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C,11` ' O.e, 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 ® Floodplain Development Permit ❑ Short Subdivision (Preliminary) <br /> ❑ Annexation Request 0 Home Occupation Permit ❑ Site Plan Review—Type 1 <br /> ❑ Binding Site Plan (Preliminary) ❑ Long Subdivision (Preliminary) ❑ Site Plan Review—Type 2 <br /> ❑ Boundary Line Adjustment(BLA) 0 Lot Certification ❑ Stormwater Management Manual <br /> ❑ Comprehensive Plan/Map ❑ Minor Permit Revision Adjustments&Exceptions <br /> Amendment Request 0 Variance (Level 1) <br /> 0 Plat Amendment/Modification <br /> ❑ Conditional Use Permit(CUP) per AMC 0 Variance (Level 2) <br /> 19.36 ® SEPA Environmental Review <br /> ❑ Wireless Conditional Use Permit <br /> ❑ Conditional/Special Use Permit(CUP) 0 Shoreline Conditional Use Permit <br /> per AMC 17.70 (WCUP) <br /> 0Shoreline Exemption <br /> ❑ <br /> ❑ Cottage Housing Development El Shoreline Substantial Development Permit ment Permit Service Facility(WSF) <br /> ❑ Development Agreement Permit <br /> ❑ Zoning Code/Map Amendment <br /> ❑ Essential Public Facility 0 Shoreline Variance Request (Rezone) <br /> PROJECT&SITE INFORMATION: <br /> SITE ADDRESS: PROJECT NAME: <br /> 2208 Dover Dr. Anacortes, WA 98221 Delmar-Brownson Dock Replacement <br /> PARCEL NUMBER(S): SECTION,TOWNSHIP, & RANGE <br /> P60037 S: 27 T: 35 R: 01 <br /> LOT SQUARE FOOTAGE&ACREAGE: PROJECT VALUATION: <br /> .35 Acres --- 15,246 Sq Ft $88,800 <br /> LEGAL DESCRIPTION: PRESENT ZONING: <br /> R2: Residential low density 2 <br /> PRESENT USE OF PROPERTY: CUT& FILL(CY) PROPOSED: <br /> Single family residential None <br /> PRE-APPLICATION CONFERENCE HELD?: WATER SOURCE: <br /> Egl Yes,the City file#is PRE-2021-0010 ❑ No El City of Anacortes ❑ Private Well ❑ Community Well <br /> SEWAGE DISPOSAL: ROAD ACCESS: <br /> ❑ City of Anacortes El Septic ® City Road El State Highway ❑ Private Road <br /> Master Land Use Permit Application Page 1 of 4 <br />