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SUB2013-00005
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: WALDEMAR 0 WESTERGAARD MAY MADELINE WESTERGAARD 1521 W VALLEY RD CHIMACUM WA 983259745 DATE ISSUED: August 21, 2013 DATE EXPIRES:August 21, 2014 MLA NUMBER: MLA13-00065 PROJECT PLANNER: Colleen Zmolek PROJECT DESCRIPTION: TESTAMENTARY SUBDIVISION -to divide 1 parcel into 7 parcels. PROJECT LOCATION: Parcel number 901 221 001, Section 22, Township 29, Range 1W, WM, located at 1521 West Valley Road, Chimacum, 98325 CONDITIONS: 1.) The Statement of Intent legal descriptions shall be recorded with Jefferson County Auditor's office. 2.) Approval of this Testamentary Division does not guarantee the approval of any future county permits and/or approvals. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)(j). 3.) This approval is for a Testamentary Division only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 4.) The parcel has been designated as Agricultural (AP-20) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 5.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. 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A .7.10 MM ..A. , "9 a ii \ I • T x \ -. t m B . to g , °g = 2.. 6 p 2 ..� IIIIN C) N :rCa� z i 1 U r r i ri o — ,MK) N?}) ur.M eos.ro nfp. G " m cm7 m I t.... 1 7 5 9 g A 3 1 1 q ' -^^ • 58670 PGS3 CERT 09/28/72013 11:49 AM $74.00 JEFF CO COMMUNITY DEVELOPMENT Jefferson County WA Auditor's Office - Donna Eldridge, Auditor !III NIM14111091'I6 NIA .YiNib 11111 AFTER RECORDING MAIL TO: Name: Jefferson County DCD, DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Siccklarncr‘ -;c}e/Last Will and Testamentary Lot Cee};c;cAlit MLA Number: )3 OOO L s- Parcel Number: O �/1no ( Section ZZ- Township . 9 >,( Range I Grantor(s): 1. MC (\ Vie.-4e-C8 ok.aK'CA Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Pi r-�-cr d4' � ga bs N cad -b),_e_ No t6l a a4 ,t; c,4r P � � St � te. WLC�ie,_ y ¢ra^'`- Parcel B: Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: cts 1-4-- Revised Parcel B: This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(3) ti Colleen Zmolek From: Sherrie Shold Sent: Wednesday, July 24, 2013 8:38 AM To: Colleen Zmolek Subject: RE: Westergaard SOE Colleen, You are not bugging me; we are all in this together. 151 Question-Lot 1 etc, as depicted on Survey recorded in Volume 32, Page 107 -109, AFN526522, records of Jefferson County, State of Washington would be a better identification. 2nd Question -yes, the survey would need to be recorded and then both would need to be referenced. Sherrie From: Colleen Zmolek Sent: Wednesday, July 24, 2013 7:59 AM To: Sherrie Shold Subject: FW: Westergaard SOE Another Question??? IF Pat has comments and changes required on the survey for the Westergaard testamentary the revised survey will have to be recorded , correct? I am sorry to keep bugging you. Colleen Zmo[ek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekco.iefferson.wa.us IF F F R S 0 I. C 0 4 6 1 1 WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 4.2.56 RCW. Our office is open to the public 9:oo a.m.-4:30 p.m. Monday to Thursday,closed Fridays. From: Colleen Zmolek Sent: Tuesday, July 23, 2013 5:32 PM To: Sherrie Shold Subject: Westergaard SOE Hi Sherrie, On the SOI for the Westergaard should the new legal descriptions can be described as "lot 1 as recorded on recorded survey volume 32, page 107 -109, AFN526522"? Colleen Zmolek 1 Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(a,co.iefferson.wa.u s L �1 E i f E 0 S 0 1% C O 0 b T Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. 2 r Colleen Zmolek From: Sherrie Shold Sent: Tuesday, July 23, 2013 1:08 PM To: Colleen Zmolek Subject: RE: Last will and testamentary review Westergaard's Colleen, Is there any other information like the descriptions that will be used or will they use the Lot numbers as identified on the survey? History: When the Westergaard's purchased the property, our records indicate it was two separate parcels described as NE NE and the SE NE. In 1969 the property was consolidated into E1/2 NE; I don't know if it was by request of the owner or consolidated by our office. In 1974 Tax 8 was excepted out and in 1990 Tax 22 was excepted out. In 1980/81 the property was applied for and received approval for Open Space Agricultural AF#272881 V151/P85. Before the parcel is divided, the Open Space Ag will need to be addressed on Lots 1 thru 6, Lot 7 does not need to be addressed as the homesite acre is not currently classified as AG. There are two options pertaining to the OS/AG; the first option is to remove the property from said classification with a $75.00 recording fee only as it falls under Item (7)of the original Open Space Taxation Agreement; being the sale/transfer of land under this classification within two years after the death of the owner of at least fifty percent ownership. Or, the property may stay in the classification if the new owner signs the Notice of Continuance and provides documentation of commercial agricultural activity and earnings of the minimum income required of$200 per acre. Once the Ag status is determined on Lots 1 thru 6,the Assessor's Office will not have an issue with this testamentary division. This was great estate planning having the survey completed to coincide with the Will. I will scan and send a copy of the Open Space Taxation Agreement that I referenced in the above paragraphs. Please let me know if you should have any questions pertaining to my comments. I'm sure Rick Shaneyfelt will be in touch with me to discuss the current use issue. sherr"I,e sherre.hold Propery operattows _)e f fersow couvwtJ Assessor's o f fi.ce 360-35'59105 ssholoiPco jef fersow.wa.us From: Colleen Zmolek Sent: Tuesday, July 23, 2013 8:57 AM 1 Lot certification described as follows: li Revised Parcel A: , 7 ha.-t p0 r.. , nom. cri-- 2....0 ) J4 Su r vett cc or-d-e4l.[-'1 )<_ aril 1 v(AAA ry,e. 3 2..Pay..s 1 O`] -Lh r v 1., ffI OV Aj ud r'bo f5 j r) u v1 b t r, 5 2-co 5?_,Z... r.e.co o f r.-e tt e rs �um� Ix 4.6h%n el-L. ( 11 I r �j no t-t-l... Di-td,-e, C;(LE_ 1 d r—1ek_CI 1 Revised Parcel B: 'P(`t'o( ao“--4.411 c ry 1..)n..¢..., 1Lok a cks s�biec- to &�.l.�4r L.i✓��r4Liw li i c.-IaecL (` o rd e c w+d R r- }��-}d, cs f',1 ►1uvr►hc r � we• � rtcnr �I`+N 2� � recor�LS o+�TR4-c✓S�t.CotVrv�� , t n V° C: 1 a7 `1 o A�rls�s r{Gad s o-�r` ev►sed Parcel C: <rs� t�t.,,trb �Q.5.6t 1 n n1 Lo+ 3 a' eLe p r L e& a-)-` Stet r ve-c.L r'•eco rd.44,_'I r, VOLL.L eLA 3z. , 194 03.4_ 10`7-- 10 9 , AWN 5 z,t�5 z.., rc_c_o ree s o-F,r, 4 . Go LA-, W asto h t-b 6,,`, Revised Parcel D: Lo'& J-1 a s ed.e..p i c4 0 cL, n-.., 5 u r�e y re-co ed.t t_i\ Uo 3 - PO fie.. 1 b7- 1 O 9 >-WAJ 2L.5�- , rc co rd s o-•T.e tr , GDw 1 , Wafal :nstd_ Revised Parcel E: (rod 5 Gs cQcQr'G 'd_bk Sur rvC_pr ek...ihV)�I 3z.r 'PO I D7-p/D 9 , A i—s2t.. . ire ord s D-ileft-lrsoy�, , '• Revised Parcel F: La'b G S P''c,12e lL. N-N. 5(Ai-tre roc o r cLe A ;r, Vo(,cvrn 32..., -.ecife. ) 1,-)-/10 9, priv-SZto r orc.(s J< sh-%. L p wvvill, a.c G n rn�o� Revised Parcel G: U L,o-b 7 ct s ; .eel., t_ S u V- r',2c.o reu d. t r2 yL cvY,1e_ 3Zr at < 1 O?-! Lq /44'../SZles2.Z. r r,e cord s of u7.u-Ace.4--svy... to LUQ..sG11 Y) a aye i Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(3) for the purpose of assisting with the segregatio f land into lots,tracts or parcels. li (Pro ents' signature) STATE OF WASHINGTON COUNTY OF On Qu V g* 1 5 , 20 13,personally appeared /144r . W es iirg and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this j 5 day of s �\ S!ON iii,/,i 1f91lSfi , 20 3 l. AR ' zrt Notary Pu 'c in and for the State of Washington, Residing at Q/4ide_ 4h∎∎W oos'w I II This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. reasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. A& I g -ag - Associate/Assis 'lanner Date Colleen Zmolek From: Pat Perryman Sent: Wednesday, July 24, 2013 11:47 AM To: Colleen Zmolek Subject: M LA13-00065 July 23, 2013 RE: MLA13-00065 Westergaard Colleen, Enclosed is the legal description that Sherrie and I agree will work for the description of the parcel identified as Lot 1 in the survey. The rest of the survey is okay and the parcels identified on the survey(except Lot 1)can be identified by their Lot number. If you have any questions or comments, please do not hesitate to contact me. F. MLA13-00065-We stergaard -.docx... Thanks, Pat Pat Perrryman P.0.Box 1220 Port Townsend, WA 98368 (36o)385-9365 or (36o)385-9222 e-mail pperryman@co.jefferson.wa.us 1 A That portion of Lot 1 of Survey recorded under Volume 32 Pages 107 through 109, Auditor's file number 526522 records of Jefferson County, Washington lying north of the line identified as Prior Boundary Line. Subject to Boundary Line Agreement recorded under Auditor's file number 494232 records of Jefferson County, Washington. Colleen Zmolek From: Sherrie Shold Sent: Wednesday, July 24, 2013 8:38 AM To: Colleen Zmolek Subject: RE: Westergaard SOE Colleen, You are not bugging me; we are all in this together. 1st Question-Lot 1 etc, as depicted on Survey recorded in Volume 32, Page 107 -109, AFN526522, records of Jefferson County, State of Washington would be a better identification. 2' Question -yes, the survey would need to be recorded and then both would need to be referenced. Sherrie From: Colleen Zmolek Sent: Wednesday, July 24, 2013 7:59 AM To: Sherrie Shold Subject: FW: Westergaard SOE Another Question??? IF Pat has comments and changes required on the survey for the Westergaard testamentary the revised survey will have to be recorded , correct? I am sorry to keep bugging you. Colleen Zmo[ek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekco.iefferson.wa.us , 1 F F if P 5 0 1r C 0 0 0 7 0 r"%1 WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. From: Colleen Zmolek Sent: Tuesday, July 23, 2013 5:32 PM To: Sherrie Shold Subject: Westergaard SOE Hi Sherrie, On the S01 for the Westergaard should the new legal descriptions can be described as "lot 1 as recorded on recorded survey volume 32, page 107 -109, AFN526522"? Colleen Zmolek 1 Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekAco.jefferson.wa.us t i 1 ( M a 0 4 C O V M 7 1' WATERSHED STEWARDSHIP "`rte RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. AU e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.—4:3o p.m.Monday to Thursday,closed Fridays. 2 Colleen Zmolek From: Sherrie Shold Sent: Tuesday, July 23, 2013 1:08 PM To: Colleen Zmolek Subject: RE: Last will and testamentary review Westergaard's Colleen, Is there any other information like the descriptions that will be used or will they use the Lot numbers as identified on the survey? History: When the Westergaard's purchased the property, our records indicate it was two separate parcels described as NE NE and the SE NE. In 1969 the property was consolidated into E1/2 NE; I don't know if it was by request of the owner or consolidated by our office. In 1974 Tax 8 was excepted out and in 1990 Tax 22 was excepted out. In 1980/81 the property was applied for and received approval for Open Space Agricultural AF#272881 V151/P85. Before the parcel is divided, the Open Space Ag will need to be addressed on Lots 1 thru 6, Lot 7 does not need to be addressed as the homesite acre is not currently classified as AG. There are two options pertaining to the OS/AG;the first option is to remove the property from said classification with a $75.00 recording fee only as it falls under Item (7) of the original Open Space Taxation Agreement; being the sale/transfer of land under this classification within two years after the death of the owner of at least fifty percent ownership. Or, the property may stay in the classification if the new owner signs the Notice of Continuance and provides documentation of commercial agricultural activity and earnings of the minimum income required of$200 per acre. Once the Ag status is determined on Lots 1 thru 6,the Assessor's Office will not have an issue with this testamentary division. This was great estate planning having the survey completed to coincide with the Will. I will scan and send a copy of the Open Space Taxation Agreement that I referenced in the above paragraphs. Please let me know if you should have any questions pertaining to my comments. I'm sure Rick Shaneyfelt will be in touch with me to discuss the current use issue. sherie sl4errIe shold property operati-o .s Je f fersow Couwt J Assessors o f fi.ce 360-385:9105 sot d @co,je f fersow.wa.us From: Colleen Zmolek Sent: Tuesday, July 23, 2013 8:57 AM 1 • To Sherrie Shold; Pat Perryman Subject: Last will and testamentary review Hi Pat & Sherrie, Richard Shaneyfelt, representative for Westergaard Estate, has submitted a Last Will and Testamentary Division, MLA13- 00065 for parcel 901221001. Would you review and comment on the attached documents. Please include any relevant history for this parcel and if this parcel could be considered 6 separate parcels. I will include your research in a formal response to the applicant and in the findings &conditions of the permit decision. I have attached the master permit application and recorded survey submitted by the applicant. Please review as soon as possible. Unfortunately the application has been waiting for a planner to review since May 6. This is the first testamentary division I have reviewed so any help or comments are appreciated. Michelle had been reviewing all testamentary, feeling the pain of her retirement. Thank you both in advance, CoCCeen Zmo/ek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(a�co.lefferson.wa.us � I E E f E 11 $ 0 M C 0 WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment, All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:00 a.m.—4:30 p.m.Monday to Thursday,closed Fridays. 2 Colleen Zmolek From: Sherrie Shold Sent: Tuesday, July 23, 2013 2:34 PM To: Colleen Zmolek Subject: FW: Attachments: 07232013143909.pdf Colleen, Here is the 2 116 part to my Westergaard response. Sherrie 1 wn...'-•« .�„+mss.. `w�r_...r.w • a-'4`7171 �J OPE7t SPACE TAXATION AGREEMENT • This Agreement between_ V:Q. Veatergaard hereinafter called the "owner", and (insert city or county) JeffersonCounty Wlereas the owner of the following described real property having made application for classification of that property under the provisions of ROW 84 34, And whereas, both the owner and legislative authority desire to limit the use of said property, recognizing that such land has substantial public value as open • space and that the preservation of such land constitutes an important physical, social, esthetic and economic asset to the public, and both parties agree that the classification of the property during the life of this Agreement shall be for: OPEN SPACE L4Nr2s Arricultaral (Open Space, Farm and Agricultural, Timber Land) Now, therefore, the parties, in consideration of the kutual covenants and conditions set forth herein, do agree as follows: (1) During the term of this Agreement, the land shall only be used in — accordance with the preservation of its classified use. - (2) No 'structures shall be erected upon such land except those directl y _related to, and compatible wish the classified use of the land, or except those residence bailding' for such individuals as are engaged in the care, use, operation or management of said land. (3) This Agreement shall be effective commencing on the date the legis- lative body receives the signed Agreement from the property owner, and shall remain in effect for a period of at least ten (10) years. (4) This Agreement shall run with the land described herein and shall be binding upon the heirs, successors and assigns of the parties hereto. •(S) Withdrawals The land owner may withdraw from this Agreement if after a period of seven years the land owner takes a withdrawal request which request is irrevocable, to the assessor, of that r Three years from the date aquest the assessor shall withdraw the land from the claasi- • fication, and the applicable taxes and interest shall be imposed as prided in ROW 84.34.070. . (6) Breach: Alter land has been classified'and an A s change of the use of the land Agreement executed, items (5), , except through considered • bh • of this )' (7) or (8) of this Agreement, shall be considered • breach Agreement, and subject to applicable taxes, penalties and interest as provided in RCW 84.3{ 080. • (7) A breach of Agreement shall not occur if the change in use results from the sale of land classified under this Act within two years after the death of the owner of at least fifty percent of such land. (8) Eminent Domain: When any permissible action in eminent domain for the condemnation of the fee title of the land under agreement is filed or mb n such land is acquired as • result of a sale to a public body, this Agreement shall be null and void as of the date the action is • filed and thereafter the Agreement shall not be binding on any party to it. • (9) The County Assessor may require reports from classified land owners. If the owner fails to return a required report within ninety days, the Assessor ■ay declare the Agreement in breach. Department of Revenue PIF 8l (2/71) v 151 ,;.., 85 lun.18.1981 s i1 DC'.cr ption of classified land; Di RI M less Tax 8 less r/r 73,, _. _ Section 22 Trp. 2$1 R1V ... ._':' y• C' 4.. /! • �' (- JUN 18 rt: 2.:: q9 L • .1 4,7 I • "/ 1 nr:' , _ i V 1 This Agreascot shall be subject to the following condition:: --� 1 • Mn Snta ined as Farm & AB, per ACV 84.34 It is declared that this Agreezent contains the classification and conditions as ,)rovided for in RCW 84.36 and the conditions inposed by this Legislative Authority. Jated �1rC e Legislative Authority: 1 Jefferson County • City or County • By - M.J. Scbade/Forester litre As ownnr(s) of the herein described land I (rot) indicate by my (our) signature tha: I (we) are aware of the potential tax liability and hereby accept ti. ci:.(.' ,: . fication and conditions of this Agreen_nt. i oltedhtGy /4( if// r_)(0, I/Pl t' T ' • • '•' _ =i (Mars /be signed by all O'-. . ..)•• ' %. tubezt'ibet .:i Swan so before as this rotary Public 4-4,4-•"67- ...a-0— ce...e..«, Yr,•../ R • • 1 '• vr: 151 ,;,, 86 Jun.18,1581 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, July 23, 2013 8:57 AM To: Sherrie Shold; Pat Perryman Subject: Last will and testamentary review Attachments: superior court filing and survey.pdf; MLA.pdf Hi Pat & Sherrie, Richard Shaneyfelt, representative for Westergaard Estate, has submitted a Last Will and Testamentary Division, MLA13- 00065 for parcel 901221001. Would you review and comment on the attached documents. Please include any relevant history for this parcel and if this parcel could be considered 6 separate parcels. I will include your research in a formal response to the applicant and in the findings &conditions of the permit decision. I have attached the master permit application and recorded survey submitted by the applicant. Please review as soon as possible. Unfortunately the application has been waiting for a planner to review since May 6. This is the first testamentary division I have reviewed so any help or comments are appreciated. Michelle had been reviewing all testamentary,feeling the pain of her retirement. Thank you both in advance, CoiTeen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekaco.lefferson.wa.us r p r i 1 E if f F 5 0 ► 0 0 0 N i Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. 1 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, July 30, 2013 8:44 AM To: Colleen Zmolek; 'richard shaneyfelt' Cc: Sherrie Shold; Pat Perryman Subject: RE: Westergaard Application MLA 13-00065 Rick, No changes will be required to the recorded Westergaard Survey, AFN526522. Pat Perryman has reviewed the survey and commented that no changes to the survey are required. The one item that needs to be addressed on the Statement of Intent (S01) is that the survey refers to a boundary line agreement for lot 1, which the county does not recognize as the boundary line. Pat and Sherrie agreed that in SOI, the description of the parcel identified as lot 1 should be described as follows: That portion of Lot 1 of Survey recorded under Volume 32 Pages 107 through 109, Auditor's file number 526522 records of Jefferson County, Washington lying north of the line identified as Prior Boundary Line. Subject to Boundary Line Agreement recorded under Auditor's file number 494232 records of Jefferson County, Washington. The rest of the parcels (lots 2 -7) can be described on the SOI by the lot numbers: Lot 2 as depicted on Survey recorded in Volume 32, Page 107 -109, AFN526522, records of Jefferson County, State of Washington David Alvarez has commented that the will is lawful and can be approved as to form by the Prosecutor's Office. Before the permit can be issued the following items are required: • Work with Sherrie Shold at the Assessor's office on the Open Space Ag taxation. • The taxes must be paid for the year 2013 at the Treasurer's office. • Submit a notarized Statement of Intent to Department of Community Development. I will take the SOI for signatures and recording at the Auditor's office. • Submit a check for recording fees: $73 for the first page and $1 for each additional page. Please make the check out to the Jefferson County Auditor's office. The new parcel numbers are assigned by the Assessor's office. You will need to submit a written request to Jefferson County Assessor's office to have the additional parcel numbers assigned. A copy of this permit and the SOI will be forwarded to the Assessor's office. Please contact the Jefferson County Assessor's office (360)385-9105 with an questions regarding this process. Please do not hesitate to call or email if you have any questions. 2 , ,3 Sincerely, gsLax-Le F r-oppecl rl - CoCCeen ZmoCek LOQiYr 60 QC SOS-Lpst-WI(less-. Associate Planner, Jefferson County Department of Community Developmer 1 She. Nn_ct WO( -t lo$e S1vw�*D ec-5 5ve 5O S p� �a,- 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekCa)co.iefferson.wa.us f 1 E F F E 0 5 0 5 C O U N T Y WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:Oo a.m.—4:3o p.m. Monday to Thursday,closed Fridays. From: Colleen Zmolek Sent: Wednesday, July 24, 2013 9:24 AM To: 'richard shaneyfelt' Cc: Sherrie Shold; Pat Perryman; David Alvarez Subject: RE: Westergaard Application MLA 13-00065 Rick, I was assigned the case for the Westergaard last will and testamentary on Friday 7-19-13. I forwarded the application Tuesday 7-23-13 to the Assessor's office and David Alvarez for comment. The Assessor's office has reviewed your application and provided the following comments: Before the parcel is divided, the Open Space Ag will need to be addressed on Lots 1 thru 6, Lot 7 does not need to be addressed as the homesite acre is not currently classified as AG. There are two options pertaining to the OS/AG; the first option is to remove the property from said classification with a $75.00 recording fee only as it falls under Item (7) of the original Open Space Taxation Agreement; being the sale/transfer of land under this classification within two years after the death of the owner of at least fifty percent ownership. Or,the property may stay in the classification if the new owner signs the Notice of Continuance and provides documentation of commercial agricultural activity and earnings of the minimum income required of$200 per acre. Once the Ag status is determined on Lots 1 thru 6,the Assessor's Office will not have an issue with this testamentary division. Contact Sherrie Shold at the Assessor's office regarding the Open Space Ag taxation. Sherrie's number is 360- 385-9106, email sshold@co.lefferson.wa.us Please fill out the attached Statement Of Intent (501) and return to me to obtain signatures and record the document. The SOI will be recorded prior to issuance of the application. The new legal descriptions can be described for each as; "lot 1 as depicted on Survey recorded in Volume 32, Page 107 -109, AFN526522, records of Jefferson County, State of Washington. Recording fees will be required, $72 for the first page and $1 for each additional page. Taxes must be paid for all of 2013. Please contact the treasurer's office for any tax questions. Treasurer's phone number 385-9150. 2 Additiohal information may be required: Pat Perryman from the Assessor's office is reviewing the survey and will be commenting. I will forward any changes to the survey that may be required as soon as I receive her comments. If changes to the survey are required the revised survey will be recorded and both survey's referenced on the SOI. Fees for recording a survey will be required. Here is a link to the Auditor's web page regarding recording fees for a survey Auditor- Recording Fee Schedule Thank you, CoCCeen Zmo[ek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(a�co.iefferson.wa.us E F F E 0 S 0 h C O V M t WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:00 a.m.—4:3o p.m. Monday to Thursday,closed Fridays. From: richard shaneyfelt [mailto:rshaneyfelt©cablesaeed.com] Sent: Monday, July 22, 2013 4:00 PM To: Colleen Zmolek; Colleen Zmolek Cc: David Alvarez Subject: Westergaard Application MLA 13-00065 Colleen: As you know from my previous contacts, my clients are very concerned about getting the farmhouse in this estate on the real estate market. We can't do that until you process the above application. I understand from David Alvarez that this is such a simple process that he doesn't even usually get involved. I'm copying this e-mail to him because my clients are at the point where they are requesting that I file a request for a Citation in Jefferson County Superior Court requiring your office to show cause why they haven't apparently even opened a simple application,filed May 6, to allow us to follow the Westergaard Will. This application contains no real development issues. We only want to sell the farmhouse and pay the lien filed by the State of Washington DSHS which totals almost$38,000.00. I understand that your office hasn't even started processing this application and we don't know if you need any additional information or not. We may miss the entire selling season for the farmhouse property, causing my clients significant damage if this application is not soon resolved. If I don't get a reply that satisfies my clients' needs, I'll proceed with the Citation. Rick Shaneyfelt Richard L. Shaneyfelt 3 Attorney at Law 1101 Cherry Street Port Townsend WA 98368 (360)385-0120 4 Colleen Zmolek From: Colleen Zmolek Sent: Wednesday, July 24, 2013 9:24 AM To: 'richard shaneyfelt' Cc: Sherrie Shold; Pat Perryman; David Alvarez Subject: RE: Westergaard Application MLA 13-00065 Attachments: Recording and Statement of Intent(lot certification).doc Rick, I was assigned the case for the Westergaard last will and testamentary on Friday 7-19-13. I forwarded the application Tuesday 7-23-13 to the Assessor's office and David Alvarez for comment. The Assessor's office has reviewed your application and provided the following comments: Before the parcel is divided, the Open Space Ag will need to be addressed on Lots 1 thru 6, Lot 7 does not need to be addressed as the homesite acre is not currently classified as AG. There are two options pertaining to the OS/AG;the first option is to remove the property from said classification with a $75.00 recording fee only as it falls under Item (7) of the original Open Space Taxation Agreement; being the sale/transfer of land under this classification within two years after the death of the owner of at least fifty percent ownership. Or, the property may stay in the classification if the new owner signs the Notice of Continuance and provides documentation of commercial agricultural activity and earnings of the minimum income required of$200 per acre. Once the Ag status is determined on Lots 1 thru 6,the Assessor's Office will not have an issue with this testamentary division. Contact Sherrie Shold at the Assessor's office regarding the Open Space Ag taxation. Sherrie's number is 360- 385-9106, email sshold @co.jefferson.wa.us Please fill out the attached Statement Of Intent (SO1) and return to me to obtain signatures and record the document. The 501 will be recorded prior to issuance of the application. The new legal descriptions can be described for each as; "lot 1 as depicted on Survey recorded in Volume 32, Page 107 -109, AFN526522, records of Jefferson County, State of Washington. Recording fees will be required, $72 for the first page and $1 for each additional page. Taxes must be paid for all of 2013. Please contact the treasurer's office for any tax questions. Treasurer's phone number 385-9150. Additional information may be required: Pat Perryman from the Assessor's office is reviewing the survey and will be commenting. I will forward any changes to the survey that may be required as soon as I receive her comments. If changes to the survey are required the revised survey will be recorded and both survey's referenced on the SOI. Fees for recording a survey will be required. Here is a link to the Auditor's web page regarding recording fees for a survey Auditor- Recording Fee Schedule Thank you, CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek@co.jefferson.wa.us 1 t r ,. l if f O R S O N C O U N T Y WATERSHED STEWARDSHIP MEE RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:0o a.m.-4:3o p.m.Monday to Thursday,closed Fridays. From: richard shaneyfelt [mailto:rshaneyfelt @ cablespeed.com] Sent: Monday, July 22, 2013 4:00 PM To: Colleen Zmolek; Colleen Zmolek Cc: David Alvarez Subject: Westergaard Application MLA 13-00065 Colleen: As you know from my previous contacts, my clients are very concerned about getting the farmhouse in this estate on the real estate market. We can't do that until you process the above application. I understand from David Alvarez that this is such a simple process that he doesn't even usually get involved. I'm copying this e-mail to him because my clients are at the point where they are requesting that I file a request for a Citation in Jefferson County Superior Court requiring your office to show cause why they haven't apparently even opened a simple application, filed May 6, to allow us to follow the Westergaard Will. This application contains no real development issues. We only want to sell the farmhouse and pay the lien filed by the State of Washington DSHS which totals almost$38,000.00. I understand that your office hasn't even started processing this application and we don't know if you need any additional information or not. We may miss the entire selling season for the farmhouse property, causing my clients significant damage if this application is not soon resolved. If I don't get a reply that satisfies my clients' needs, I'll proceed with the Citation. Rick Shaneyfelt Richard L. Shaneyfelt Attorney at Law 1101 Cherry Street Port Townsend WA 98368 (360)385-0120 2 AFTER RECORDING MAIL TO: Name: Jefferson County DCD, DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Last Will and Testamentary MLA Number: Parcel Number: Section Township Range Grantor(s): 1. Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Parcel A: Parcel B: Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: Revised Parcel B: This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(3) Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(3) for the purpose of assisting with the segregation of land into lots,tracts or parcels. (Proponents' signature) STATE OF WASHINGTON COUNTY OF On , 20 , personally appeared and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this day of , 20 Notary Public in and for the State of Washington, Residing at This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. Treasurer Office 1 This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date 1 FILED 2 2013 APR 22 AH ►p. 33 3 JEFF RSON COUNTY C Y CLERK 4 5 6 7 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON 8 IN AND FOR THE COUNTY OF JEFFERSON 9 In the Matter of the Estate of ) NO. 1 3 4 0 0 0 4 0 3 10 MAY M.WESTERGAARD, ) LETTERS TESTAMENTARYE f I��' C '�_ ' L I `/. PE-2, 11 Deceased. ) I 12 ) M r - 62013 Ii IU LJ 13 STATE OF WASHINGTON ) COUNTY S. Pr Y DE -LOPMENT 14 COUNTY OF JEFFERSON ) 15 WHEREAS,the Last Will and Testament of MAY M, WESTERGAARD, deceased,was on the a� 16 day of Cyr a L , 2013, duly exhibited,proved and recorded in our said Superior Court; 17 AND WHEREAS, it appears in and by said Will that MARK WESTERGAARD is hereby appointed as 18 personal representative therein and said MARK WESTERGAARD has duly qualified. 19 NOW, THEREFORE, know all persons by these presents,that I do hereby authorize said MARK 20 WESTERGAARD to execute said Will according to law. 21 WITNESS my hand and seal of this Court affixed this?- day of 0:..pop,L . , 2013. 22 RUTH GORDON, Clerk of Court 23 - 0 24 By; Deputy ~ _ 25 t 26 _ 27 RICHARD L.SHANEYFELT 28 ATTORNEY AT LAW 1101 CHERRY STREET LETTERS TESTAMENTARY PORT TOWNSEND,WA 98368 Page 1 of 1 (360)3e5-0120 1 / f' JO ! 1331-6 2 ■ _o P n^ 's W= q`N Iii * i U: LPN O. 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Yd � 8� by IIg ' � - °° / "° — r2;11 M o p L� rag e V E €3' . ii C A y 4 Ct x3.)3• _ �"�� s°rorv'z 1AS.3r N o l 41,.,•..� s 01'OI's3'i 3630.17' 1 f E0VE' 4://1.0.,&\.._ ` . ODDS OF BMW.FROM NE SEC.Colt 20 E 1/4 NR) AlAgt % g 3, ! ," MAY — 6 2013 E oA i_t, sq.) 1/40 a o z u • JEFFERSON COUNTY a@:g�� H yNm OF COMMUNITY DEVELOPMENT � r •y.E.V OSO ap '�'• .Z I ] f 1A¢ N e$ vn $ R x1 � O ��� am k *3f 8pNP O t Z SHEET: 3 OF 3 v w' ro. w vw w , ,e �:,• I y F1"4. !' z« a X ® � S'TiAT�Ek.AF WASH IA"N,GT0 N ;�,:. 2 A SE ,l;� `Y �-4 , )� DEPARTM'E�NbT`_ .',,EALTH -- N: . .�. °� �r,t4,A°. —! n ,- "' �,{l° a;„,,,. "r.'y..E ;�, � n.` Hx..' A7k Lu._a�"^�t, ,�� et`�•R! . „.. '� CERTIFICATE OF DEATH� CERTIFICATE NUMBER; 2013-003698 LOCAL FILE NUMBER: 3 DATE 15 SUE D: 03/0 4/2013 FEE NUMBER: 0160303131 GWEN NAMES; MAY MA'DELINE LAST NAME: U)ESTERGAARD. COUNTY OF DEATH: EMERSON PLACE OF DEATH OTHER PLACE II DATE OF DEATH: EBRUARY 24,2013 FACILITY OR ADDRESS: MCCALLUM'S MANOR, 4351 SOUTH DISCOV 4 HOUR OF DEATH: 04:15 A.M. CITY, STATE, ZIP: PORT TOWNSEND, WASHINGTON 98368 SEX: FEMALE AGE: 89 YEARS RESIDENCE STREET: 1521 WEST VALLEY ROAD u'';, ' SOCIAL SECURITY NUMBER: 537-14-3963 CITY, STATE, ZIP: CHIMACUM, WASHINGTON 98325 10 t INSIDE CITY LIMITS? NO All HISPANIC ORIGIN: NO, NOT HISPANIC COUNTY: JEFFERSON RACE: WHITE TRIBAL RESERVATION: NOT APPLICABLE oo LENGTH OF TIME AT RESIDENCE: 69 YEARS BIRTHRATE: MAY 01,1923 FATHER: HOWARD CLIFTON CHRISTIE A BIRTHPLACE: CHIMACUM, JEFFERSON CNTY, WASHINGTON MOTHER: MARY ELIZABETH MCCLELLAND MARITAL STATUS: WIDOWED METHOD OF DISPOSITION: CREMATION 1i SPOUSE: NONE PLACE OF DISPOSITION: KOSEC CREMATORY °,%' CITY, STATE: PORT TOWNSEND, WA OCCUPATION: HOMEMAKER - DISPOSITION DATE: FEBRUARY 28,2013 1 INDUSTRY: OWN HOME 4 EDUCATION: 9-12TH GRADE, NO DIPLOMA FUNERAL FACILITY: KOSEC FUNERAL HOME 8 CREMATORY, INC. - US ARMED FORCES? NO ADDRESS: 1615 PARKSIDE DRIVE S' CITY, STATE, ZIP: PORT TOWNSEND WA 98368 s, INFORMANT: LESLIE FREITAS FUNERAL DIRECTOR: REAL R. RUBLES, JR0 1 RELATIONSHIP: DAUGHTER ' ' si ',, I ADDRESS: 1525 WEST VALLEY ROAD, CHIMACUM, WA 98325 CAUSE OF DEATH: -� '1,1 ���/J� ,, J A. CHRONIC OBSTRUCTIVE PULMONARY DISEASE 111 L_�^ ` = 4', j INTERVAL: YEARS 'i B. �t I � INTERVAL: C. r MAY = 6 2013 I '1,∎ INTERVAL: _I-J D. INTERVAL: '' _ -.I JEFFERSO'V 6 .'�i pi , 4 OTHER CONDITIONS CONTRIBUTING TO.DEATH: DPI..OFCOMMUfivF 1.OPMENT - ' ,A DATE OF INJURY: MANNER OF DEATH: NATURAL , HOUR OF INJURY:. AUTOPSY: NO INJURY AT WORK? AVAILABLE TO COMPLETE THE CAUSE OF DEATH? NOT APPLICABLE PLACE OF INJURY: DID TOBACCO USE CONTRIBUTE TO DEATH? NO or PREGNANCY STATUS, IF FEMALE: NOT APPLICABLE '4 LOCATION OF INJURY: 4h CERTIFIER NAME: CLAUS H. JANSSEN, MD " CITY, STATE, ZIP: TITLE: PHYSICIAN g COUNTY: CERTIFIER I DESCRIBE HOW INJURY OCCURRED: '1 ADDRESS: 1010 SHERIDAN, SUITE 101 ., , 'CITY,STATE,ZIP: PORT TOWNSEND WA 98368 t.TE!.:STONED: FEBRUARY 21,2013 rod . STATA, 4 CASE REFERRED TO ME/CORONER: NO /I1 STATUS OF DECEDENT, IF A TRANSPORTATION INJURY: , )5 FILE NUMBER: NOT APPLICABLE NOT APPLICABLE "s: ATTENDING PHYSICIAN NOT APPLICABLE ITEMS) AMENDED: NONE - _7 LOCAL DEPUTY REGISTRAR: S1 CATHY AVERY NUMBER(S): NONE ,' F .R ��DATE RECEIVED: FEBRUARY 28,2013 , DATE(s): NONE 389 ._ `SOH Ot 003 r17111) • ,u, ,, .!".) t IeWil•1•.n:tC.t .......... .il ••^i W I[SSt •,,,,,, •• f .,u{U:11W.... ,. .LT, _ '4n :mum 1::::. ........1 i{e,l' ...... ..,,... L..S,». .e.i/;Jtt ltU llil g TH9 IES%SER dRt..ED0E�O'P`! 'F THE �D°R,Q OieF.I�L�E , ,,H0C`Er" , `�FO'PMHE�A.L�T�HST�A+ TfC� F�R.0-7>E�_P,-LES L,U'S�rH'AVE TH:E��F.olviATAENA, 1�it ' - 2013 HUED 13 4 00040 3 APR 22__. ... - Jefferson County Clerk LAST WILL AND TESTAMENT n FE;v OF MAY WESTERGAARD ) MAY 2013 `U Li LI 1677 CGONTY DEPT.OF r '"' TY DEVELOPMENT I, MAY WESTERGAARD, a resident of Jefferson County, Washington, declare this to be my Will and revoke all prior Wills and Codicils. ARTICLE 1. FAMILY I am a widow, residing near Chimacum, Washington. I have six adult children, DIANE WESTERGAARD, LARRY WESTERGAARD, MARK WESTERGAARD, JULIE BOGGS, ELLEN ANGLIN and LESLIE FREITAS. I live on the family farm and intend to make specific bequests of specific parcels of land to each of my children. I have had the farm valued and surveyed. ARTICLE 2. PERSONAL REPRESENTATIVE 2.1 Designation. I appoint MARK WESTERGAARD, as my Personal Representative ("Personal Representative"). If MARK WESTERGAARD at any time declines, fails, or is unable to act as my Personal Representative, .I appoint LESLIE FREITAS as Personal Representative. 2.2 Bond, Waiver; Powers. No bond, surety, or other security shall be required of my Personal Representative in any jurisdiction for any purpose. My Personal Representative shall have nonintervention powers to settle my estate in the manner set forth in this Will. Furthermore, my Personal Representative shall have full power, authority, LAST WILL&TESTAMENT OF MAY WESTERGAARD Page 1 of 4 n/[ and discretion to do all that my Personal Representative thinks necessary or desirable in administering my estate. 2.3 Ancillary Administration. My Personal Representative may appoint an Ancillary Personal Representative to act in any state where ancillary administration is necessary and where my Personal Representative for any reason fails to qualify or declines to serve. Any Ancillary Personal Representative shall have, with respect to property subject to ancillary administration, all the powers conferred upon my Personal Representative. 2.4 Washington Uniform Transfers to Minors Act. If any property passes hereunder to a beneficiary who is then under the age of twenty-five (25) years, such property shall be given to an individual or entity selected by my Personal Representative as custodian under the Washington Uniform Transfers to Minors Act. Such property shall be used and managed for the benefit of the beneficiary who otherwise would have received the same until he or she attains the age of twenty-five (25) years, or any later age then provided for under the Uniform Transfers to Minors Act of the State of Washington, as amended. The custodian ma y make discretionary distributions for the health, education, welfare, and support of the beneficiary. In no event shall the custodian be required by the court to post a bond. ARTICLE 3. DISPOSITION OF PROPERTY 3.1 Specific Bequest. I have divided most of the family farm into lots in a survey of the East Half of the Northeast Quarter of Section 22, Township 29 North, Range 1 W, WM, Jefferson County, Washington, by American Land Science, Inc., Job No. 07036. I specifically bequeath the following Lots identified on that survey to the following child: I give Lot 1 to Ellen Anglin; I give Lot 2 to Diane Westergaard; E CC C Q V C I give Lot 3 to Larry Westergaard; LI,! I give Lot 4 to Leslie Freitas; !H I MAY - 6 2013 I give Lot 5 to Mark Westergaard; and I give Lot 6 to Julie Boggs. JEFFERSON COUNTY r OF COMMUNITY DEVELOPMENT LAST WILL &TESTAMENT OF MAY WESTERGAARD Pa Page2of4 �� 3.2 List Bequest. I give such of my tangible personal property and/or jewelry to those persons designated in a separate writing in my handwriting or signed by me and which describes the items therein with reasonable certainty which may be amended from time to time. Said list is to be deemed a part of this Will. 3.3 Expenses; Gifts to Minors. Any expenses incurred in safeguarding or delivering any tangible personal property shall be paid from my estate as an administration expense. My Personal Representative shall be discharged in distributing tangible personal property given to any minor child when the child or any adult having the custody of the child delivers a written receipt to my Personal Representative. 3.4 Definition of Residue. The "residue of my estate" includes my house and lot which are identified on the survey by American Land Science, Inc. referenced above and means all probate estate property which I own at the time of my death and which remains after gifts made in Articles 3.1 and 3.2 and after payment of claims, expenses, taxes and other liabilities of my estate. 3.5 Disposition of Residue. 3.5.1 I give the residue of my estate to DIANE WESTERGAARD, LARRY WESTERGAARD, MARK WESTERGAARD, JULIE BOGGS, ELLEN ANGLIN and LESLIE FREITAS, outright, share and share alike. 3.5.2 If any of my children does not survive me by thirty (30) days, I give his or her portion of the residue of my estate to his or her children by right of representation. If any child of mine dies without leaving surviving issue, I give his or her share equally to my surviving children. ARTICLE 4. NON-PROBATE PROPERTY I understand that this Will does not dispose of property held in joint tenancy or in trust, life insurance, employee benefits, including retirement and IRAs, or other types of property where a specific beneficiary other than my estate has been designated. ARTICLE 5. MISCELLANEOUS LAST OF MAYIWESTERGAARD Page3of4 Y�� �r T C v E �/]/� }/ MAY - 62013 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT This instrument shall be governed by the laws of the state of Washington. Any provision prohibited by law or unenforceable shall not affect the remaining provisions of this instrument. References to or use of the masculine include the feminine and vice versa and the singular includes the plural unless the context otherwise requires or indicates. DATED this fig, day of I - , 2007. MAY ESTERGAA.1 Testa or This instrument, consisting of four (4) pages, of which this is the last, was on the day of /pv,<w , 2007, signed, sealed, and published WESTERGAARD as and declared to be her Last Will and Testament inthe presence MAY of each of us who, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses thereto. .11 residing at Port Townsend, Washington. RICHARD L. SHA YFELT 01,44fice). F - Yresiding at Port Townsend, Washington. DIANNE E. CAMPB L Ecl,, ovE I Mk, - 6201 3 " I1RSON COUNTY P` P410 U^!ITYDEVELOPMENT LAST WILL & TESTAMENT OF MAY WESTERGAARD Page 4 of 4 Colleen Zmolek From: David Alvarez Sent: Wednesday, July 24, 2013 10:58 AM To: Colleen Zmolek Subject: Dying to Divide-David Alvarez Based on the assumption that the survey satisfies Pat Perryman, i.e., there are no opening, no mistakes in the survey, then the division of the land via the will is lawful and can be approved as to form by the Prosecutor's Office. David Alvarez From: Jill Guernsey [mailto:iguernsCa�co.oierce.wa.us] Sent: Wednesday, July 24, 2013 10:04 AM To: David Alvarez Subject: RE: Dying to Divide-David Alvarez Yes, definitely! From: David Alvarez [mailto:DAlvarez@co.iefferson.wa.usl Sent: Tuesday, July 23, 2013 9:13 AM To: Jill Guernsey Subject: Dying to Divide-David Alvarez Another testamentary division. This one is based on a survey recorded with the Auditor. The Will says Mary gets Lot 1 on the recorded survey, Joe gets Lot 2 on the recorded survey, Mike gets Lot 3 on the recorded survey. That should be sufficient to fall within the exception in the 1969 Subdivision Statute right? David Alvarez. Chief Civil DPA,Jefferson County(360) 385-9219 All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection) of this e-mail unless it is also exempt from production to the requester according to state law,including RCW 42.56 and other state laws. i Colleen Zmolek From: Colleen Zmolek Sent: Thursday, June 27, 2013 7:58 AM To: David Alvarez Cc: Sherrie Shold; Carl Smith; Stacie Hoskins Subject: RE: Westergaard Testamentary Division Hi David, Testamentary divisions are exempt from meeting the requirements for a subdivision JCC 18.35.040(3), but at this time testamentary divisions are reviewed by DCD. With staffing restraints the application is waiting for a planner to review. Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek(o�co.iefferson.wa.us f f f tit S 0 0 C 0 11 fI l Y WATERSHED STEWAROBHP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:oo a.m.-4:3o p.m. Monday to Thursday,closed Fridays. From: David Alvarez Sent: Wednesday, June 26, 2013 3:04 PM To: Colleen Zmolek Cc: Sherrie Shold Subject: Westergaard Testamentary Division Hi Coleen: I received a phone call from Rick Shaneyfelt, he represents the Estate of Mrs. W. They filed an application for testamentary divide per the exception laid out in RCW 58.17.040. They are eager to have the "parent" parcel divided so they can pay off a WA State lien. Are there any legal obstacles to getting this done? I know this has to go hrough the Assessor's Office, since I understand the Assessor's Office is the office that gives out the new parcel numbers. The parcel # is 901-221-001. 1 •David Alvarez. Ext.219 All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56.Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection) of this e-mail unless it is also exempt from production to the requester according to state law, including RCW 42.56 and other state laws. 2 Colleen Zmolek From: Colleen Zmolek Sent: Tuesday, July 23, 2013 9:03 AM To: David Alvarez Subject: Westergaard last will and testamentary division Attachments: death certificate.pdf; last will testament.pdf; MLA.pdf; superior court filing and survey.pdf Hi David, Richard Shaneyfelt, representative for Westergaard Estate, has submitted a Last Will and Testamentary Division, MLA13- 00065 for parcel 901221001. Would you review and comment on the attached documents. Thank you in advance, CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolek@co.jefferson.wa.us l E F 1 E • 5 0 F C 0 0 n 1 r WATERSHED STEWARDSHIP RESOURCE CENTER Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 41.56 RCW. Our office is open to the public 9:0o a.m.-4:3o p.m.Monday to Thursday,closed Fridays. 1 Colleen Zmolek From: richard shaneyfelt [rshaneyfelt @cablespeed.com] Sent: Monday, July 22, 2013 4:00 PM To: Colleen Zmolek; Colleen Zmolek Cc: David Alvarez Subject: Westergaard Application MLA 13-00065 Colleen: As you know from my previous contacts, my clients are very concerned about getting the farmhouse in this estate on the real estate market. We can't do that until you process the above application. I understand from David Alvarez that this is such a simple process that he doesn't even usually get involved. I'm copying this e-mail to him because my clients are at the point where they are requesting that I file a request for a Citation in Jefferson County Superior Court requiring your office to show cause why they haven't apparently even opened a simple application, filed May 6, to allow us to follow the Westergaard Will. This application contains no real development issues. We only want to sell the farmhouse and pay the lien filed by the State of Washington DSHS which totals almost$38,000.00. I understand that your office hasn't even started processing this application and we don't know if you need any additional information or not. We may miss the entire selling season for the farmhouse property, causing my clients significant damage if this application is not soon resolved. If I don't get a reply that satisfies my clients' needs, I'll proceed with the Citation. Rick Shaneyfelt Richard L. Shaneyfelt Attorney at Law 1101 Cherry Street Port Townsend WA 98368 (360)385-0120 1-1- 1-ECEIME I / ��.�ox ca�� JEFFERSON COUNTY I � kiii.r DEPARTMENT OF COMMUNITY DEVELOPMENT [!J MAY - 6 2013 621 Sheridan Street Port Townsend Washington 98368 360/379-4450 - 360/379-4451 Fax `'.q $ www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY SgzNG. ° ._DEPT OF ICOMMUNITY DEVELOPMENT Master Permit Application MLA: 41z- 7 /3 r6S Project Description(include separate sheets as necessary): See Attached Exhibit "A" Tax Parcel Number: 901-221-001 Property Size: (acres/square feet) Site Address and/or Directions to Property: 1521 West Valley Road Chimacum, WA 98325 Property Owner(s)of Record: Westergaard Estate Telephone: Fax: email: Mailing Address: _ Applicant/Agent(if different from owner):__ Mark Westergaard, Personal Representative . Telephone: (360) 794-4403 Fax: email: Mailing Address: 21614 139th P1, SE, Monroe, WA 98272 What kind of Permit?(Check each box that applies F1 -re<t, fl\ rrr i f {r,./ ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]'" ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial• ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat 5* ❑Home Business ❑ Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat'* ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments"" ❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stomiwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)' ❑Shoreline Management Substantial Development" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections, Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the,application that he or ghe . prior n. --4 // Sig natut . . /42.k: '_-/_4 —) Date: The abtr‘n or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non bre bility for adhering to and complying with the ESA. The Applicant has read this disclaim and ns and dates it below. Si natUp/Qq/8t i. ' / g �" %C� i Date: -)c+ G\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc Parcel Print Page 1 of 1 Parcel Number:901221001 06/24/2011 Owner Mailing Address: WALDEMAR 0 WESTERGAARD MAY MADELINE WESTERGAARD 1521 W VALLEY RD CHIMACUM WA 983259745 Site Address: 1521 WEST VALLEY RD CHIMACUM 98325 Section: 22 School District: Chimacum(49) Qtr Section: NE1/4 Fire Dist: Chimacum(1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 211 South Planning area: Chimacum/Inland Valleys/Center(6) Sub Division: Land Use Code: 8100 - OPEN SPACE - Agriculture *102601 Property Description: S22 T29 R1W I E1/2 NE(LS TX 8 & 22)LS R/W 8k http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=901221001+... 7/1/2013 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 901221001 Printed: July 1, 2013 Cases Name Review Type Status Planner BLD90-00257 FREITAS F Application Received: 4/23/1990 Permit Issued/Case closed: 4/30/1990 Case Finaled: sf residence one story with attached garage. No findings, conditions, or permissions found. SUB13-00005 MLA13-00065 WESTERGAARD I P Application Received: 5/7/2013 Permit Issued/Case closed: Case Finaled: TESTAMENTARY SUBDIVISION' No findings, conditions, or permissions found. USR09-00082 WESTERGAARD A Application Received: 12/10/2009 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 7/1/2013 Page I of 1 D -I )E X -b 0) CO -I -b X -I -I (D 0) -. -. 0) -a U) 0) x 0_ C3 r+ x 0) 0 -3 -a 0) o — -o -, C) 0) < o. (D 0) o D- f c -- co c co 0 m CD h O CD - 0 7C CO z E 7 -- CD - I o o # CC N N CD C3 O) - -1 O_ O O O - 0 1N31^1d013130 All Nino W00 JO 1d30 0 . AdNf100 N0S831331 X CD IT o CD i - N EN 9 - WIN N N O) O lAO OJ (�- o ° o r+ — m X C3 - 3 X I rF m IT CO G3 S CO D D -0 C CO -' N CD H N -< r 0) y --♦ N o 3 — o co m N D 3 m co -1 73 --♦ C3 JO C7 M D 3 X G7 Z N 0. m C7 C O D D o U) 0 03 r Z O X X MI -- X m m X O D -1 N O D -C m MI 0 X X N -O M M C!) m r D m 0 70 m -1 CO m r CO 0 Q CO 0 Cn m CO o d7 - m -1 7o m Ro N -< X C..) m G7 X 3 -- N M D 1-1 D N 0 3 0 Ul O D Z 33 N D 0_ I D 70 0 (7 r '-• Cn O CO D o O CO O r -I E �I M C 0 CO m o o_ 73 GI co 70 o c -. CL CO X CD m D CO D O G3 0 -♦ -♦ 0 C3 0 o Z C U) C3 C3 O o- D -v r D c c s C -- -I G3 CO CO H ^.. O_ rt c o ''��11 0 M 70 C o V v C3 7 D CO rt ` O_ S 3 o_ r -s o 0 C O N — N O 0 O -T1 C I-1 MI { Zoe Ann Lamp Subject: Last will and testimentary- Leslie Freitas 360-774-2860 see comments for permit requirements Start: Mon 5/6/2013 11:15 AM End: Mon 5/6/2013 12:00 PM Recurrence: (none) Organizer: Colleen Zmolek When meeting the subdivision exemption Jefferson County Code 18.35.040(3); (3) Divisions of land made by testamentary provisions or the laws of descent; provided, that this exemption shall not be construed to permit inter vivos transfers, and provided further, that any structure or use on the property must comply with all other applicable county regulations Here is a list of what should be submitted with the Master Permit Application: • Fee of $532.00 payable to Jefferson County pmplete page 1 the Master Permit Application Provide a letter of authorization (see attached) or • povide a copy of power of attorney, if applicable. ✓/Provide a copy of the Last Will & Testament Vy.rovide a copy of the death certificate Provide a copy of any court documents, such as probate, etc. • Provide a copy of revocable living trust, if applicable. • Provide a copy of survey with metes and bounds legal descriptions (if available) to show how the parcel is to be divided. 1 I JEFFERSON COUNTY _ H NO. 1 4 2 0 4 4 --,/ ,/ -; DATE RECEIVED FROM . ' -' - DESCRIPTION BARS# AMOUNT CURRENCY COIN — ,P'''? 9/ (. ..... - .,,. CHECKS , —I ---- ;77/ no/ P 1 M . 0 3D -4 RECEIVED BY TOTAL ,, _._. , _ MAY M WESTERGAARD 8391 LESLIE E FREITAS 19-2/1250 WA 1521 W VALLEY RD (360)732-4333 - /(lei//„S 98707 CHIMACUM WA 98325-9745 Date n , , , Pay A2-4 .1,....ai ' h'`"- _0_,'_ A, . _ . .53e .. OD / i t• oTrcler IA i / _, ,drilyWir i ill '— '----"r:,:Po ars a EFA n Bank of America--;"--4*- ..' ACH RR"125000024 menozicov r_ ,...iLL 1 I.. _,,,ic.,. .• a. 0 m• I: L 2 50000 241: 0000E1 74 ? 1 2 208 39 L Jefferson County Assessor & Treasurer - Property Details - 21908 WALDEMAR 0 WES... Page 1 of 1 Jefferson County Assessor&Treasurer Property Search Results>21908 WALDEMAR 0 WESTERGAARD for Year 2013 -2014 Property Account Property ID: 21908 Legal Description: S22 T29 R1W E1/2 NE(LS TX 8 &22)LS RIW Geographic ID: 901221001 Agent Code: Type: Real Tax Area: 0211-1-49F1E1H2L1 Land Use Code 8100 Open Space: DFL Historic Property: N Remodel Property: N Multi-Family Redevelopment:N Township: Section: Range: Location Address: 1521 WEST VALLEY RD Mapsco: CHIMACUM,WA Neighborhood: S21,22,&23 T29N R1W;MCNEIL PARK;STENARTS GRDN; FAWN MDOW Map ID: Neighborhood CD: 4270 Owner Name: WALDEMAR 0 WESTERGAARD Owner ID: 30236 Mailing Address: MAY MADELINE WESTERGAARD %Ownership: 100.0000000000% 1521 W VALLEY RD CHIMACUM,WA 98325-9745 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/20/2013 Amount Due if Paid on: -°J. NOTE; If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details"to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2013 11867 $688.04 $687.47 $0.00 $0.00 $1375.51 $0.00 1 Statement Details 2012 219082011 $661.80 5661.18 $0.00 $0.00 $1322.98 $0.00 Values Taxing Jurisdiction Improvement/Building Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version:9.0.32.2200 Database last Lpdated on: 8/20/2013 4:38 AM ©2013 True Automation, lit.All Rights Reserved. Pri■ecy Notice http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&prop_id=21908 8/20/2013 DEVELOPMENT REVIEW TIME SHEET WALDEMAR 0 WESTERGAARD MLA13-90065 Date Time Comments 1— I- 13 15 ,n,"Y, Fite *-- / 1 - ' .1 --1,-- is w - ,.-------42 -7- 21-13 1 5 x„-¢a 745.-5.e5'5 C9-1 1 -.30 - 0 1 k46‘-ke c-t-6 RCS . riZ.0 o, ,e, _ _ I5 0 � _ • _, , +• zi 1 (Igg U 8- ∎3 l I-6k_x_r -�, • • 50 - - . • c• • • - • k- 5 • . /)( 8 - 13 (4 a\ - l 40 F;r0,-,n s — Per \\tidemarkldata\forms\R_MLT_Case_CRMLA.rpt July 0112013 ^CDC CONSISTENCY REVIEW • - Project Planner: Master#MLA13-00065 Review Type 'Project Description SUB13-00005 I TESTAMENTARY SUBDIVISION Primary: WALDEMAR 0 WESTERGAARD Site Address: MAY MADELINE WESTERGAARD 1525 W VALLEY RD 1521 W VALLEY RD CHIMACUM WA, 98325 CHIMACUM WA 983259745 APL MARK WESTERGAARD LESLIE FREITAS 21614 139 PL SE MONROE WA 98272 Project Location: Parcel number 901 221 001, Section 22,Township 29, Range 1W, WM, located at 1521 West Valley Road, Chimacum,98325 Parcel Number: 901221001 S-T-R: 22-29N-01W Total Acreage 70 Legal Description S22 T29 R1W E1/2 NE(LS TX 8 &22)LS R/W Land Use: 8100 Flood District: Fire District: 1 Planning Area: Flood Map(FIRM)Panel No: chool D 49 Zoning: 4(�. �,1L C) COMP PLAN r 1 l DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ jr- Plot plan states "property line" [ Assessor's Map(Property li n submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ Legal Access to Prope r E NO _ {,�� Parcel Tags or Scanned D n YES NO t' J ESA's: Special R- sorts Nearby YES au V( A t_4,0, NO 6 ! ; 1. A,;�_ -_ �,� p� C.(t f' n [ ] Shoreline Designation: YES • [ ] Shoreline Slope Stability: YE's _ka) Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO ` Landslide: YES NO i Flood: YES NO Erosion: YES NO _ Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: Ye AO [ ] Forest Lands: ES NO Adjoining Forest :.•ds: Commercial/ Rural/ Inholding [ ] Mineral Lands: - NO [ ] Agricultural Lands: YES • [ ] Archaeology: YES NO [ ] Stormwater: New Impervious Surf.•- Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru Min Req#1 thru#10 Engineering [ ] Notice Provisions/Discl•:1 e:Airport YES NO •' • YES NO Forest Lands YES NO [ ] Landscaping Requir-: Yes No [ ] Parking Spaces Required NO 2 Other F 1 Building Height: 35' UBC Standard [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10' Rural Reside ial: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of B ' .ing Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,506: GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left :ide: Right Side: Rear: Shoreline Setback: LSHA Setback: Road Classification: W a Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate. [ ] Existing Case(s)& •ndition(s): Violations: Yes No AFN Over Syrs=UDC [ ] Recorded Date of Subdivi-'on: Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Re icti Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES 0, submitted: YES NO [ ] Site Visit conducted YES 4 [ ] Require Final Zoning Approval YES `1 [ ] ADMIN: Setbacks entere• n Permit Plan ••se N/A YES New Parcel Tags entere• n Permit Plan /A YES Special Reports Scann-• N/A YES _ I No parcel tags found for parcel Associated CASES status issued finaled description 901221001 BLD90-00257 F 4/30/1990 sf residence one story with attached garage. MLA13-00065 SUB13-00005 P TESTAMENTARY SUBDIVISION USR09-00082 A