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Master Land Use Permit Application <br />Updated October 1, 2021 Page 2 of 4 <br />SEWAGE DISPOSAL: <br />¨ City of Anacortes ¨ Septic <br />ROAD ACCESS: <br />¨ City Road ¨ State Highway ¨ Private Road <br />CRITICAL AREAS OR BUFFERS ON SITE OR WITHIN 300 FEET: <br />¨ Yes / Type ____________________________ ¨ No <br />WATER BODIES WITHIN 200 FEET: <br />¨ Yes / Name:_____________________________ ¨ No <br />FLOODPLAIN: <br />Flood Zone: 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 /> DESCRIPTION OF SUBJECT PROPOSAL: ¨ Additional pages attached <br />PROPOSED WORK: __ <br /> _________ <br /> _________ <br /> _________ <br /> _________ <br /> <br />_____________________________________________________________________________________________________ <br />_________________________________________________________________________________________________ <br />PROPERTY OWNER INFORMATION: ¨ Multiple owners attached <br />NAME:MAILING ADDRESS: <br />CITY, STATE, ZIP:PHONE #: <br />FAX #:EMAIL ADDRESS: <br />APPLICANT INFORMATION: ¨ Same as property owner <br />NAME:MAILING ADDRESS: <br />CITY, STATE, ZIP:PHONE #: <br />FAX #:EMAIL ADDRESS: <br />CONTACT PERSON: ¨ Same as property owner ¨ Same as applicant <br />NAME:MAILING ADDRESS: <br />CITY, STATE, ZIP:PHONE #: <br />FAX #:EMAIL ADDRESS: <br />x x <br />x x <br />NA <br />Samish Indian Nation <br />contact: Kim McKinnon <br />P.O. Box 217 <br />Anacortes, WA 98221 360-726-3244 <br /> <br />Samish Indian Nation - c/o <br />Carletti Architects, P.S.116 E. Fir Street, Suite A <br />360-424-0394 ext. 101 <br /> <br />Mount Vernon, WA 98273 <br />Carletti Architects, P.S. - Peter Carletti <br />Mount Vernon, WA 98273 <br /> <br />360-424-0394 ext. 101 <br />116 E. Fir Street, Suite A <br />360-424-5726 <br />4,130 s.f. (daycare) <br />400 s.f. (covered play area)Lot 2 south 2,900 s.f. <br />Lot 1 north 1,007 s.f. <br />Lot 1: 12,665 s.f. <br />Lot 1 concrete/asphalt: 3,374 s.f. <br /> Lot 2 asphalt 4,129 s.f. <br />4,530 s.f. <br />Lot 2: 3,202 s.f. <br />Lot 1 buildings 4,530 s.f. <br />covered play area. Site improvements including a new staff parking lot on the north <br />lot including alley improvements and additional parking. Off-site improvements and parking <br />will be developed along 16th Street per an interlocal agreement with the City. <br />Applicant plans to design and construct a new 4,130 s.f. early learning center with a 400 <br />Applicant owns (2) separate legal parcels. The north lot is 5,971 s.f. and is occupied by <br />a vacant residence and gravel parking areas which will be demolished. <br />The south lot is 14,927 s.f. occupied by a vacant plant nursery and graveled parking areas which will be <br />demolished. <br />s.f. <br />360-424-5726