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� <br />PUBL/C iY0?KS <br />Address Appli <br />Building Type; ��ioP�:te �f_ _F9rrneiS �I'Ictc�!_c� <br />� S���te Plan <br />�, B13o5-Ud1 <br />2io v�,'fs adave <br />c� � <br />ew ❑Verify ❑Preliminary�fuWre) <br />Please camplete numbered rtems (7 � Il and wbmrt by e�mad to� mholey@ci everett �aa us Ca11475�757$d73 Jor other options. <br />1. Relationship to owner: G'Bq S�• Mg r. Date: S�l�/3 <br />2. (a) Your name and mailing address: (b) Phone: (c� e-mail: <br />R0.nc�Y CO�pe+' M�j60 %21-6�91 r"QedY�Pa�ha�P�'�ca <br />r'o �iOK 13?-6� 4�?06 py2s pflo-o36i <br />� ve,�-L N, w A� <br />3. Date needed (please allow up to 4 weeks for assignment or verification): <br />4. Primary address application: ZCJ 2 o G�an a� <br />5. Supporting inforrnation and current use of primary address (licenses, marketing, etc.): <br />�r �iV2 =ur�en�--bu�izo New,,•�- S. 2938 �-r�l �J' <br />�. i z� y </t.r,' ff 7. <br />z. i2ry /�ew,�Jf Q'' 292o Gi„nd <br />6. Site plan attached (recommended to expedite request): <br />7. (a) Owner name and mailing address: (b) Phone: <br />r��th f�er�ca Fa�merfqJar/CetG�y2S 3og-/do <br />po 6ox /32�� <br />�'��-� �� w� 9 S Zo 6 <br />O.ate: <br />Current Parcel Address: <br />FOR OFFICE L(SE OrVC Y <br />Suggested Parcel �ddress' <br />Owner tivritten approval to revise parcel address receive.i: <br />Owner written approval for city p�oposed dddress received: <br />COE Master Address: <br />Go Sync GIS Pflap �ddre�s: <br />�Vllf.fnfli hP.' <br />Utility E3illing: <br />Permit Services: <br />Field address veri(ied with photu <br />C�� / No ❑ <br />(c) e-mail: <br />o �an�y G��a��iavnzr,cu.c, <br />Ln_r, P.b.: <br />❑ Yr�s / iJo U <br />❑ Y�s/No ❑ <br />�0�� <br />5�1113 9av� � Paul /�'�'-ke� <br />❑ Yes / No ❑ <br />,1ppGcat�on fo��� aoa'�I, Mc cnl�ne.�t htlP�//�v�q�y.eyerethpa orp,�Get PDF asPx�PdflD=5d48 UPr! �t� d 2/'3/?O1' <br />