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Y 0 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 ❑ Essential Public Facility 0 Short Subdivision (Preliminary)** <br /> ❑ Annexation Request ❑ Floodplain Development Permit 0 Site Plan Review—Type 1** <br /> ❑ Binding Site Plan (Preliminary) 0 Home Occupation Permit** 0 Site Plan.Review—Type 2** <br /> ❑ Boundary Line Adjustment(BLA)** 0 Long Subdivision (Preliminary)** ❑ Stormwater Management Manual <br /> ❑ BLA: Lot Consolidation** 0 Lot Certification Adjustments&Exceptions <br /> ❑ Comprehensive Plan/ Map 0 Minor Permit Revision 0 Variance (Level 1) ** <br /> Amendment Request** 0 Plat Amendment/Modification 0 Variance (Level 2) ** <br /> ❑ Conditional Use Permit (CUP) per AMC ❑ SEPA Environmental Review** 0 Wireless Conditional Use Permit <br /> 19.36** <br /> ❑ Conditional/Special Use Permit(CUP) ❑ Shoreline Conditional Use Permit** (WCUP)** <br /> per AMC 17.70** ® Shoreline Exemption** 0 Wireless Service Facility(WSF) <br /> ❑ Cottage Housing Development** 0 Shoreline Substantial Development Permit** <br /> ❑ Development Agreement Permit** 0 Zoning Code/ Map Amendment <br /> ❑ Shoreline Variance** <br /> Request(Rezone) <br /> **Permit type has supplemental application/checklist that must be submitted with Master Land Use Permit Application <br /> PROJECT&SITE INFORMATION: <br /> SITE Auunta'S: PROJECT NAME: <br /> 5919 Cabana Lane Skyline POA Seawall Toe Repair <br /> Anacortes,WA 98221 <br /> PARCEL NUMBER(S): SECTION,TOWNSHIP,&RANGE <br /> P32464 and P32465 Sec 28,T35N, R01 W <br /> LOT SQUARE FOOTAGE&ACREAGE: PROJECT VALUATION: <br /> 0.9 acres $40,000.00 <br /> LEGAL DESCRIPTION: eHtselkiI CONING: Text <br /> PIN GOVERNMENT LOT 4,SECTION 28,TOWNSHIP 35 NORTH,RANGE 1 EAST,W.M.,BAT N1/4 C <br /> THE 3 84.215FT TH S 2412.561FT TPB TH S 01-31-44 W 301.607FT TH N 88-36-38 W 148.448FT TH N Marine Mixed Use <br /> 01-31-44 E 361.525FT TH S 66-36-39 E 159.949FT TPB <br /> PRESENT USE Ur rrrsUrtlsi r: CUT&FILL(CY)PROPOSED: <br /> The property is the site of a club house/cabana that is used Remove 5 yards of concrete and add 10 yards of concrete. <br /> by the members of the POA. <br /> PRE-APPLICATION CONI•tHout HELD?: WATER SOURCE: <br /> ❑ Yes,the City file#is CM No ® City of Anacortes 0 Private Well 0 Community Well <br /> SEWAGE DISPOSAL: ROAD ACCESS: <br /> CA City of Anacortes 0 Septic E City Road 0 State Highway 0 Private Road <br /> Master Land Use Permit Application <br /> Updated April 13,2021 Page 1 of 4 <br />