Laserfiche WebLink
Y 4 PLANNING, COMMUNITY. & ECONOMIC DEVELOPMENT DEPARTMENT <br /> Apihr MASTER PERMIT APPLICATION <br /> Mailing Address: P.O. Box 547, Anacortes, WA 98221 <br /> 74, Office Location: 904 6t Street, AnaCarte.s WA 98821 <br /> �r Phone: "360) 299-1984. Far: (360) 293-1938 <br /> PERMITS REQUESTED FROM THE CITY OF ANACORTES: <br /> O Accessory Dwelling Unit(ADU) 0 Annexation Request 0 Administrative Interpretation <br /> ❑ Administrative Conditional Use ❑ Binding Site Plan (Preliminary) 0 Binding Site Plan(Final) <br /> Permit <br /> l Boundary Line Adjustment(BLA) 0 Clearing Permit 0 Code(AMC)Amendment <br /> ❑ Comprehensive Plan Amendment ❑ Conditional Use Permit(CUP) 0 Cottage Housing <br /> O Essential Public Facility ❑ Extension of Time for Approval ❑ Floodplain Development Permit <br /> ❑ Grade and Fill Permit 0 Home Occupation Permit 0 Lot Certification <br /> ❑ Manufactured Home Subdivision ❑ Minor Permit Revision ❑ Plat(Preliminary) <br /> ❑ Plat(Final) ❑ Plat Amendment/Modification ❑ Reasonable Use Exception <br /> ❑ Rezone Request ❑ SEPA Environmental Review ❑ Shoreline Exemption <br /> ❑ Shoreline Substantial Development 0 Shoreline Conditional Use Permit 0 Shoreline Variance <br /> Permit <br /> O Short Plat/Subdivision ❑ Short Plat/Subdivision(Final) 0 Special Use Permit <br /> (Preliminary) <br /> ❑ Stormwater Management Manual ❑ Variance(Level 1) 0 Variance(Level 2) <br /> Adjustments& Exceptions <br /> PROJECT & SITE INFORMATION: <br /> SITE ADDRESS: PROJECT NAME: <br /> 4608 Cypress Drive & 4700 Camano Place Flowers BLA <br /> PARCEL NUMBER(S): P82621 & P82634 SECTION,TOWNSHIP,&RANGE <br /> Sect i on 22, T35, R1 <br /> LOT SQUARE FOOTAGE &ACREAGE: PROJECT VALUATION: <br /> 28,604 SF & 0.66 acres <br /> LEGAL DESCRIPTION: PRESENT ZONING: <br /> See Attached legal description R2, Residential low Density <br /> PRESENT USE OF PROPERTY: CUT& FILL(CY) PROPOSED: <br /> Single Family residence None <br /> PRE-APPLICATON CONFERENCE REQUIRED: WATER SOURCE: <br /> O Yes IN No gl City of Anacortes 0 Private Well 0 Community Well <br /> SEWAGE DISPOSAL: ROAD ACCESS: <br /> l City of Anacortes 0 Septic Tank IN City Road 0 State Highway ❑ Private Road <br /> CRITICAL AREAS WITHIN 300 FEET: WATER BODIES WITHIN 200 FEET: <br /> ❑ Yes Zl No ❑ Yes E1 No <br /> FLOODPLAIN: <br /> Flood Zone: N/A FIRM Panel# Date of Panel: <br /> LOT COVERAGE AREA CALCULATIONS: <br /> Existing Square Footage: Proposed Square Footage: <br /> IMPERVIOUS SURFACE AREA CALCULATIONS: <br /> Existing Impervious Square Footage: New Impervious Surface: <br /> Page 1 of 3 <br />