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1-a Cl) <br />H 1�a <br />IC O <br />H �1 <br />Q H 'Q <br />Ca H <br />zp <br />Hoyy <br />OHb <br />Hag <br />Hz <br />z <br />HH <br />gW <br />H <br />z�-3 V) <br />�-3 O 0 <br />I <br />Ll <br />► <br />J <br />V111 Vr LYGMCII <br />PUBLIC 'WORKS DEPARTMENT <br />BUILDING DIVISION <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT APPLICATION <br />Applicant: , lul II E� `7711 (--1' — <br />Address• 1'(�f21" ABC KIC- 6011C- )D-Ih� <br />Project Name: <br />Project Address: /030 Mn12t-" <br />At this time, your building permit e,lplieation is being conditionally <br />accepted for filing, penning the dFtermination 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 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 />con.idered complete for filing. If no other land use approval 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 Building Code. <br />Valid only when signed by both parties: <br />4 14LO <br />pp cant or ut orize gent Date <br />i y o verett nta a ec mician <br />(445G) <br />Date <br />