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CITY OF EVERT 7 <br />PUBLIC WORKS DEPARTMENT <br />BUILDING DIVISION <br />NOTICE OF CONDITIONAL ACCEPTANCE FOR <br />FILING OF BUILDING PERMIT, APPLICATION <br />Applicant: A 0-�5 d-51:� 2 <br />Address: 16LIOLI I () <br />Project Name: <br />Project Address: <br />C I:;-\ l -, ?- <br />At this time, your building penait application is bring conditionally <br />accepted for filing, pending the determination of its completeness and <br />whether any additional land ise 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 lard use approval or any <br />additional information is required to complete your building permit <br />application, it w4ll be necessary to submit this additional information or <br />acquire the additional land use approval pricy to your application, being <br />considered complete .for filinr. 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 will be in accirdance with Sect,on 304(c)(f) <br />Uniform Building Code. <br />Valid only when signed by both parties: <br />-z <br />p utwrtz E4 AW tom. ate <br />City of verett inta.e leciinician arU e <br />( 4456 ) <br />