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APPEAL APPLICATION FORM To file an appeal of a Type I or II decision or a SEPA determination, please complete the attached form and pay the applicable fee by 5:00 p.m. on the last day of the appeal period. Form submission and payment must be by PERSONAL DELIVERY at City Hall 1st Floor Customer Service Center c/o Office of the City Clerk-Hearing Examiner, 15670 NE 85th Street. Contact the Office of the Hearing Examiner with process questions at [PHONE REDACTED]. Standing to Appeal: Appeal to the Hearing Examiner of a SEPA determination - Any interested person may appeal a threshold determination, adequacy of a final EIS, and the conditions or denials of a requested action made by a nonelected City official based on SEPA. No other SEPA appeals shall be allowed. Appeal to the Hearing Examiner of an Administrative, Technical Committee or Design Review Board Decision (Type I or II) - the project applicant, owner, or any person who submitted written comments (party of record) prior to the date the decision was issued may appeal the decision. The written appeal and the applicable fee must be received by the City of Redmond’s Office of the Hearing Examiner no later than 5:00 p.m. on the 14th calendar day following the date of the decision. Should the appellant prevail in the appeal, the application fee will be refunded (City of Redmond Resolution No. 1459). The application fee will not be refunded for appeals that are withdrawn or dismissed. Hearing Examiner or City Council decision may be appealed to Superior Court by filing a land use petition which meets the requirements set forth in RCW Chapter 36.70C. The petition must be filed and served upon all necessary parties as set forth in State law and within the 21-day time period as set forth in RCW Section 36.70C.040. Requirements for fully exhausting City administrative appeal opportunities must be fulfilled. Please continue to page 2 to select your appeal type. (Staff Use Only) File No: Date Received:_________ Receipt No. RE: Holmgren Short Plat, LAND2017-00548 Appeal Submitted by: CR HOME BUILDERS LLC A-1 ---PAGE BREAK--- Page 2 of 4 Please check the applicable appeal: Appeal to the Hearing Examiner of a SEPA determination RZC 21.70.190(E). (Please be sure to understand the type of SEPA appeal you are filing, and if a further appeal to the underlying action is needed.) Appeal to the Hearing Examiner of an Administrative, Technical Committee or Design Review Board Decision (Type I or II) RZC 21.76.060(I) Section A. General Information Name of Appellant: Address: City: Zip: Email: Phone: (home) (work) (cell) Name of project that is being appealed: File number of project that is being appealed: Date of decision on project that is being appealed: Expiration date of appeal period: What is your relationship to the project? Party of Record Project Applicant Government Agency Pursuant to the Redmond Zoning Code, only certain individuals have standing to appeal a decision on application or appeal (See page 1 above). Below, please provide a statement describing your standing to appeal, and reference all applicable City Code citations. C. R. Homebuilders, LLC Johns Monroe Mitsunaga Kolouskova PLLC 11201 SE 8th St. Suite 120 Bellevue WA 98004 [EMAIL REDACTED] [PHONE REDACTED] Holmgren Short Plat LAND-2017-00548 September 19, 2018 October 3, 2018 x Please see attached Statement on Appeal, submitted herewith. X c/o Duana T. Koloušková, Applicant’s Representative ---PAGE BREAK--- Page 3 of 4 Section B. Basis for Appeal Please fill out items 1-4 below. Reference all applicable City Code citations and attach additional sheets if necessary. 1. Please state the facts demonstrating how you are adversely affected by the decision: 2. Please provide a concise statement identifying each alleged error of fact, law, or procedure, and how the decision has failed to meet the applicable decision criteria: Please see attached Statement on Appeal, submitted herewith. Please see attached Statement on Appeal, submitted herewith. ---PAGE BREAK--- Page 4 of 4 3. Please state the specific relief requested: 4. Please provide any other information reasonably necessary to make a decision on the appeal: Do not use this form if you are appealing a decision on a: Shoreline Permit (must be appealed to the State Shoreline Hearings Board RZC 21.68.200(C)(6)(b)) Shoreline Variance or a Shoreline Conditional Use Permit (must be appealed to the State Shoreline Hearings Board RZC 21.68.200(C)(6)(c)) Hearing Examiner decision on a SEPA appeal (not an appealable action as successive appeals are not allowed RZC 21.70.190(D)) Hearing Examiner decision on an application (must be appealed to Superior Court) City Council approval or denial (must be appealed to Superior Court RZC 21.76.060(Q)) Please see attached Statement on Appeal, submitted herewith. 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