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SUB05-00022
WA STATE DNR SEPA REVIEW
EXTERNAL PROJECTS
PO BOX 47015
OLYMPIA, WA 98504-7015
SUB05-00022
WA STATE DNR
ROSS GOODWIN
5310 EAGLEMOUNT RD
CHIMACUM, WA 98325
SUB05-00022
WDFW SEPA REVIEW
1111 WASHINGTON ST. SE.
OLYMPIA, W A 98504-3135
SUB05-00022
WDFW
JEFF DAVIS
502 HIGH AVE, SUITE 112
PORT ORCHARD, WA 98366-4715
SUB05-00022
WDFW
SHELLY AMENT
PO BOX 1933
SEQUIM, WA 98382
SUB05-00022
DOE SEPA REVIEW
ATTN: BETSEY DICKS
PO BOX 47703
OLYMPIA, WA 98504-7703
)
SUB05-00022
DOE
GRETCHEN LUX
PO BOX 47775
OLYMPIA, W A 98504-7775
SUB05-00022
WSD OF TRANSPORTATION OLYMPIC REG
DALE SEVERSON
PO BOX 47440
OLYMPIA, W A 98504-7440
SUB05-00022
PORT OF PORT TOWNSEND
PO BOX 1180
PORT TOWNSEND, WA 98368
SUB05-00022
JEFFERSON TRANSIT
1615 W. SIMS WAY
PORT TOWNSEND, WA 98368
SUB05-00022
JEFFERSON CO ASSESSOR
SHERRIE SHOLD
SUB05-00022
JEFFERSON CO PUBLIC WORKS
JIM PEARSON
SUB05-00022
JEFFERSON CO HEALTH DEPT
RANDY MARX
SUB05-00022
CITY OF PT - BLD/COMM DEV
JEFF RANDALL
181 QUINCY ST - STE# 301
PORT TOWNSEND, W A 98368
SUB05-00022
PORT TOWNSEND SD #50
450 FIR STREET
PORT TOWNSEND, WA 98368
SUB05-00022
JCFPD #6
3850 CAPE GEORGE RD
PORT TOWNSEND, WA 98368
SUB05-00022
JEFFERSON CO PUD #1
PO BOX 929
PORT HADLOCK, W A 98339
161N\ ~~
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JEFFERSON COUNTY PERMIT CENTER
CASE NO.
CERTIFICATION OF MAILING
I make the following certification:
I am competent to testify and make this certification based upon personal knowledge. On
this 3 (
dayof ~~
· 2006, I deposited into the U.S. Mail with first class
postage affixed, true and correct copies of _HLA 6's - 002-2> If) ~~~
~~e.:r
in the above matter, addressed to: \ :!:\.
uo-;~ 72,11 ,gZ,Nrrrr gs
- 0 AdjaeaBt Propen,y Owners: See attached list.
~ Agencies: See attached list.
D- Interestea Parties.;, See attached list.
.D Appl.i~+{Rppre~ntative - Posting Packet: I set of laminating sheets with
Notices, Posting Instruction, Affidavit, and a copy of Notice.
~ Newspapers_
o Offil'iS\1 Pnc;:ting Places (x3)
o Other:
I declare under penalty of perjury under the laws of the State of Washington that the
foregoing certification is true and correct.
EXECUTED this 6( day of -UtVcL .2006 at Port Townsend, Washington.
# LOG ITEM
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\\permitserver\home\permit\PLNCNTR\PLNCLERK\Fonns\FRM Certification of Mailing updated 1-2006.DOC