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CITY OF E4ERETT <br />PUBIIC NORKS OEPA(iiMENT <br />BUILDING �IVISION <br />` <br />Appticant: <br />Address: <br />NOTICE OF CONDITIONAL ALCEPTANCE FOR <br />FILING OF BUILOING PEANIT,APPLICAT[ON <br />Project Name: <br />Project Address: � n�`7— ���Y/—G°LL.(� /�.J.�i79 ����— ����/_�� <br />At this tirtre, your building permit application is being conditionally <br />accepted for filing, penGing the determinatian of its completeness and <br />Hhether any additional land use approval(s) including but not limited to: <br />Zoning Lode <br />State Environmental Policy Act <br />Shoreline Management Act <br />is required in order to comptete your applicatian. <br />If the City review determines that any additional land use approval or any <br />additional information is required to comolete your building permit <br />application, it •xill be neczssary to submit this additional information or <br />acquire the additional land use approval prior ta your application. being <br />considered comptete for filing. If no other land use appraval or additional <br />information is required, yaur building permit application will 6e considered <br />filed as of this date. <br />Fees charged or r=funded �ill be in accordance �ith Sectian 304(c)(f) of the <br />Uniform Building Code. <br />Yalid only when signed by both parties: <br />� � i n ���. i �/ i `Tl��„f /OC� <br />p icant or �onzA ent �ate <br />i <br />�ity o verett inu e ecnmcian <br />(4456) <br />