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� ( ; <br /> CITY OF EVERETT <br /> PLANNING AND COMMUNITY DEVELOPMENT <br /> LAND iISEPERMITAPPLICATION <br /> ❑ Boundary Line Adjushnent <br /> ❑ Lot Cenificaqon FOR OFF/CE USE ONLY <br /> ❑ Nonconfortning Use/8uilding <br /> ❑ Planning Director's Review Process I Decision Fl�'p `� '9� <br /> ❑ Planning Director's Review Process II Decision <br /> ❑ Rezone FEE S1Dd� RECFIPT# �Z (. <br /> O SEPA <br /> o sho���,� � � (� �8 l!� D <br /> ❑ Short Subdivision <br /> ❑ Special Property Use: Review Process I ul.l <br /> .B Speci a l Property Use: R eview Process l i A U G 2 6 f 9 9 6 <br /> ❑ Special Property Usc: Review Process III <br /> ❑ Subdivision CITY OF EVERE <br /> ❑ Variance � rqy� pt, <br /> ❑ Other <br /> Applicant Saunde�s i��pna,l }��� L e�t a..- Phone .ZG,! -3 50 0 <br /> Address � ' ,L � o/ Fax .'2V i - 3 So / <br /> Property Owner ` �� Phonea.(o/ -a.oe D <br /> Address `� ( <br /> PrimaryContactpran�.w.�.�u�.�a��n, ��� . � Phone3(,/ -3b�99 <br /> Address,�`"j'�' eo(bd�l� - E�e.re�i/!�� } h�1J / Fan�_� 390 / <br /> Property Address or Location/„1D/ � /,203 l�r�n�ore. �l� <br /> Tax Identification Number i,/py./�.1.30- D/.s' - D/o� <br /> Legal Description �.�„�n�r���� S�e, G�.�dc,j�a,� <br /> Zoning ��Q6;aQ�a.,� Comprehensive Plan Designation �. �/ �/os��{e,,fs <br /> Area of Property cn�sw.�FM� 36 9� S r= <br /> Project Description� ` ; <br /> ' 1 ` m -/'a <br /> ame ofthe planner who conducted the Pre-Application meeting c«a�a...�.�� <br /> I am the owner or am authorized by the owner to sign and submit this application. I grant pemtission for <br /> City staff and agents to enter onto the subject property for the sole purpose of making any inspection of the <br /> propeny which is necessary to process this application. I certify under penalty of perjury of the laws of the <br /> State of Washington that the information on this application and all information submitted herewith is t�ue, <br /> complete, and correct. _ <br /> �� � C� ; <br /> Signature by OwnedApplican�KAgenC ,,,_.. �� . � _ �,_,-4_�.� Date a - � y - y �� � <br /> City and State where this application is signed <br /> City State <br /> CP 2930 Wetmore, Ste 100, Everett, WA 98201 � (206)259-8731, Fax (206)259-8742 <br />