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CITY OF EYERETT � <br />PUBLIC WORKS OEPARTMENT <br />BUILDING DIVISION <br />Applicant: <br />Address <br />Project Name: <br />� <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FII_IN6 OF BUIL�ING PERMIT,APPLICATION <br />Z L. l CJ � 1�2 t_ P-r.i UJ <br />Project Address: S /`I� C <br />t�V ( <br />�82�3 <br />At this time, your Guilding permit application is heing conditionally <br />accepted far filing, pending the determination of its compieteness and <br />whether any additional land use approval(s) including but not limited to: <br />Zoning Code <br />State Environmental Policy Act <br />Shoreline Management Act <br />is required in order to complete your application. <br />'�1 If the City review determines that any additional land use approval or any <br />additional informatian is required to complete your building permit <br />��, application, it will be necessary to submit this additional information or <br />acquire the additional land use approval prior to your applicatian being <br />'�' considered complete ,for filing. If no other land use approval or additional <br />information is required, your building permit appiication will be considered <br />��� filed as of this date. <br />�'� <br />Fees charged or refunded will be in accordance with Section 304(c)(f) of the <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />�,p�,,,� � o J � t`tC R2 <br />pp icant or ut arize gent ate <br />��� l 3a�9Z <br />ity of ve� rett intake Tecnm cian Date <br />(4456) <br />