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y5C�]+H <br />C+1 Ch � <br />O � x <br />�HxN <br />HxN <br />�C o <br />H 7e <br />�Hro <br />VJ N�+ <br />[�7 O � <br />OH <br />��g <br />� V �] <br />�H� <br />HH <br />8y <br />C] C7 V� <br />�z�� <br />H O V� <br />� <br />� �� <br />CI7Y OF E4ERETT <br />PUBIIC WORKS DEPARTMENT <br />BUII.DING DIVISION <br />HOTICE OF CON�ITiONAL ACCEPTA�JCE FOR <br />FILING OF BUILDING PEP.MIT,APP�ICATION <br />Applicant: ����I�,qv� � l.J��-E^r <br />Address: 2Z- 3 Z S�a}e S'�' EUere-�-I- �w qszo� <br />Project Name: {�QKo�a1 (zesa�e�5e <br />Project Address: 22-3Z S{ai�c. S'� �JereT�i W� �j �JLo� <br />At this time, your building permit application is being conditionally <br />accepted for filing, pendin9 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 />[f the City review determines that any additional land use approval or any <br />adAitional information is required to complete your building permit <br />application, it •Nill 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 tand 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 8uilding Code. <br />Valid only when signed by both parties: <br />�t C�r��� T CcJ� ;-L �l— Q Z <br />/ pp icant or�ize gent atU e — <br />7�2� ��� <br />�ity o verett inta e ecnnician atlS e — <br />(4456) <br />