HomeMy WebLinkAboutHPC22-011 739 LawrenceCityofpor�
Townsend
DEVELOPMENT
SERVICES
250 Madis...i Street, Suite 3 1 Port Townsend, WA 9836s 'l 360.379.5095 1 www.cityofpt.us
HISTORIC DESIGN REVIEW
Of Proposal(s)
Within the National Historic Landmark District
.....................
APPLICATION #: HPC \(
A licant Name: I/ L ,f2l� D w6 Z - A 9 u&J6,
Mailin Address: 7 3 L�q W �;c�fc S7: Fo12T 'I�Atcoc- rD�A_9$3
Day Phone: 7()'3 - 7-96-.... �7..D —__
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Architect/Desi ner/Re resentative: +���A P/nl A2 / c71/2E
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Parcel Number: 1 Yb 5
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All applicants and property owners must sign the application below to signify agreement with the
proposed application.
The Applicant(s) hereby certifies that all of the above statements and information contained in any
exhibits, plotplans, or other transmittals made herewith are true andprovide an accurate presentation of
the proposed project. The applicant(s) acknowledges that any action taken by the City of Port Townsend
based in whole or in part on this application may be reversed if it develops that any such statement or
other information contained herein is false.
The undersigned hereby saves and holds the City of Port Townsend harmless from any and all causes of
action, judgments, claims, or demands, or from any liability of any nature arising from any
noncompliance with any restrictive covenants, plat restrictions, deed restrictions, or other restrictions
which may have been established by parties other than the City of Port Townsend.
Applicant
Property t wnej°(if diffcr nt from applicant)
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12.21
Date
Date RECEIVED
x 2017
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