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• <br /> CITY of EVERETT <br /> M.4:47 PLANNING and COMMUNITY DEVELOPMENT <br /> LAND USE APPLICATION <br /> 1) Name of Applicant t. 1c1"7 z• <br /> FOR OFFICIAL USE ONLY <br /> Address 2-7- 0 \f t <br /> City 47) <br /> �`.i-J3'Cie.�: .:,.,.. -sate !.,'„)clt, Zip Code I�f) t TYPE: Pt c # <br /> Phone 2:.`.°w 2107' f, Alt ph �. ;`2,t J(7`r5 I FILE# Re v t t? GI 32 <br /> A� <br /> Email fl 2.1ZL4 1,,p4 Cu,l CSW1- FEE$ 5/7'' RECEIPT# 2C):7-67. 1 <br /> 2) Primary Contact.(if other than applicant) ASSIGNED TO: <br /> Address <br /> City State Zip Code <br /> . 1[3 E W <br /> Phone Alt ph ETP 2 C. 2017 <br /> Email CJ'['Y OF EVERETT <br /> 3)Property Owner(s) Rt 616 `\ i r'r'�°til°- i` Planning Dept. <br /> Address1.71 Ut . <br /> f����, City I:��t�av'�:.`�`� State t w�A Zip Code s�' � � , <br /> 4)Project Address or location b at*r i Etie,tai (it)b1. 4.5 e3.✓0 <br /> Tax Parcel No(s) a0L10151-1.120Z7700 Area of Property(acres/sq ft) "'F' <br /> Zoning Comprehensive Plan Designation <br /> 5) Brief Description of Project <br /> YY1 I'Dra 40-90e. , t-;:'+t. s~art: ;;�r1` i'�r r i(.l _ . . ar , <br /> 0 L <br /> 6)Name of the planner who conducted or waived the Pre-Application meeting <br /> 7)Authorization: I am the owner or am authorized by the owner to sign and submit this application. I grant <br /> permission for City staff and agents to enter onto the subject property for the sole purpose of making any <br /> Inspections of the property which are necessary to process this application. I certify under penalty of perjury <br /> of the laws of the State of Washington that the information on this application and all information submitted <br /> herewith is true,complete,and correct. <br /> Signature /z� �^'' � Date q2_, /17 <br /> Please print name i G�= i(��j - Owner IR/Applicant i 'prirrmary Contact <br /> City and State where this application is signed E y-eve•41-- <br /> l�.s <br /> City State <br /> 2930 Wetmore Avenue,Suite 8-A Everett,WA 98201 o 425.257.8731 0 www.everettwa.gov ® Updated 2016 <br />