:14:13 AM
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Template:
Address Document
Street Name
GRAND AVE
Street Number
1136
Unit
A&B
Imported From Microfiche
Yes
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- � � <br /> CITY OF EVERETT <br /> PLANNING & COMMUNLTYDEVELOPMENT <br /> LAND USE PERMIT APPLICATION <br /> � Boundary Line Adjustment <br /> ❑ Lot Ccrtification FOR OFFICE USE ONLY <br /> ❑ Nonconforming Usc/Building <br /> ❑ Plattning Direcror's Review Process I Decision F/LE# <br /> ❑ Planning Director's Revicw Process [I Decision c� <br /> ❑ Rezune FEE S �� RECEIPT#l 1 �7�� <br /> ❑ SEPA <br /> o S�,o���„� p CC�C�M� <br /> ❑ Short Subdivision D <br /> ❑ Special Property Use: Review Process II <br /> ❑ Special Property Use: Review Process III MAR 2 3 200' <br /> ❑ Subdivision <br /> ❑ v�ri�n�� CITY OF EVERETT <br /> ❑ oii��� <br /> Applicant ����_� � cl n,�cr-,. � Phone ..�zs-33�-/�7�(t� <br /> Address 4(t�U � 'F'� � e - J�u Z7 a Fax <br /> Property Owncr Phone ��'-zzp--�.an <br /> AJdress l 1 3 Cr,rr...ca . <br /> Primary Contact��rmi��7w�o:��,�u�,�,u ��crr� Phone <br /> Address Fax <br /> Property Address or Location �� �� (`�,�,v�. <br /> Tas Parcel Number �pa-G��(�Zz.�.� L'2�1e'�A <br /> Lcgal Dcscription c�u��n�n,�r�s»�> l�� " •h�. GC� -� .c� • — zz.S �DO -L <br /> Zonin � w c��` �`,�e ��-- � <br /> b �Z Gi Comprehen ve Plan aesignation <br /> AreaoFProperty�n���sq�reF��;u I I �`joo S.F. <br /> Project Description `1��,,, t�,Q,?c <br /> Name of die pinnner who conducted the Pre-Application meeting����5�g��������ri <br /> I am the o�vner or am authorized by the owner to sign and submit this application, I grant pennission for <br /> City stnff and ageuts to enter onto the subject property for tl�e sole purpose of making any inspection of <br /> tl�e property which is necessary to proccss this application. l certify under penalty of pequry of the laws <br /> of the State of 1Vashington that tlie infomiation on tl�is n plication and all information submitted herewith <br /> is true,complete,and co�rect. <br /> Signature by Owner/rlpplicant/Agent LU• Date � 3 0 <br /> Ciry and State �vhere this application is signed �a`� �.l'G.�. _ <br /> City State <br />
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