HomeMy WebLinkAboutExhibit 01 - Application and PetitionN Co
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Department of Public Works Receipt#
Check #
623 Sheridan St, Port Townsend, WA 98368 1 360-385-9160 Date paid
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2026 APPLICATION TO VACATE COUNTY RIGHT-OF-WAY - $1,422.00
Submit completed application, map showing right-of-way you plan to vacate, and check for $1,422 to address
above. Questions? Email Josh Thornton, jhornton@co.jefferson.wa.us.
Applic nt Information
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Property Owner
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Phone Email
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Mailing Address I,/ *
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City, State, Zip
Designation of Agent (fill out only if applicable)
Designated Agent
Phone Email
Mailing Address
City, State, Zip
Project Information
Description of request:
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Purpose:��l
Legal description: / 7t JI4G
Property parcel number(s): r
Road name:
Status (i.e. platted, unopened, opened, usage): vi
Site Map
Attach a site plan, survey or map that identifies the right-of-way to be vacated and the parcels you own.
Optional Attachments
❑ Letters of support from adjoining property owners ❑ Additional legal description information
❑ Property title report ❑ Other (describe)
❑ Historical data or maps of the road to be vacated
Signature
Property Ow
yad Signature Date
Page 1 of 1
PETITION FOR VACATION OF A JEFFERSON COUNTY RIGHT OF WAY
Principal Petitioner(s): JAMES S BURNELL
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Authorised Re resentative:
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Mailing Address:
- 4034 32ND AVE W
SEATTLE, WA 98199
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Telephone: Home: `3 /I `L
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Mobile:
TO: The Board of County Commissioners of Jefferson County, Washington:
We, the undersigned property owners, do hereby respectfully petition the Jefferson County Board of
Commissioners for vacation of the following described right of way in Jefferson County (the "subject right-of-
way„). ilm
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We request the vacation of the subject right-of-way for the following reason(s) (use additional sheets as
necessary):
BY SIGNING BELOW, PETITIONERS ATTEST THAT THE SUBJECT RIGHT-OF-WAY IS
USELESS AS A PART OF THE COUNTY ROAD SYSTEM AND THAT THE PUBLIC WILL
BE BENEFITED BY ITS VACATION AND ABANDONMENT.
Petitioners acknowledge that the county may impose conditions on the approval of the petition
including, but not limited to, retention of easements within the vacated area for the construction,
repair, and maintenance of public utilities and services and/or for trail or pathway purposes.
PETITIONERS
NOTE: A majority of owners of the frontage of the subject right-of-way must sign this petition and provide
all the requested information. Spouses or cotenants may each sign the petition. If needed,
information and signatures for additional property owners may be provided on the Supplemental
Sheet. Do not separate the signature page(s) from the vacation request and attestations on
the previous page.
NAME
MAILING
ABBREV. PROPERTY
(PRINT & SIGN name)
ADDRESS
DESCRIPTION and
PARCEL NUMBER
(available on property tax statement)
1. Principal Petitioner:
JAM E S BURNELL
4034 32ND AVE W
S20 T30 R1E TAX 106 & TL TAX D3 FRTG
EATTLE, WA 98199
BND TGTH THRU BLA #107335
APN: 021202012
2.
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4.
ACKNOWLEDGMENT
By signing below, the Principal Petitioner hereby acknowledges that, pursuant to RCW 36.87.120 and
Jefferson County Code 12.10.120, he or she shall be responsible for compensating Jefferson County for the
vacated right-of-way, if the County approves the vacation. Unless alternative compensation is accepted
by the Board of County Commissioners, compensation for the vacation of dedicated rights -of -way
(e.g., platted rights -of -way) shall be based on fifty percent (50%) of the appraised fair market value of
the property; compensation of the full (100%) appraised fair market value of the property shall be
required for rights -of -way acquired by the County other than by dedication (e.g., usage roads, fee
simple title).
The Principal Petitioner further acknowledges that, regardless of the County's approval or denial of the
request, he or she shall be responsible for compensating the County for all expenses, in excess of the fee
paid at the time of the application, incurred in the processing of said petition. Nothing shall prevent the
Principal Petitioner from obtaining monies from other persons owning frontage on the subject right-
of-way to satisfy the fees and costs associated with the vacation request. The Principal Petitioner, not
the Couatyysl>�11 be solely responsible for collecting such funds from the other property owners.
Sign re of Principal Petitioner Date
SUPPLEMENTAL SIGNATURE SHEET
NAME MAILING ABBREV. PROPERTY
SIGN & PRINT name) ADDRESS DESCRIPTION and
PARCEL NUMBER
(available on property tax statement)
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