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anvnuMwn GUUNTY PLANNING 6 DEVELOPMENT SERVICES <br /> , Sth Floor.County Administration Building,Everett,WA�Teiephone(206)388•3311 <br /> LAND USE PERMIT MASTER APPLtCATION <br /> �• Appliunt Contact Penon(if dlfferont) <br /> Name: Buildere Inveslment Grouo The Jav Grouo Enaineerina LLC <br /> Mailing Address: 12728 Bo hell•Everett Hwv 1927 5 Street <br /> City,Stale,Zip: Everett.WA 98036 Mervsville.Wa 98270 <br /> Pf�one-Business: 425.379.2844 3R0.659.8759 <br /> Phone-Home: 360.651.7252 fax <br /> 2. Relation of Applicant to PropeAy(check one): <br /> Owner O� Conlract Purchaser X Lessee❑ Other(specity) <br /> 3. All PersonslFirms having ai ownership interest in ihe property: <br /> Name:Weston Cece M Olson Phone: <br /> Address:412 116 St SE Everett WA 98�08 <br /> Name: PhonP: <br /> Address: <br /> 4. General localion of property(including nearesl intersection): 412 116�'SI SE <br /> 5. Attach legal descriplion of property. (NOTE:If recording of lagal description is required,the format must <br /> comply with recording requirements.)See attachmeM <br /> 6. List all Assessor's Tax Account Numbers involved(all 14 digits):0057370000050D Eec 30 Twp 28 Range <br /> 5 <br /> 7. Approximate Acreage:0.47 <br /> 8. Present use of property:one sinale familv residential <br /> 9. Presentzoning: R-720� <br /> 1J. Source of water supply and name of water district, in any:Citv of Everett Water Distrid <br /> Method oi sewage disposal and name of sewer dislrid,if any:Citv of Everett Water Distrid <br /> 11. Permits requested from Snohomish Counly(please check with Counter personnel): <br /> X Rezone ❑ Shoreline Management ❑ Shoreline Management`/ariance <br /> ❑Preliminary Plat ❑ ShoA plat ❑ Short Plat Modihcation <br /> �0 Special Use ❑ Temporary Dwelling ❑ Plal Modification <br /> ❑ Conditional Use ❑ Site Development Plan ❑ Major Revision-CU,SU or Var. <br /> ❑ Accessory Apartment ❑ Binding Site Plan ❑ Major Revision•Prel. Plat <br /> ❑ Variance ❑ Official Site Plan Revision <br /> 12. Please explain your requesl or proposed use:A rezone frum R 7200 to LDMR u�ilizinq Snohomish Countv <br /> Code <br /> PLEASE FILL IN ALL APPROPRIATE SECTIONS <br /> REZONE APPLICATIONS ONLY <br /> 13. Requested zoning: R 7200 to LDMR <br /> 14. Has anyone applied for a rezone of ihis property within the last frve years?No <br /> If yes,who7 Year7 <br /> 15. Preliminary project review meeting requested(if sile devebpmenl plan submitled)� Yes ❑ No ❑ <br /> FORMAL PLAT APPLICATIONS ONLY <br /> 16. Flal Name: 17. Number of bls <br /> 18. Preliminary pmjecl�eview meeting requested:Yes_No❑ 19. A'odification requested7 Yes ❑ No❑ <br /> PFN: <br /> PFN:OS 101329 000 00 LU BuIIEan InveaUnen�Group <br /> Recelved-OL17/2U�5 <br /> IIIIINIII�IIqIII�IB�I�IIIIINI�I!��111�1119111�In�II�IInIII�III�I�III�IIIIINI y, <br />