14-101262-SHFILE
COwAmTY & ECONOMIC DEVELOPMENT DEPARTMENT
MAR 19 2014 33325 8 h Avenue South
Federal Way, WA 98003-6325
CITY OF 253-835-2607; Fax 253-835-2609
CITY OF ED RAL WAY www.eiryoffederaiwgy.com
Federal Way
SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT
EXEMPTION- APPLICATION
File # — 10 1 2(,,.-) 2.0 S�-I-
TO BE COMPLETED BY APPLICANT
Project Name: \
Project Address: OD03 S 3oh?-
CA -
Applicant: t aL- �r �t r _
Mailing Address: 02 957/ gSI
SlAntlw wsc/
Phone Number: (2C6) 383- 3 V<_ E-mail: cdc\ 654"
Description of Project Nei sA!mt- -rLy � en 0� iw,4 Sfin��_
665)e_ Z S'Ft 4`�iSn
a
Meets the criteria for exemption under which section of * WAC 173-27-040: 1D
*Washington Administrative Code online: apps.leg.wa_go
Applicant's Signature Date
Bulletin. # 143 —March 25, 2013 1 of 2 k:\Handouts\Shoreline Exemption