( Date stamp CITY OF ."""'11 11930 Cyrus Way Mukilteo, WA 98275 Fax (425) 212-2U6!l PPR# SEPA #:-:-----r----- Mise # ----, _ I Land Use Permit Application Phone: Y'v\t- \l"f~tJ I~ 49:7"/.,1 r; 42.t; 2.~0$'St$ Phone: 4~;; :121 ~f>3 S- Project Address: 200 1':IlI::Jl-~ u~ I'}lT I:WJ2 $.w Milk! f, 1D ,W!l'r l 'l& 7E. Legal Description of Property: l~ ftU'fBl,,Ti lS ki¥ATEt> kr2J[o ~lIg p",,,r EUIP $\.4 MIJ"" L'f'~, '\ ~2.75"' ~\"\ .. hN T~~~' ,f -r~ NW '.4 ~~1l~ '2.. 7( TIU'tJ.s~p zv,t4, I l~ ~"f," Md~ &lTP sNDttot\t ,s-ij uv~, WA Key Contact Person: -f't1AlA eoU~AM Al1A~ Phone: ---4LS 2.be> 3a g.3 Fax: --------------------------- Owner: Address: Address: Applicant: Project Type: . o Commercial o Multi-Family o Industrial o Shoreline* (JARPA) o Conditional Use* o Variance* o Preliminary Subdivision* 0 Special Use Permit* o Final Subdivision* jg Reasonable Use o Preliminary Short Plat* 0 Lot Line Adjustment* o Final Short Plat* 0 Grading* o Sector Plan Amendment 0 Binding Site Plan o Waterfront Development 0 Project Rezone o Single Family Residence 0 Other, Specify _ * Need to fill out supplemental application form with project. Project Resume: Existing Use: Vo..c.cc.~I Total Site Area: "5,()()tJ ~tfr Building Foot Print Area:J~~~fl Lot Coverage: 7· ~h (. No. of Parking Stalls Provided: 2-$' Comp Plan Designation: Ct7MJltlrc: ~ I Proposed Use: !1t::'~etJe- Water District: Av~ Sewer District: kW~vCJ1::"P # of Proposed Units: "'/A Building Height: _?/~r;:...l__~~:...\_" _ Zoning: C8 (s) ) Gross Floor Area by Uses: ~ ~'1' Electric Vehicle Charging Units Provided: Yes __ No..X... If Yes, How Many? \J fA i Solar Panels being installed: Yes No.~ lfYes, How Many Pre-application Meeting Held: <(j)N; date) __ A"'U L · ~:..=~=-=U...::~..c:r!....-_'2.I?=-~15:::._- _ The information given is said to be true under the penalty of perjury by the laws of the State of Washington. tJ~/rp I Ib Date I ..---===- ") I, b I h i-b v--=---+-----+-----~------------------ Date , ! I O:\FORMS - New 2009\Land Use Permit Application.doc