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w4 <br />W 'yH <br />C H <br />7 H N <br />t H 5 <br />H H <br />O N <br />o � <br />n c N <br />,,,, VI LI LI\LI I <br />PUBLIC WORY.S DEPARTMEIIT <br />BUILDING Uf4ISI011 <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT APPLICATION <br />Applicant: <br />Address: <br />Project Name: <br />Project Addres <br />At this time. your building the1D7determ1nation oon fsi s completeness naand <br />accepted for filing, pending <br />whether any additional land use approvals) 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 />If the City review determines that any additional land use approval or any <br />additional information 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 application being <br />considered complete for filing. If no other land use approval or additional <br />lding permit application will be considered <br />information is required, your bui <br />filed as of this date. <br />Fees charged or refunded will be in accordance with Section 304(c)(f) of the <br />a <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />p�icant UV Autnoriv o hgent Date <br />Ctty ar verett nta a ec nl clan <br />(4456) <br />Date <br />