HomeMy WebLinkAboutPre-Application Conference Application 12-30-2009A% II " CITY OF AUBURN PRE -APPLICATION CONFERENCE
f •v"U R N Department of Planing, Building 8 Community
WhAIIIV-1:I\ Auburn City Hall,2 Floor
25 West Main Street
Auburn, WA 98001
Tel: 263.931.3090
Fax: 253.804.3114
permileenter@auburnwa.gov
www.auburnwa.gov
PRE -APPLICATION CONFERENCE - AUTHORIZATION
LETTER FROM PROPERTY OWNER GRANTING AUTHORIZATION 70 ACT
(A copy of this letter must be submitted for each property owner Involved)
I, �„ � � 1 <_ .� . �. being duly sworn declare that I am the owner of the property
(PROPERTY OWNER) involved in the application. I hereby grant of
u... \._ rt \ oac t "; � \ % % \ . ( C CA to act on m' behalf.
I certify under penally of perjury declare that all statements, answers, and information herein
submitted is in all respects true and correct to the best of my knowledge and belief.
I agree to hold the City of Auburn harmless as to any claim (including costs, expenses and
attorneys fees incurred in the investigation of such claim) which may be made by any person,
including the undersigned, and filed against the City of Auburn, but only where such claim arises
out of the reliance of the City, including its officers and employees, upon the accuracy of the
nformation provided to the City as part of this application.
I further agree that the City of Auburn staff may enter upon the subject property (ies) at any
reasonable time to gain familiarity with site conditions and to take photographs and to post public
oti�ces; ifa plica le. � ., ,,, •,,
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Address _, Zl'�.wrNn T(�•��"d
%� Subscribed and sworn to before me this 3n day of )COL r-nz'1R�PTAt,
Notary Public in and for the State of Washington,
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BU RN CITY OF AUBURN
WA wMII:M Department of Planning, Building$ Community
Auburn City Hall, 2m Floor
25 West Main Street
Auburn, WA 98001
Tel: 253.931.3090
Fax: 253.804.3114
permitcenter@aubumm.gov
www.auburnwa.gov
OFFICE USE ONLY
FILE #:
FILE NAME:
TYPE: RECEIVED BY:
FEE PAID: CHECKICASH:
SUBMITTAL DATE:
LAND USE DESIG:
PRE -APPLICATION CONFERENCE APPLICATION
APPLICANT: !Use mailing address /or meeting notification. Check box i/Primary Contact
COMPANY: KING; GOUWTT LIBRAftN SYSTrzM
ADDRESS: %0 N6VyP6WT wAY NW
(CITY, STATE, ZIP) 1545A9UAHI v.1A, Oteo21
PHONE: 425 3(09 3Zoo FAX: E-MAIL:
SIGNATURE: PRINTED NAME:
(Signature Required)
APPLICANT'S REPRESENTATIVE: Eck box if Primary Contact
COMPANY: SCWACHT I A5LAtJf AKct4iriscTS
ADDRESS: SAASTota TovieFr 506 56Got4b AJs, Sclrs 100
(CITY, STATE, ZIP) _51=ATTI4E, WAt 9811'1
PHONE: Zorn 444 4448 FAX: 7,0re 4N3 3411 E-MAIL: EVArJ(2SAA¢OH•C.,AA
SIGNATURE: �~
(Signature Required)
f3oU¢QcA�D
PRINTED NAME: P.yAN
PROPERTY OWNER(S): i Attach separate sheet if needed. ! :Check box if Primary Contact
ADDRESS:
(CITY, STATE,
PHONE:
SIGNATURE:
PRINTED NAME: 5,�_,`\ t �e_t
(Signature Required)
Note: Applicant or representative must have property owner's consent to file this application form In order for it
to be accepted
PROPERTY INFORMATION (REQUIRED)
SITE ADDRESS: EXISTING USE OF SITE: bCl r1 W Lo u 1 T Y
ASSESSOR'S PARCEL ID# LOTSIZE ZONINGDISTRICT LIgPAON 13U1rrblo)L
19210591
8,1
�
LAMP1IS
PROPOSED USE OF SITE: SAME Az ASoJE
AREA TO BE DEVELOPED (s.f.):
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