HomeMy WebLinkAboutCASP Jefferson County Cash Deposit
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.4450 | Fax: 360.379.4451
Web: www.co.jefferson.wa.us/communitydevelopment
E-mail: dcd@co.jefferson.wa.us
CASH DEPOSIT TO JEFFERSON COUNTY
Applicant: Type of Project:
Site Location: Parcel Number:
MLA Number: CSP Number:
Receipt Number: Guarantee Amount:
The APPLICANT hereby authorizes that the sum of $ be kept on deposit with the Jefferson County
Department of Community Development to secure for Jefferson County the APPLICANT’S performance of certain work and
payment of fees and other amounts required in connection with the above-referenced project.
THE CONDITION OF OBLIGATION is that:
1. The APPLICANT has executed an “Agreement” entitled Critical Areas Stewardship Plan (CASP), a copy of which is
attached hereto and incorporated herein by this reference.
2. Under the provisions of the Agreement, the APPLICANT is required to furnish a guarantee to secure the APPLICANT’S
compliance with the terms of the Agreement.
IT IS FURTHER EXPRESSLY PROVIDED that:
1. Until written release of this obligation by Jefferson County, this cash financial guarantee may not be terminated or cancelled
by the APPLICANT for any reason.
2. The obligation of the APPLICANT shall not be discharged or affected by any amendment of the approved plans used for
development of this real property.
3. Upon failure of the APPLICANT to perform any of the terms of the Agreement, Jefferson County may use the funds to
complete the work and pay outstanding fees and other amounts. The APPLICANT shall have no duty or right to evaluate the
correctness or appropriateness of Jefferson County’s determination that requirements have not been satisfactorily completed.
Any unexpended funds shall be returned to the party designated below upon completion of the terms of the Agreement.
4. The APPLICANT’S obligation to perform the work or pay fees and other amounts is not limited to the amount of this cash
deposit.
5. In the event that this project becomes part of an incorporated area, Jefferson County may transfer its rights and obligations
under this cash financial guarantee and the attached Agreement to any successor jurisdiction without notice to the
APPLICANT.
6. Interest on this cash deposit shall be retained by the County to cover administrative costs associated with this deposit.
I, , an employee of Jefferson County, certify that the
above-referenced funds have been received by Jefferson County.
APPLICANT:
(Signature) (Date) (Print Name)
(Address) (Phone Number)
It is the APPLICANT’S responsibility to notify Jefferson County of any changes in address and telephone number.
Upon release of this cash deposit, the funds are to be returned to
at the following address:
State of Washington, County of Jefferson
I certify that I know or have seen satisfactory evidence that signed
this instrument and acknowledges it to be his/her free and voluntary act for the uses and purposes mention in this instrument.
(Notary Seal or Stamp) Dated:
Notary Public Signature:
Title:
My Appointment Expires: