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HomeMy WebLinkAboutShoreline Exemption - SHX Permit / Conditions - 1/15/1982 EXEMPTION FROM SHORELINE MANAGEMENT ACT SUBSTANTIAL DEVELOPMENT PERMIT REQUIREMENT TO: (name and address of t e applicant) The proposal b we/ to undertake name of applicant the following development 04d; 1,'n n efr, CL ar e, (be specific) upon the folowin property Q C G h ( legal description; i .e., sectloh to the t,r, :3( �.2 9, d R -? W/ nearest quarter section) within 006�- Can q / and/or its associated (name o water area) wetlands is exempt from the requirement of a substantial development permit because the development Joni, c - r i WA (" _ _p 7) (iden ify exemptions as outlined in 113-14-040) (Corps Public Notice Number if available) The proposed development is consistent or inconsistent with: CHECK ONE CONSISTENT INCONSISTENT Policies of the Shoreline Management X Act. The guidelines of the Department of Ecology where no master program has been finally approved or adopted by the department. The master program. (date) (Sig ture of A t orized Local Govern- ment Official )