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Master Land Use Permit Application <br />Updated October 2021 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 MASTER LAND USE PERMIT APPLICATION <br />TYPE OF APPLICATION (check all that apply): <br />Binding Site Plan (Preliminary)** <br />Boundary Line Adjustment (BLA)** <br />BLA: Lot Consolidation** <br />Conditional Use Permit (CUP) ** <br />Critical Areas Exemption** <br />Critical Areas Permitted <br />Alteration** <br />Critical Areas Reasonable Use <br />Exception/Variance** <br />Cottage Housing Development** <br />Eligible Facility Request** <br />Essential Public Facility <br />Home Occupation Permit** <br />Long Subdivision (Preliminary)** <br /> <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 Plat (Preliminary)** <br />Site Plan Review ** <br />Site-Specific Rezone Authorized by <br />the Comprehensive Plan <br />Stormwater Management Manual <br />Adjustments & Exceptions <br />Variance ** <br />Wireless Conditional Use Permit <br />(WCUP)** <br />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 />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