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Y O, 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 /> MASTER LAND USE PERMIT APPLICATION <br /> TYPE OF APPLICATION (check all that apply): <br /> ❑ Binding Site Plan (Preliminary)** 0 Eligible Facility Request** 0 Shoreline Variance** <br /> 0 Boundary Line Adjustment(BLA)** 0 Essential Public Facility 0 Short Plat(Preliminary)** <br /> ❑ BLA: Lot Consolidation** ❑ Home Occupation Permit** ❑ Site Plan Review** <br /> ❑ Conditional Use Permit(CUP) ** ❑ Long Subdivision (Preliminary)** 0 Site-Specific Rezone Authorized by <br /> ❑ Critical Areas Exemption** 0 Plat Amendment/Modification <br /> the Comprehensive Plan <br /> O Stormwater Management Manual <br /> 0 Critical Areas Permitted 0 SEPA Environmental Review** Adjustments& Exceptions <br /> Alteration** 0 Shoreline Conditional Use Permit** <br /> ❑ Variance ** <br /> ❑ Critical Areas Reasonable Use ❑x Shoreline Exemption**Exception/Variance** ❑ Wireless Conditional Use Permit <br /> 0 Shoreline Substantial Development ( )** <br /> ❑ Cottage Housing Development** Permit** WCUP <br /> O 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 /> 2011 Skyline Way Anacortes, WA 98221 Skyline Division #23 Piling Replacement <br /> PARCEL NUMBER(S): SECTION,TOWNSHIP, & RANGE <br /> P60079 28, 35 N, 01 E <br /> LOT SQUARE FOOTAGE&ACREAGE: PROJECT VALUATION: <br /> 23250.00 Sq Ft $30,000 <br /> LEGAL DESCRIPTION: PRESENT ZONING: <br /> SKYLINE NO 13 LOT 9. SURVEY AF#200408040107 Marine Mixed Use <br /> PRESENT USE OF PROPERTY: CUT& FILL(CY) PROPOSED: <br /> Recreational Shoreline-Dock N/A <br /> PRE-APPLICATION CONFERENCE HELD?: WATER SOURCE: <br /> ❑ Yes, the City file# is ❑x No ❑x City of Anacortes El Private Well 0 Community Well <br /> Master Land Use Permit Application <br /> Updated October 2021 Page 1 of 4 <br />