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Master Land Use Permit Application Page 1 of 4 <br /> <br /> <br /> <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 /> <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 /> <br />SEWAGE DISPOSAL: <br />… City of Anacortes … Septic <br />ROAD ACCESS: <br />… City Road … State Highway … Private Road