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OCT 31 1978 <br />4. Agency Requiring Checklist city of Everett <br />5. Name of Proposal, if applicable: Planning uuN[. TT <br />6. Nature and Brief Description of the roposa 1nc uding but not <br />limited to its size, general design elements, and other factors <br />that will give an accurate understanding of its scope and nature): <br />Anneratinn of-,mp- rnrimarnly ae aGrgg tie riT4t of Fvo =QCC <br />1. Location of �ropcsai �cescr-,oe the pnysical setting of the pro- <br />posal, as we": as the extent of the land area affected by any <br />environmental irr.;acts, including any other information needed to <br />give an accurate inderstar,ding of the environmental setting of the <br />proposal): <br />Subject propetylocated north of Burley Drive between 19th AvP_ S- <br />and Meadow Way-VIPS Restuarant, Real Estate Office and Finance Insti- <br />tution located west of nrooerty, Shell Station lnrated an nnrth hour ary, <br />8. Estimated Cate nor Completion of the Proposal: <br />List of a! Hera:rs, Licar,ses or government Approvals Reouired for <br />the Proposal ;f_ceral, stata and local -- including rezones): <br />City of EyP rPtt� Holmdary RPviaw Rnnr.i R,Aldino <br />construction beeins. <br />10. Do you have any plans =o^ fut.re additions, expansion, or further <br />activity related to or connected with this proposal? If yes, ex- <br />plain: <br />1, Real Estate office and church will he rnnetrnrrPd nn j1rrnPPrty <br />after annexation. Existing Shell Service Station will remain on <br />north boundary. <br />11. o yols a c� of any puns oy others which may a nett the property <br />covered by your proposal? If yes, explain: <br />12. Attach ary otner application form that has teen completed regard- <br />ing the proposal; if none has brier, completed, but is expected to be <br />filed at some future date, desc-ibe the nature of such application <br />form: <br />filed with the city to allow for Real Estate offices and church. <br />