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Home My WebLink About20260629_PLN1429_Application LAND USE APPLICATION ZONING PERMIT COMMUNITY & ECONOMIC DEVELOPMENT �AlING,tO 18204 59 Avenue NE . Arlington, WA 98223. Main Line 360.403.3551 FOR AGENCY USE Date: File: Fee: $ PERMIT TYPE Type of Zoning Permit ❑Cottage(:519 Units) Required Submittals ❑Zoning Permit Submittal ❑Forest Practice (Check All That Apply) Requirements Checklist ❑Multi-Family(519 Units) ❑Required Submittal Items F.-]Site Plan Review(<4 ac.) ❑Shoreline Substantial [:]Design Review—Admin. ❑Design Review—Board SITE INFORMATION Site Address 19721 47th Ave NE,Arlington,WA 98223 Tax Parcel ID Number(s) 00564600000401 (Use block#if no bldg.#) Acreage&Square Zoning Classification Footage Of Property Use Classification No. Water Supply Current Proposed Sewer Supply Current Proposed x Existing Use of Property Single-Family Residential On-Site Critical Areas? ❑Yes No Critical Area Type e. .wetland,steep slope,etc. Has Site Been Logged in ❑Yes ❑No Will Site Be Logged as ❑Yes ❑No Past 6 years? Part of This Project? OWNER APPLICANT CONTACT Name Abyot Seid 3421 176th pl se bothell wa Full Address Phone Number 2065910815 E-mail contactabyot@gmail.com Relationship of Applicant Owner ❑Contract Purchaser ❑Lessee ❑Other: to Property check one PROJECT ARCHITECT PROJECT . • • . Name Full Address Phone Number E-mail Zoning Permit Application City of Arlington Page 1 of 3 Rev 11/2021 Project Details Project Name AFH Total Number of Existing Lots 1 Total Number of Proposed Units 0 Single Family Existing Duplex By Dwelling Townhouse Use Type Multi-Family Other Adult Family Home Commercial By Non-Residential Industrial Use Type Other Has this property been subdivided? ❑ Yes 0 No If Yes, Provide Applicant Name&Plat Name SHORELINE • • Development(Required for all Will this Proposal be a Substantial Development as Defined in AMC§20.93? ❑ Yes 0 No If Yes, Shoreline Environmental Designation Are you requesting a Shoreline Variance as allowed under AMC§20.92.130? ❑ Yes 0 No All projects subject to a Shoreline Substantial Development Permit are required to be processed concurrently; FOREST iii MITIGATION • - SIGNIFICANT TREE REMOVAL Number of Significant Trees to be Harvested Total Acreage to be Harvested Is there a Current Development Moratorium on the Site? ❑Yes E]No Type of Forest Land Conversion ❑Class IV—General❑Class IV—Special Significant Tree Mitigation Options (A, B, or C) Will Significant Trees be Removed During any Phase of this ❑Yes 0 No Proposed Project? A) Number of Trees to be Replanted On-Site(3:1 Ratio) I OR Date Completed (For Agency Use Only) I B) Number of Trees to be Replanted Off-Site(3:1 Ratio) Location: OR Date Completed (For Agency Use Only) IC)Tree Mitigation In-Lieu Fee (#of Harvested Trees) X(3)X(Tree Cost) = I Date Paid Receipt Ns Zoning Permit Application 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 06/24/2026 Washington on this date: 6/19/26 Applicant's Signature:pp g 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 06/24/20 6 Washington on this date: 6/19/26 Owner's Signature: All other property owners of the subject property must also sign below(attach additional sheet if necessary): 1) Name: Fikiraddis WOrku Signature: d �� Address: 3421 176th pl se bothell wa 98012 Phone: 2064077484 2) Name: Signature: Address: Phone: 3) Name: Signature: Address: Phone: Zoning Permit Application City of Arlington Page 3 of 3 Rev 11/2021 ' City of Arlington Received 18104 591h Avenue NE Arlington,Washington 98113 Stamp (360)403-3551 Zoning Permit-Submittal Requirements Community Development Director Decision ➢ The number indicates the item is required for submittal and the number of copies required General Information Meeting Date: ➢ • Indicates the item shall,upon request,be required for submittal Submittal Date: Complete Submittal Submittal Requirements Item? Cottage Housing Forest Practice Multi-Family Development Site Plan Review Yes I No N/A General Application: Land Use Application Form&Submittal Checklists ✓0 0 0 1 1 1 1 Water/Sewer Availability Application' 0 0 ✓❑ 1 1 1 Public Notice Materials' ❑ ❑ ✓❑ 1 set 1 set 1 set 1 set Project Narrative ✓❑ ❑ ❑ 1 1 1 1 Legal Description 0 0 ❑ 1 1 1 1 Vicinity Map ✓❑ ❑ ❑ 1 1 1 1 Review Fee3 EJ ❑ ❑ 1 1 1 1 USB Flash Drive with PDF's of Submitted Documents ❑ ❑ r❑ 1 1 1 1 Site Plans: Site Plano ❑ ❑ ❑ 1 1 1 1 Landscape Plano ❑ ❑ ✓❑ 1 1 1 1 Tree Survey Plano ❑ ❑ ✓❑ 1 1 1 1 Reduced Plan Sets(11x17)-All Above Site Plans or Maps ❑ ID 1 1 1 1 Engineering Reports/Information: Drainage Report El El 1 • 1 1 Geotechnical Report ❑ ❑ ❑ 1 • 1 1 Complete Streets Checklist ❑ ❑ ✓❑ 1 1 1 Traffic Impact Analysis ❑ ❑ ✓❑ 1 1 1 Transportation Demand Management Plan ❑ ❑ ✓❑ • • • Parking Demand Management Plan ❑ ❑ ✓❑ • • • Snohomish County Traffic Impact Fee Offer Worksheets ❑ ❑ ✓❑ 1 1 1 WSDOT Traffic Impact Fee Offer Worksheet6 ❑ ❑ ED • • • Page 1 of 2 11/2021 Zoning Permit-Submittal Requirements Community Development Director Decision Complete Submittal Submittal Requirements Item? Cottage Housing Forest Practice Multi-Family Development Site Plan Review Yes I No N/A Environmental Information: SEPA Checklist' ❑ ❑ ✓❑ • • • • Cascade Industrial Center Modified SEPA Checklist$ ❑ ❑ El • • • • Critical Area/Wetland Report or Critical Area Evaluation ❑ ❑ El 1 1 1 1 Archaeology/Cultural Reportlo ❑ ❑ ✓❑ • • • • Unanticipated Discovery Plan ✓❑ EJ 70- 1 1 1 1 NOTES: FOR CITY USE ONLY 1. Water/Sewer Availability shall be submitted with or prior to application submittal. This application is complete. 2. See Public Notice requirements. ❑ 3. See the City of Arlington Adopted Fee Schedule. This application is incomplete.See items noted above. 4. See Site Plan Requirements. The City of Arlington may require additional information.The applicant will be S. See Snohomish County Traffic Impact Fee Offer Worksheet and required if the project is subject to SEPA. • notified in writing if additional information is necessary. 6. See WSDOT Traffic Impact Fee Offer Worksheet and required if the project subject to SEPA or requested. 7. See the SEPA Checklist Requirements for Categorical Exemption Thresholds.If not exempt,then required. These submittal requirements are for the City of Arlington permits only.Additional 8. All projects within the Cascade Industrial Center shall submit the CIC Modified SEPA Checklist.Public Notice permits may be required by federal,state,regional or local agencies.It is the Material is not required,as no Public Noticing is required with this checklist. responsibility of the applicant to ascertain whether other permits are required. 9. See Critical Areas Evaluation to determine the type of report required. 10. An Archaeological or Cultural Report may be requested by a reviewing agency or if known area of interest. All supplemental forms,checklists or requirements can be found at http//www.arlingtonwa.gov/169/Applications-Forms Community Development Representative Date Page 2 of 2 11/2021