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CITY OF EYERETT <br />DUBLIC WORKS OEPARTMENT <br />BU(LU[NG DIYISION <br />NOTILE OF CONOITIONAL ACLEPTANCE FOR <br />FILING OF BUILOfNG PEAMIT:APPLICATION <br />Appltcant: HA,f'.RF/A_fAN C 73A/N.i <br />Address: /C�/T _ iC� AdE S'fYS,v�tlnMi sN L�.,4 r/B1 jc� <br />ProJect Name: Lydn/D27 Lp5 T <br />Project Address: �/ 3 � �FE�N �T <br />At thls time, your bullding permit appllcatton is hetng condittanally <br />accepted for filing, pending the determination af its compieteness and <br />whether any addltional land use approval(s1 including but not limited W: <br />Zoning Code <br />SWte Environmental Policy Act <br />Shoreline Management Act <br />1s required tn arder tu complete your appllcation. <br />If the City review determines that any additionat land use approval or any <br />additional infarmatton is required to cnmpiete yaur butlding Fermit <br />appltcatton, 1t aiil be necessary to suCmtt CMs addltianal informatton or <br />acquire the addltional land use approval prlor to your appitcatlon being <br />considered complete .for flling. It no other land use approval or addtttonal <br />in/ormation 1s required, yaur Ouilding permit applicatlon rill be consldered <br />f11ed as of thls date. <br />Fees charged or refunded will De in accordance with Sectian 7041c1(f) of the <br />UM form Building Code. <br />Valid only when signed by both parttes: <br />\, {l.�roii(.�r4, S/�� ' s ,� '¢—�/7� <br />)� pp can o u onze gen�X` L— �ate <br />�y o vere t n e e[nnictan a <br />(4456i <br />