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CITY OF E4ERETT ( <br />PUBLIC WORKS OEPARIMENT <br />OUILOING DIVISION <br />NOTICE OF CONDITIONAL ALCEPTANCE FOR <br />fILING OF BUILDSNG PERMIT APPLICATION <br />Appllcant: <br />Address: _ <br />Project Name: � ' <br />Project Address: .fZ�,�J(.N.?�; , ���v'�-i <br />At thls t1me, your bullding permit applicatton is being conditionally <br />accepted for f111ng, pending the determinatlon of its completeness and <br />whether any addltlonal land use approval(s) including but not 11m1ted to: <br />Zoning Code <br />State Environmental Poltcy Act <br />Shoreline Management Rct <br />is required in order to complete your applicatton. <br />If the City review determines that any addittonal land use approval or any <br />addittonal lnformation is required to complete your building permit <br />application, it will be necessary to submit this additional information or <br />acquire the addittonal land use approval prior to your applicatton being <br />ccnsidered complete for fTling. If no other land use approval or addittonal <br />irformation is required, your 6uilding permit application will be considered <br />filed as of this date. <br />Fees charged or refunded will be in accordance Nith Sectian 304(c)(f) of �he <br />Uniform Building Code. <br />Valid only when signed by both parttes: <br />����- sL �� tca,, fici 4 )`�'al <br />pp can or u io aze� gen a e <br />�11� /a-�1- �i <br />yo vere nae ecncan ae <br />(4456) , <br />