2/9/2022 3:01:49 PM
2/9/2022 3:01:47 PM
Applicant Name (LN, FN)
KIM MCKINNON SAMISH INDIAN NATION
Samish Early Learning Center
Conditional Use Permit and Type-2 Site Plan Review for a proposed 4,130 sq. ft. early learning center with site improvements
1502 D AVE / 2201 15th AVE ANACORTES, WA 98221-2043
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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 <br />City Of Anacortes Concurrency Review Application Page 1 of 2 <br />TRANSPORTATION CONCURRENCY REVIEW APPLICATION FORM <br />1. PROPERTY INFORMATION <br />Project Address (Street, Suite #):Assessor Parcel Number(s): <br />Project Name: <br />2.SUBMITTAL REQUIREMENTS <br />Detailed Project Narrative, to include: <br />o The existing site and building use <br />o Detailed description of all the intended uses within all buildings and/or improvements <br />o Detailed description of the size of the project site, size of the proposed buildings and <br />description of all planned site improvements <br />o Expected timing of occupancy (i.e. month/year) <br />o Description of any proposed phasing <br />Vicinity Map <br />o Subject property with its boundaries clearly identified, location of the property showing the <br />nearest street intersections and areas within a distance of no less than 500’ around the site <br />o Label the map with the site’s address and parcel number <br />Preliminary Site Plan, to include: <br />o Building footprint(s) <br />o Location of access points to existing roadways <br />o All street names labeled <br />o Parking stall location(s) <br />o Any new roadways proposed with the project <br />o Any roadway improvements proposed by the project <br />3.PROPERTY OWNER INFORMATION <br />Name:Phone: <br />Address (Street, City, State, Zip):Email Address: <br />4.APPLICANT OR CONTACT PERSON <br />Select one person the city will contact for anything related <br />to this project:☐ Property Owner <br />☐ Other (list below) <br />Name:Phone: <br />Address (Street, City, State, Zip):Email Address: <br />02/01/2022 <br />CUP-2022-0002
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