16-105835 DECEIVED REQUEST FOR ADMINISTRATIVE DECISION
CITY OF �/ COMMUNITY DEVELOPMENT DEPARTMENT
Federal Way DEC 0 8 2016 33325 8`"Avenue South
Federal Way,WA 9800
253-835-2607;Fax 253-835-2609
CITY OF FEDERAL WP www.cityoffederalway.com
CIS
FILE NUMBER I c - ' 0 5 83 S Date I Z J '
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Applicant
NAME
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BUSINESS/ORGANIZATION ALTERNATE PHONE
MAILING ADDRESS �7 EMAIL
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CITY ^L` ��� STATE ZIP�`�1 � � FAX
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Property Address/Location /� ` !
Description of Request -5' l I-4 GK' 5 ‘"(1 1-- 4 S e
re covey ta,s.e 4:'- ctlLc 111;CS' (1,),...„,.). oxlfordi ou:.e. 0 )
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List/Describe Attachments
For Staff Use
01/ Code Interpretation/Clarification - No Fee
❑ Critical Areas Letter/Analysis/Peer Review - No Fee(Actual Cost if Applicable)
❑ Request for Extension(Land Use/Plat Approval) - Check Current Fee Schedule
❑ Revisions to Approved Permit - Check Current Fee Schedule
❑ Tree Removal - No Fee
❑ Zoning Compliance Letter - Check Current Fee Schedule
0 .
Bulletin#079—January 4,2016 Page 1 of 1 k:\Handouts\Request for Administrative Decision