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` n M <br />ro <br />rm <br />a c <br />C N <br />Y H y <br />y � � <br />K n <br />H A <br />O � O <br />�V M 'q <br />tt1 N <br />e �M � <br />O M <br />"" R�.. <br />N C <br />b H � <br />�" H H <br />y <br />N <br />O U1 <br />� � N <br />x��n <br />H O y <br />1 �� <br />CITi OF EVERETT <br />PUBLIC WORKS DEPARTMENT <br />�UILDING DIVISION <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />�ILING OF BUILDING PERMIT.APPLICATION <br />Applicant: � ,� ''�V / '��� — <br />' ., <br />Address: I^ � l';., I z I�. �_',`.1 = � c. � <br />{� "�IC�"-[i�� C ��': <br />Project Name: — <br />i� A <br />� (.P <br />Project Address: }' - - i�" `��.'i L�l� � �i' i <br />At this time, your building permit application is being conditionall�- <br />whetherdany additional Pand�use approval(s)�including butsnot�lPmitedeto; and <br />Zoning Code <br />State Envircnmental Policy Act <br />Shoreline Management Act <br />is required in order to complete your applicati�.n. <br />If the City review determines that any additional land use approval or any <br />additional information is required to complet� .your building permit <br />application, it Nill be necessary to submit this additional information or <br />acquire the additional land usa approval prior to your application being <br />considered complete for filing. If no other land use approval or additioral <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 aith Section 304(c)(f; of the <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />I � � <br />� � ' , <_ <br />pp icant or �.itiorize gent <br />� <br />� ��: z ��.. �� ���� - <br />�ity o verett intake iecnm cian <br />(4456) <br />