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Home My WebLink About05 MLA17-00019 CONDITIONAL USE • S DEPARTMENT OF COMMUNITY DEVELOPMENT W A621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Ct � � ?? Web:www.co.jefferson.wa.us/communitydevelopment 0/M LG *115e17* E-mail:dcdna.co.jefferson.wa.us ✓r� ASMI NGC° N eiPtiee) ak iipp i y q SUPPLEMENTAL APPLICATION k) ' 10 CONDITIONAL USE 5 z-1 lt--7~oaoa a s � i s : oz);;ri—0 Do!el PROJECT/APPLICANT NAME: Ali" .&1.1,k CzY .. gy,:v. (kr" The purpose of the conditional use permit process is to provide flexibility in the application of the use regulations contained in the Jefferson County Code (JCC). No conditional use permit can be granted unless consistency with the performance standards of JCC 18.20, the development standards of JCC 18.30, the procedural requirements of JCC 18.40.280, and the approval criteria of JCC 18.40.530, and other applicable requirements of the UDC have been satisfied. Approval of the conditional use is effective for three (3) years from the date of original approval. If a building permit has not been issued within the three (3) year period, the conditional use approval will expire. The following questions will assist in the evaluation of the conditional use request: 1. Describe the �� requested� / conditionalall use. 6v✓ ' ""cam 47 L- t,,--- 2. Explain how the conditional use is harmonious and appropriate in design, character and appearance with the existing or intended character and quality of develo ment in the vicinity and with the physical characteristics of the subject property. _ Let,16._ 1?e-fr-k j ,,A._<:,..- \_,‘L-l.Qk____, Cty. i&x.;s-r-t.„ . ...)t ic i-.1 1.0•1 3. Describe the infrastructure including but not limited to roads, fire protection, water, wastewater disposal, and stormwater control which will serve the requested conditi al use. c2j J 4. Describe the location, size, and height of buildings,structures, signage,walls and fences, and screening vegetation for the use. R.) v _ i C"4 �'usQe -4D 1 L{_L< X 7 Z 5. Describe any noise, smoke, dust, fumes, vibrations5, odors, outdoor lights or other impacts will be generated by the conditional use. - t,,...A,,,,� 114rt.1 l�;e.4 _,,,4...., (6-41. ( --4- o+ et r( 6. Describe the pedestrian .nd v icular traffic and parking area associated with the conditional use. c- fNea / rc..._ t ' l.�w .e.--00 _ „fat 0....r",--g , 5 i)7,4 el-IA-pc-- S Page 3 • • 7. Will the(proposed conditional use result in the siting of an incompatible use adjacent of an airport or airfield? /0 O 8. Are there any significant adverse impacts on the human and natural environments caused directly by the conditional use? If yes, can these impacts be mitigated? 9. Describe how granting the conditional use will not be materially detrimental to uses or property in the vicinity of the subject parcel. Q -S a sire r•L CS e—rNA.,S 1'4%4- +^.? 10. Describe how granting the conditional usewill be substantially detrimental to the public interest. 1-&k, etha,,:e /Asa t,A.4-t €44444-4.-eveS dyfet4e.el %fat_ -- paw * 11. Does the condirnal use have m!11 nd value for the community as a whole? - j CA/ Iztle 5 12. Describe how the conditional use complies with all other applicable criteria and standards of the Jefferson County Code (JCC) and any other applicable local, state or federal law; and mor,*specifically, conforms to the standards contained in JCC 18.20 and JCC 18.30 3air 13. Describe how the conditional us s consistent with all relevant goals and policies oft e Jefferson County Comprehensive Plan. iL vior to !.✓�Clttiru I�zv✓ 14-4t ezer-hir.2 ACKNOWLEDGEMENT By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of his/her knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. -� `�� a v" �; fA ; 22 /7. (APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) `6 [NOTE: Representative authorization is required if application is not signed by the Owner.] 4 ! COUNTY DCD ty Page 4 • • CN ? DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 ZOV I�--�" ZWeb:www.co.jefferson.wa.us/communitydevelopmentALA `� _OE-mail:dcd a@co.jefferson.wa.us 1"` (,DC71.I NG�G� PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: U 2..t ) 6 y 0 t C Site Address and/or Directions to Property: a Z ) '` F! • 0 The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner Information Property Owner: Name: A (t 4, r+Ai (7&i 1 x 14 Address: > 0 S i I`-}KT}1 S ri` SCE L( 3 b.-1 ? il S EQ-fiL� IA/A ct i 1 Ci Flj Phone#: E-mail Address: Please conta r Authorized Agent/Representativz with project info. (select only one). Property Owner Signature: ,,40 7 i 4 Date: d Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative(lf other than owner) Name: KVViN LOLP 41 Address: Phone#: .; ( O 2 1 i `1 7 Y 1 E-mail Address: leiLd;,,,, 6_4e kv.;r,i SY rv)(A4,1 C•6-t Professional: Is this an Authorized Agent/Representative for this project? NO `J Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: I Professional: Is this an Authorized Agent/Representative for this project? NO YES 1 Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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 or her 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I 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. Applicant may request notice of e Coun ' intent to enter upon the property for visits related to this application and subsequent permit issuance. �,,d, Print Name: /n� (( I A J {i. I VA Date: 00 Signature: / � HIP I�(� � T L,. t 4.,.w ,/I 7 s 7 ?'erm,t Xppi cariun Pagc 2 of 2 LOGS ITEM v .e • S DEPARTMENT OF COMMUNITY DEVELOPMENT W A621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Ct � � ?? Web:www.co.jefferson.wa.us/communitydevelopment 0/M LG *115e17* E-mail:dcdna.co.jefferson.wa.us ✓r� ASMI NGC° N eiPtiee) ak iipp i y q SUPPLEMENTAL APPLICATION k) ' 10 CONDITIONAL USE 5 z-1 lt--7~oaoa a s � i s : oz);;ri—0 Do!el PROJECT/APPLICANT NAME: Ali" .&1.1,k CzY .. gy,:v. (kr" The purpose of the conditional use permit process is to provide flexibility in the application of the use regulations contained in the Jefferson County Code (JCC). No conditional use permit can be granted unless consistency with the performance standards of JCC 18.20, the development standards of JCC 18.30, the procedural requirements of JCC 18.40.280, and the approval criteria of JCC 18.40.530, and other applicable requirements of the UDC have been satisfied. Approval of the conditional use is effective for three (3) years from the date of original approval. If a building permit has not been issued within the three (3) year period, the conditional use approval will expire. The following questions will assist in the evaluation of the conditional use request: 1. Describe the �� requested� / conditionalall use. 6v✓ ' ""cam 47 L- t,,--- 2. Explain how the conditional use is harmonious and appropriate in design, character and appearance with the existing or intended character and quality of develo ment in the vicinity and with the physical characteristics of the subject property. _ Let,16._ 1?e-fr-k j ,,A._<:,..- \_,‘L-l.Qk____, Cty. i&x.;s-r-t.„ . ...)t ic i-.1 1.0•1 3. Describe the infrastructure including but not limited to roads, fire protection, water, wastewater disposal, and stormwater control which will serve the requested conditi al use. c2j J 4. Describe the location, size, and height of buildings,structures, signage,walls and fences, and screening vegetation for the use. R.) v _ i C"4 �'usQe -4D 1 L{_L< X 7 Z 5. Describe any noise, smoke, dust, fumes, vibrations5, odors, outdoor lights or other impacts will be generated by the conditional use. - t,,...A,,,,� 114rt.1 l�;e.4 _,,,4...., (6-41. ( --4- o+ et r( 6. Describe the pedestrian .nd v icular traffic and parking area associated with the conditional use. c- fNea / rc..._ t ' l.�w .e.--00 _ „fat 0....r",--g , 5 i)7,4 el-IA-pc-- S Page 3 • • 7. Will the(proposed conditional use result in the siting of an incompatible use adjacent of an airport or airfield? /0 O 8. Are there any significant adverse impacts on the human and natural environments caused directly by the conditional use? If yes, can these impacts be mitigated? 9. Describe how granting the conditional use will not be materially detrimental to uses or property in the vicinity of the subject parcel. Q -S a sire r•L CS e—rNA.,S 1'4%4- +^.? 10. Describe how granting the conditional usewill be substantially detrimental to the public interest. 1-&k, etha,,:e /Asa t,A.4-t €44444-4.-eveS dyfet4e.el %fat_ -- paw * 11. Does the condirnal use have m!11 nd value for the community as a whole? - j CA/ Iztle 5 12. Describe how the conditional use complies with all other applicable criteria and standards of the Jefferson County Code (JCC) and any other applicable local, state or federal law; and mor,*specifically, conforms to the standards contained in JCC 18.20 and JCC 18.30 3air 13. Describe how the conditional us s consistent with all relevant goals and policies oft e Jefferson County Comprehensive Plan. iL vior to !.✓�Clttiru I�zv✓ 14-4t ezer-hir.2 ACKNOWLEDGEMENT By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of his/her knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. -� `�� a v" �; fA ; 22 /7. (APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) `6 [NOTE: Representative authorization is required if application is not signed by the Owner.] 4 ! COUNTY DCD ty Page 4 • • CN ? DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 ZOV I�--�" ZWeb:www.co.jefferson.wa.us/communitydevelopmentALA `� _OE-mail:dcd a@co.jefferson.wa.us 1"` (,DC71.I NG�G� PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: U 2..t ) 6 y 0 t C Site Address and/or Directions to Property: a Z ) '` F! • 0 The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner Information Property Owner: Name: A (t 4, r+Ai (7&i 1 x 14 Address: > 0 S i I`-}KT}1 S ri` SCE L( 3 b.-1 ? il S EQ-fiL� IA/A ct i 1 Ci Flj Phone#: E-mail Address: Please conta r Authorized Agent/Representativz with project info. (select only one). Property Owner Signature: ,,40 7 i 4 Date: d Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative(lf other than owner) Name: KVViN LOLP 41 Address: Phone#: .; ( O 2 1 i `1 7 Y 1 E-mail Address: leiLd;,,,, 6_4e kv.;r,i SY rv)(A4,1 C•6-t Professional: Is this an Authorized Agent/Representative for this project? NO `J Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: I Professional: Is this an Authorized Agent/Representative for this project? NO YES 1 Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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 or her 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I 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. Applicant may request notice of e Coun ' intent to enter upon the property for visits related to this application and subsequent permit issuance. �,,d, Print Name: /n� (( I A J {i. I VA Date: 00 Signature: / � HIP I�(� � T L,. t 4.,.w ,/I 7 s 7 ?'erm,t Xppi cariun Pagc 2 of 2 LOGS ITEM v .e