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I <br />CITY OF EYERETT � <br />PUBLIC WORKS D:PARTMENT <br />6UILDING DIVISION <br />NOTICE OF CONUITIONAL ACCEPTANCE FOR <br />FILING OF BUILDIhG PERIdIT APPLICATION <br />Applicant: �2ca��fj��_, <br />Address: J'r'��Z3 �� A- dF yi= SQ� L(.� �//�' <br />Project Name: SFiQ <br />Project Address: <br />At this time, your building permit application is being conditionally <br />accepted for filing, pending the determination of its completeness 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 applicatian. <br />If the City review determines that any additional land use approval or any <br />additional information is required to comptete your buiiding permit <br />aopiication, it will be necessary to submit this additionat information or <br />acquire the additional land use approval prior to your application heing <br />considered complete for filing. If no other land use a�proval or additional <br />information is required, your building permit application will be considered <br />filed as of this date. <br />Fees charged or refunded will be in accordance with Section 304(c)(f) of the <br />Uniform euilding Code. <br />Valid only when signed by both parties: <br />1i .��� a�u/9 � <br />� pp ican ar ut orize��e� at�e — <br />� �i <br />�ity o verett n a e ec mcian a e <br />(4456) <br />::; � v"�. > �,...-. <br />