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City of Anacortes-Planning,Community,and Economic Development <br /> 906-6th Street, P.O.Box 547,Anacortes, WA 98221-0547 <br /> MASTER PERMIT APPLICATION <br /> 1. Applicant �,,,.Conta Person (if different) <br /> Name: 6 R I,t3 i . i t Lc vt) f 4 1, l <br /> Mailing Address: 6 7, 1£ AA- t 3 7 <br /> City, State,Zip: 1Z tJZgL_iq-pt.DJ\ tA.9 A T h03 y <br /> Phone#: :-c6 -"7/5"- y/Lfo / 9z -257- /o r3 O' a 3- SY <br /> Fax#: 1 - Z -/ - 3&O-,509$- (G <br /> E-mail: / / t P,n04 € 6 TS t n��. 2G— r4 f 1 e+�l /ie c.,t4.Ms (t 4 ioo•coo <br /> 2. Applicant's Interest to Property(check one) <br /> ,Owner 0 Contract Purchaser OLessee 0 Other(specify) <br /> 3. All Persons/Firms having an ownership interest in the property: <br /> Name: Phone# 2_c G - 7 t S-- .' y yo <br /> Address: -S/}0--e. A 5 vet- 6�✓ <br /> Name: ?A-"-c.e.c_A /- c c cS Phone# 2oG — Cc) - lc Cl 7 / <br /> Address: s A✓-t (4S A G6� •rc <br /> Name: Phone# <br /> Address: <br /> 4. General location of property�sincludin e r st intersection): SEC: 0414TWP:_-;5i\.RNG: JIE <br /> *By submittal of this application,the property owner/applicant grants permission for public officials at the City of Anacortes <br /> to enter the subject property,if necessary,for the purpose of site inspection. <br /> 5. Attach legal description of property. (If recording of legal description is required, the format MUST <br /> comply with Recording Requirements.) <br /> 6. List all Property Tax Account Numbers involved in this application(Attach separate pages if necessary): <br /> P/v3777 / 3,�C1/A`/ --- 0 -- o&g --03o7-- <br /> 7. Approximate acreage: 1 1- 8. Present zoning: g` 3 <br /> 9. Present use of property: �1 f U 1^T I -6:01/ LY gS- <br />