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r,'C, A,:, PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT <br /> • <br /> Mailing Address:P.O. Box 547, Anacortes, WA 98221 <br /> y Office Location:904 6th Street,Anacortes WA 98821 <br /> z{ k' Phone: (360)299-1984 <br /> MASTER LAND USE PERMIT APPLICATION <br /> TYPE OF APPLICATION (check all that apply): <br /> ❑ Binding Site Plan (Preliminary)** 0 Eligible Facility Request** 0 Shoreline Variance** <br /> ❑ Boundary Line Adjustment(BLA)** ❑ Essential Public Facility 0 Short Plat(Preliminary)** <br /> ❑ BLA: Lot Consolidation** 0 Home Occupation Permit** 0 Site Plan Review** <br /> ❑ Conditional Use Permit(CUP) ** 0 Long Subdivision (Preliminary)** 0 Site-Specific Rezone Authorized by <br /> the Comprehensive Plan <br /> ❑ Critical Areas Exemption** 0 Plat Amendment/Modification <br /> 0 Stormwater Management Manual <br /> Pi Critical Areas Permitted ❑ SEPA Environmental Review** Adjustments&Exceptions <br /> Alteration** 0 Shoreline Conditional Use Permit** 0 Variance ** <br /> ❑ Critical Areas Reasonable Use 0 Shoreline Exemption** <br /> Exception/Variance** 0 Wireless Conditional Use Permit <br /> 0 Shoreline Substantial Development ( )** <br /> ❑ Cottage Housing Development** Permit** WCUP <br /> 0 Wireless Service Facility(WSF) <br /> Permit** <br /> **Permit type has supplemental checklist that must be submitted with Master Land Use Permit Application <br /> PROJECT&SITE INFORMATION: <br /> SITE ADDRESS: PROJECT NAME: <br /> 2406 Vista Ln.,Anacortes,WA 98221 Parkins, Dale <br /> PARCEL NUMBER(S): SECTION,TOWNSHIP,& RANGE <br /> 44610000160006 <br /> LOT SQUARE FOOTAGE&ACREAGE: PROJECT VALUATION: <br /> 0.11 AC $23508 <br /> LEGAL DESCRIPTION: PRESENT ZONING: <br /> 480 sq ft pole building, no heat or plumbing RAZ <br /> PRESENT USE OF PROPERTY: CUT& FILL(CY) PROPOSED: <br /> Existing mobile house 1152 sq ft 5.6CY cut&4.74CY fill <br /> PRE-APPLICATION CONFERENCE HELD?: WATER SOURCE: <br /> ❑ Yes,the City file#is © No D City of Anacortes 0 Private Well 0 Community Well <br /> Master Land Use Permit Application <br /> Updated October 2021 Page 1 of 4 <br /> Document ID:dd96b346981 bb3a5e5947453cbc275e7e7bd85a2b7f1 d8f9bf2ff0e44ebcb3aa <br />