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Master Land Use Permit Application Page 1 of 4 <br />PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT <br />Mailing Address: P.O. Box 547, Anacortes, WA 98221 <br />Office Location: 904 6th Street, Anacortes WA 98821 <br />Phone: (360) 299-1984 <br /> Master Land Use Permit Application <br />TYPE OF APPLICATION (check all that apply): <br /> Administrative Interpretation <br /> Annexation Request <br /> Binding Site Plan (Preliminary) <br /> Boundary Line Adjustment (BLA) <br /> Comprehensive Plan/ Map <br /> Amendment Request <br /> Conditional Use Permit (CUP) per AMC <br />19.36 <br /> Conditional/Special Use Permit (CUP) <br />per AMC 17.70 <br /> Cottage Housing Development <br /> Development Agreement <br /> Essential Public Facility <br /> Floodplain Development Permit <br /> Home Occupation Permit <br /> Long Subdivision (Preliminary) <br /> Lot Certification <br /> Minor Permit Revision <br /> Plat Amendment /Modification <br /> SEPA Environmental Review <br /> Shoreline Conditional Use Permit <br /> Shoreline Exemption <br /> Shoreline Substantial Development <br /> Permit <br /> Shoreline Variance <br /> Short Subdivision (Preliminary) <br /> Site Plan Review – Type 1 <br /> Site Plan Review – Type 2 <br /> Stormwater Management Manual <br /> Adjustments & Exceptions <br /> Variance (Level 1) <br /> Variance (Level 2) <br /> Wireless Conditional Use Permit <br /> (WCUP) <br /> Wireless Service Facility (WSF) <br /> Permit <br /> Zoning Code/ Map Amendment <br /> Request (Rezone) <br /> PROJECT & SITE INFORMATION: <br />SITE ADDRESS: PROJECT NAME: <br />PARCEL NUMBER(S): SECTION, TOWNSHIP, & RANGE <br />LOT SQUARE FOOTAGE & ACREAGE: PROJECT VALUATION: <br />LEGAL DESCRIPTION: PRESENT ZONING: <br />PRESENT USE OF PROPERTY: CUT & FILL (CY) PROPOSED: <br />PRE-APPLICATION CONFERENCE HELD?: <br /> Yes, the City file # is________________  No <br />WATER SOURCE: <br /> City of Anacortes  Private Well  Community Well <br />SEWAGE DISPOSAL: <br /> City of Anacortes  Septic <br />ROAD ACCESS: <br /> City Road  State Highway  Private Road <br />x <br />x <br />8/10/20 <br />(LBG) <br />(LBG)