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�lii �r G'ICttCII <br /> PUBLIC WORKS �EPAR�dENT <br /> BUILOING �IYISION <br /> NOTICE OF CONDITIONAL ACCEPTANCE FOR <br /> . FILING OF BUiLDING PERMIT APPLICATION <br /> / <br /> / <br /> i <br /> ' aPPlicant: _ i�fUlvt�1 �f1�1 C`%Y�Sr <br /> / <br /> iAddress: I�.o.�1.�of3 L�,.,�.�„�����, ��ea ryt�-,� <br /> 1 Projec: Name: 5r � �r9ru� ��. <br /> \ Praject Addresr. _ XX ('"�7h ST <br /> At this time, your build;ng 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 order to complete your application. <br /> If the City review determines that any additional land use approva7 or any <br /> additional information is required to complete your 6uilding permit <br /> application, it wilt be necessary 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 /> filed as of this date. <br /> Fees charged or refunded wi11 be ir. accordance with Section 304(c)(f) of the <br /> Uniform Building Code. <br /> VaTid only when signed by both parties: <br /> � ���IG>�� �f���� —J o <br /> pp icant or ut ortzea yent aSe <br /> //�GG'�L'/C��� i i�.�/I — ��,5 —�'�/ <br /> �i or t�erett Inta e ec nician i`i—ate <br /> (4456) <br /> � <br />