HomeMy WebLinkAboutShoreline Exemption - SHX Permit / Conditions - 4/8/1982 EXEMPTION FROM SHORELINE
MANAGEMENT ACT SUBSTANTIAL
DEVELOPMENT PERMIT REQUIREMENT
� 7
TO: 'rwrh 0 box 61
(name and address cf the applicantV�
The proposal by Samr- to undertake
(name of applicant
the f o I I ow i ng deveIo ment P C
(be specific)
3
u on the folowin property e G ,
( legal description; i .e. , section to the
nearest quarter section)
within T and/or its associated
name oWater area)
wetlands is exempt from the requirement of a substantial development
permit because the development 1 r le _C(l 03 1
( entify exemptions as outlined in W 173-14-040)
(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 Cepartment of
Ecology where no master program has
been finally approved or adopted by
the department.
The master program.
_ f
(date) (Signature of Authorized Local Govern-
ment Official )