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�iii ur cvcncii <br />PUBI:iC WORKS �EPARTMENT� <br />BUIL�ING DIVISIOt! <br />Applicant: <br />Address: <br />Project Name: <br />NOTICE OF CONUITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PEkMIT APPLICATION <br />r—w <br />Project Address: <br />� o-r- � ( �Q�w�oC)fc_�_ <br />�_ � <br />v,�2��-r-- wn . <br />r <br />At this time, your 6uilding permit application is being conditionally <br />accepted for fil�ng, 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 application. <br />If the City review determines that any additional land use approval or any <br />additional information is required to r.omplete your building permit <br />application, it will be necessary to submit this additional information or <br />acq�ire the additional land use approval priar to your application being <br />considered complete for filing. If no other land use approval ar additional <br />information is required, your building permit application will be considered <br />filed as of this date. <br />Faes charged or rPfunded will be in accordance with Section 304(c)(f) of the <br />Uniform Building Code. <br />Yalid only when signed by both parties: <br />p t� or ut ori• nt <br />t� !,.�aL ___�__�__ <br />y o vere t ntace ec m cian <br />(q456) <br />at� /]— / � <br />i� <br />ae <br />