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CItY OF EYERETT <br />I'UBLIC MDRKS DEPARTMENT <br />bIIILDING DIYISION <br />NOTILE OF LONUITIONAL 11CCEPTANCC FOR <br />FILiNG OF BUILOING PERMIT APFLIC4TION <br />Applicant: <br />Address: / <br />Project Name: ��py)�n I �m'1pl— %lr�( . /,Z. <br />Pro,,ect Address: i `�i 37 /%1tJni�_ _ <br />Al tM s time, your bullding permit application ts betng conditionally <br />accepted for filing, pending the determinat�lon of its completeness and <br />whether any additional land use spproval(s) includtng but not 1lmited to: <br />Zontng Code <br />�tate Envtronmental Pollcy Act <br />Shoreline Management Ac: <br />ts required 1n order to complete your applicatlon. <br />If the City review determines that any additional land use approval or any <br />additional informatlon ts requTred to complete your but]dfng permit <br />applicatfon, it will be necessary to submit this adAltional lnformatton or <br />acquire the additional land use approval prlor to your application betna <br />considered complete for f111ng. If no other land use approval or addttlonal <br />information 1s requtred, your b�ilding permit applTcatio�, w111 be considered <br />filed as of thts date. <br />Fees charged or refunded rill be in accordance with Sectton 304(c)(fl �` the <br />Uniform Butiding Codc. <br />Valid only whPn signed by both parties: <br />�,����g,�C�,��r,�� rZIZ3/9i <br />�p can r-A�hu�i e ent a e <br />�n/' /2�z3%9/ <br />L�cyo ere�nae ecncan ae <br />(4456) <br />