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MAY-09-2005 10�52 P.02i02
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<br /> A�NN�T-�4HA CREEIC WA'�'ERSHETJ AISTRICT
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<br /> �� esiding a��� V � ���
<br /> Pro�erty Ow�eer �n.�.t Ciry,s�a�e,%i�� �—
<br /> � S , �3�1l�-23�2 • d0� ar PtD# 23 /17-�3-3a-(��
<br /> Plione Gounly Townslup�$r,tlicR�Rtnge (�m ro «
<br /> p In-•Y lAX atntc:meqt7
<br /> owx attd occ�zpy the above single fi�mi�ly residence and v,►ish to install a sandblankcF o►�
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<br /> l�kc&Bwy .
<br /> � I k�avc contracl�Cd with�i.���? I`fd c��g/p�,•� �.f 40 (,Ei�Ce��'Yer,f'
<br /> �/ �'I/ � � coqtreetqr ���/�'� aJd,rs5
<br /> ��'�=uy fv��� �. �"y� '9y3� to instalf elean sand f��arn t��c following soura
<br /> elfy,sldte,2ip �hDne
<br /> ...�m�1Jd��� I a�k/4d�enU�� N��du� Ml��5�9�2 y�7-Z
<br /> �PD�cc addrC55 � �flibilc �� �CI':
<br /> L._I d will install the sar.dbl�,tticet myse[f f�rn the fotlowitl�suurcc_
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<br /> phone
<br /> (F lhis �roJ�.l rcqui:�es muniaipal approval ar vi�w,plcase artar.h doeurr�erlrakiotl of tke �n�ni�ipal appro�
<br /> wi t�7 this x�pplicatian. My Shoreline is�,,,__� Ecet a�id Ff�e�jmensiviis o(the proposed sat�d�la�,ket a�•��
<br /> ` � (I.ertgth; r. /U� (Width) x�,_ (penlh), Sandblailkc:t dimcnsionc cani�o� ex�e�d a
<br /> lcr�th of 3G' tmr go96 af shot�cline),s width oC 1 a'aud a dcptk oF b°,
<br /> 1 undcrsttind tkt�i if thi.s app�ira[ion is not counpletc,ty F"�ct( oul, ur i! ? fail t� submit the -equired exhibi
<br /> �he application is in�omplctc and wil�he r�turned, It wi11 not bc reviewad by MCWp stafC unhil eottlple�
<br /> By sigzung this app�lioatiai�, [ �gnee and un��st�nd that thc Distrid� m�y �nt�r r,he prapc�ty ,�� r��n�r
<br /> hours fq condur_t art inspection to dcterr�inc wheEher ch�: terms nf Fhe permit arc being m�t. [ fvrt�;
<br /> understand'ih�tt iF I viol�.te the ternts and conditions of a permit (hat is issued bas�;d upor, tllis applieat�e
<br /> the �istriet shSll canduct��eid ir�sptc�ion oi tktt pnoject �rMCWU Ru[�f� providcd wiih tl'�is e�p�Iicatir_�
<br /> I undcrsfand the Dastrict will cl�rge fees ta�ovcr t6c actual oosts of fceld �nspectiQns, irtcl�ding invostigati<
<br /> oC the area af�eeted by the work,analysis of the work, includi�ig the se.rviecs of�c�al eounsel �nd en�ir,et.
<br /> ai�d any �ubsr,quenE manitering of thc work. Thc District's aetual costs arc �letmed �o begin aecruing u�,
<br /> the �istrir_F issues notiee of Ehe vio(atio,� lo the per•mit�ce. i ha„e ��aQ and understxt�d thc hiC`'Jt7 1'ecr�n;�;
<br /> Guidtlines fvr sar�dh!anketc.
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<br /> St nature o _, � �i6�
<br /> S pr'operry Uwncr [,lxtr �
<br /> Subseribad at�d swo+-n lo brfarc rnc Ehi� r�p oi� 200 r�..
<br /> ` JUDRIi E,NICCUM
<br /> - • FbrqRr PUBLIc•�41►�pTA
<br /> N Pubiic ` ���I���'��rR�S OtI,�O
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<br /> � pc�oved�nd Aerep[ed by
<br /> �n.�ni�� 70GfiT I 1.9TE1 ....�............. ..__.,_ ,_,f��I r�.._ .
<br /> TOTAL P.02
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