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HomeMy WebLinkAbout20251017_PLN1416_Zoning App 45 ZONING PERMIT COMMUNITY & ECONOMIC DEVELOPMENT 8204 59 Avenue NE''-':Arlington, WA 98223 - Main Line 360.403.3551 0 W.,.. ....................... e. ....... []Cottag&(:519 Onits) Zoning P6rmit*Submiqal M ......... hookAjj,'A fApo Requirements.Checklist V es For t Practice fn E]Requlrdd:Sub ittal Items ily(%19 units) ......... []Shorelihe.Substantiall Site Review''(44-ac.) Design Review—Adnjin. ......... .. ...... ...................... ......................... Board e ED sign.Review . ... .. ..................... ........... . . ... ........ . ....... ... ......... ':Site Ad d"" piiib o.Site Address .... 200200400 N ..................... 31051 .'"''31051200202700 ................ ......... ........ .23 Acres Medibal:Services. 98;j38;0.SQ.F-T �W4 ... i 8.0i0o I WSW "6.06 "U pp C Fro ...... city ......... Undeve vm Idped Vacant Land Weas []Yes RIM /A .,.We i4s ep�S ope e id' E]Yes E]No 0y0s ✓ No Pubfic*Wspital Mtrlct M.Snohomish County Nick Wacker- 8405.173rd Plice-NE 300500 Chagdn.Bfvd.,.Suite.360 1.0215.7-21nd Aye..'s 'd .1-24 k6rit,WA 98032 .............................. Pepper Pike, OH 4.4 Arlington,.WA.98223 ........... .. ... 360-548-3357 -216-46+5660 e)d:203 4.25.-251.-6222 -.ardis@still valle�healfh.or�' -�jqrisch@yisconsixm nweckeracordrstatesicoih y 1( Ap ;-inV, % Cbntrtrcher ✓L USSee ]Other: o- ropeN.: Ch6ck*0ne) owne El - Andrew Krzysiek Alex White.............. Christopher Plein f...... ............. ............. MC� .2'09:Prospect St. 1*8215.72nd Ave..S- 1-82.15**72n.d Ave. S Rellin**ham, WA.98225 Kdnt,'WA 98032 Kent,.WA 980.32. 9 36077-3.4-4744 425-251-6222- 425--*251--6222 v! andrevv@z.eryasgr'0up.coerj awhite@0ore-states.*-com. Zoning P&mir-.ApjXddUbn My of Arlingt0h paoq 1 of ......................................... ......................... .........................11.1-1..................................... ........................................................ .1. llisconsi Me dical Facility Total:Bum#er-.,.o Istin";:.Cats:::: 2 TotaHirelarof`Pa°`ase ;units .:::..:........:.....:::: .e tau sex ::;:. ;: :;;:;`;::Townhouse,:; . . . Tfltalin 30 bbb S FTa . tY°.ofera Medical Fciii ,. :::'.:Dt 'er:h �:Has't�s��::��r��::.�`:�•��:' �ti�een�suti���v��ed.:...:::..:....;�.;::::.:.. Yes Na .•;:i :Yes=PrQviife;App ican,: Milli ill :.,. a - � a - e x � . PFg asal I e; Sucs antral Devil Amen as;*q0 ed m AMC§2Q 93 ; ❑ Yes ❑No l net.fro me�tal: es rietia:::..; :a;;SF►ar tr a Va . allowed.under AMC. 2 :92. 30 ;. El Yes El No Y q. . . .. ar�ceae ......... ... .... :. ..: . ........ .:... .. .. . : ....... .- . .:.... :. . v rrient Permit°a 'Fe ulre -:to kie' r+�eessect-co cu t, ra e...cts sub ect:#o::a::Snarei ee S l sta.'irttial.:fie.:op....:.::.:.:..:......:....: :...:.......:.....,:.....A:,..:.:..,.....:::.:..:..:.:..::::.:.>..: :.Yr..:.:,,...::::.:::;::::.:: p 1 1 : .......... ;.:.,::.:::..:....:... ; t�mher;.:etSi eicantTrees ta: N/A Harvested:::::;°` : 11 = ': . `:°: : _` ::ISthere::a:.:Ctrntaevelc�priienf:;Mara#om:;.on:the5it :.: ;: ;;: ❑Yes No } r 1 Class'IV' S ec ai ion: °I:s;= =.' >'° ` `= ': --°' ': Class Ill—.Gene a ypjai'estLandCvn.:.:..� • � �:• :.: ❑ . � .. p if•....ut:�.Te�°:Mi#i"'a#ion[] tt� .. . .. r :IlYiliSig} icantTreesheRemoved:: uEngany';i ;.::se°f.;t ..s:< °:: Yes 'No. :;.::�:..,::.::,:,:::;:�:>::<::.;:;�:-•�:...:;:.: ;...:::;;.;::::;:::::•:� IA;�fumtier:ofTrees=;taheiteptanted:;QnS...e.{...t:.: p..{fly;-:::::::;-:':: `: : :On1.:;:. `DateCo :::Ie#wa 1�..:_B�i~imr of 7r to be Repiented Location: Ha e ted Trees) X{3}X{Tree Cos t) .......... a .c ZdRIn g.Permit A pplicu fill City of Arlington Page•2 of 3 Rev 11/2021 APPLICANT CERTIFICATION I certify that I am the Owner or Owner's authorized agent. If acting as an authorized agent, I further certify that I am authorized to act as the Owners agent regarding the property at the above referenced address for the purpose of filing applications for permits or review under the Arlington Municipal Code and I have full power and authority to perform on behalf of the Owner all acts required to enable the City to process and review such applications. I do hereby declare under penalty of perjury under the laws of the state of Washington that I have familiarized myself with the rules and regulations with respect to preparing and filing this application and that the statements and information submitted herewith are in all respects true and correct to the best of my knowledge and belief. DATED AT Pepper Pike, OH Washington on this date: 10/3/25 Digitally signed by Shawq JOsch Shawn Jurisch Date:2025.10.03 Applicant's Signature: 12,2544-03'00' REAL PROPERTY OWNER CERTIFICATION I do hereby declare under penalty of perjury under the laws of the state of Washington that I am the owner of the subject property or an officer/member of the entity owning the subject property,that it is my desire to seek the subject land use permit, and that I will abide by any requirements and conditions that may be part of the approval of this request. I also hereby grant permission for City employees, agents of the City and/or other agency officials to enter the subject property, if necessary,for the purpose of site inspections. DATED AT �.�✓r!t 'v� c-J-�n Washington on this date: thl- 16,—)a) Owner's Signature: u ` All other property owners of the subject property must also sign below(attach additional sheets if necessary): 1 j Name: Signature: Address: Phone: 2) Name: Signature: Address: Phone: 3) Name: Signature: Address: Phone: Zoning Permit Application City of Arlington Page 3 of 3 Rev 11/2021 N O .a �+ � .. .-. •-1 :% r-1 ti r'1 •--� rl N ti P1 e-� r1 •--� 1'ti e-i � • H • .--� V y ' •--1 y cn a v a� y 4+ y RJ � A A c � a U O m �+ .� -. -� • • .. • � F cu cu L �- W fC 6. 67 V Y u to O c`. .� vUi .-� .� .-. .-� .-. .-. .-1 .� • • M y A O O L L. 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Y y 'A a'L+ G.y Li C N a, u w u Q u_ R Q 3�nCAthLni ncn tnCL 6 Q ¢ u L t m '+hl M 4 to C l-: OD a� O Ln U V ¢ SITE PLAN CHECKLIST ' ��� COMMUNITY & ECONOMIC DEVELOPMENT N 18204 591h Avenue ICE -Arlington, VITA 98223 • Main Line 360.403.3551 COVER SHEET ❑ Title Block(centered.at top of drawing) that includes.the following: ❑.City.afArlington ❑ Nattteof'Proposed-Development' © Pile No. (call for-correctnumber) ❑.Section,Township,&Range ❑ Site Iriformatiah: ❑ Site Address fuse.block#if no bldg.#) Zoning Classification. ❑Airport Protection District Subdistrict ❑ [Ise•Classifcation(from AMC-20.40) ❑ Legal.Description ❑Tax.Parcel ID Number ❑ Density&'Dimenslorial Calculations ❑ Lot{s).Size(both in acreage.and square feet) .❑Iot Dimensions.(length;width) ❑.Lot Number Labels f if applicable) ❑:Number of Lots jif applicable) 0 Proposed Residential.Density.-(if applicable) ❑Building Setback(for existing,.proposed,.&relocated bldgs..on site) .❑.S.uilding Height`{for existing;proposed;&relocated bldgs. on site): .0-Total.Lot Coverage..(irhpervious surface). ❑Recreational.&:Open Space.Calculations (if applicable). 0 Adjacent Street!Names&Classifcations ❑Required Parking Space Calculations'(required&:proposed) ❑Required Bicycle.Rack Spaces ❑Screening Types Provided..ondicate fpr each lot.line.) ❑Utility Provider(sewer..&water) ❑Critical Area Types'Located On-Site and Associated Buffers (if applicable) ©Shoreline Classification{if-applicable)' ❑FEMA Flood.Zone.Designation(if.:appl caWe) ❑Sheet Index ❑ Date:%'Plans:-Weee.Prepared ❑Vicinity Map(Inciude.North Arrow;Scale,arid pinpoint site.-location) © Name,.Address,Phone:Number,&Email Address ofthe Applicant,Owner,Engineer;Surveyor,& Laifdscape.Arthitect: Site.plan Checklist Page.1 off?: Rev 1172021 SITE—PLAN SHEET •Title Bat(locate along rig-hvedg&of sheet) that iftcludes*the.following:: •Date Drawing.was-Prepired..o r Revised •Project Name&Lo.c.ation • Name,Address,&Ph-one'Rumber of Applicant,fit,Owner,Engineer,gin6et &.Spr've'y.or • North Arrow;Graphic Scale(V .5 0' or 1arg6r)*and Legend. • Existing.Lot Lines Within or Adjacent to the Project-Site • Existihgand Ptopbsed..Rig4ts-of-W.ay..(iiicludLi dimensions&:street name) • Existingartd.Proposed Eas6meftts...(include dimensions) • Existing-Cfid cal..'Arda.Bbundaii es'and'Associated Buffees On-Site.and Within 10ftokSite per AMC 20.93 0***Existing z[nd,Proposed." ow ativeZi . 'Protection Areas, N th * Building(whether proposed,expanded,retained or relocated)-Setbacks.From All Lot Lines * Building.(whether proposed,expanded,.retained,-or relocated)Dimensions and Square Footage O'Buildin. 9 El evations.fall sides fbr..p ropos ed-or.expanded buildings only—color renderings preferred)- O .P'arkiii.gStall,.Loading.Stall,,Driv'eway,&.Isle Locations..&Dime*fisib.ns 11 Electrie.Vehicle Parking.Space Locations*&Dimensions El Refuse Bin Ldcatid.h.(including-screening details)- Ll Lighting..Details.(building exterior,site,&parking area). 11 Site ingress/Egress.(p t ti*.*is ng.Apd/or proposed) El Frontage.Improvements-with Dimensions.(ifrequired) 71 Proposed Right-of-Way-D edic.ati on (include dimensions&.square footage) L1 Adjac-ent-Parcels With Parcel Numbers LANDSCAPE.PLAN SHEET Cl Title Bar(locate along right edge of sheet) that includes the following: 0 Date Drawing was Prepared or Revised Project-Name.&Location El Nor-thArrow-and Gt.'aphic-Scale 0 Name,Address,&Phone N umber%of Applicant,Ownei,&LandkApe.Architect- 0 Plant Schedule afid.-Legehd ShdWing Scientific-and Common*Names fd.r.Each Type of Tree,Shrubland Ground Cover and their Quantity;Planti ng 'Sige,and.Symbol... •Tree,.Shrub;-and Lawn Planting Details • Location-and Spacing.of all Trees,.Shrubs,.and Plants(iincludirig.existing.frees to-be.preserved • Irrigation Details (if required) 0 Par C-1 Icing Area.Shading Calculation(see AMC20.16.1 3 Q) 0 Dim ensibhs.And�Square:Footage forEAch Lairidscape AreaJncluding:.Fr6ntage, Lot Boundary,and Vehicle Accommodation Area1andscaping 0 Percentage of Total Lot Landscaping. Cl Location of Existing Significant Trees (signify Which-Significant trees will be removed) El Location of Where Replacement Trees are to be Planted(if.applicable) Cl Table-including the Number pffre.es and Species tp-he-Remove.d Site Plikh,Checklist RWI 1/2621. ....................... ...........................