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CITY OF EYERETT <br />PUBLiC NORKS DEPARTMENT <br />BUILDING DIVISION <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT;APPLiCATION <br />Applicant: �Cr LLy L KaPvF <br />Address: Li cc51J% g a f'� ��/i C�/e%�J -� <br />Project Name: <br />Project Address: �Q{'bQ.p A S q- gW i� <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 arder to complete your appticatian. <br />If the City review determines that any additional land use approval or any <br />additional informatia� is required to compiete your building permit <br />application, it will be nec2ssary 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 />information is required, your building permit application will be considered <br />fiied as of this date. <br />Fees charged or refunded Nill be in accordance with Secti�n 304(c)(f) of the <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />� ��ij��1�v—✓ 2��-i <br />pp cant or Autioriz� gent <br />�ity o verett tnta e ecnnician <br />(4456) <br />ate <br />1,i - /5- �Z_ <br />