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HomeMy WebLinkAboutPRE2019-009 Applicationi-'! �c,ON DEPARTMENT OF COMMUNITY DEVE MENT fiat Sl)c1-icl;10 ;�trec'.t, Pore Towrr«rul, AVA 98368 J�N 3 I'd; 360 37C A-150 i f�as; 3GJ,379.4451 1 CU�J 1C'rlr. w�cu•.rn.ufl r . � t� i:•tu:It: Stc lir+ .jc(frru]n.wa.iiY JEFFERSON COUNTY DCD Ys'`y IN C'to PRE -APPLICATION CONFERENCE The Jefferson County Code (JCC) 18,25,640 & 18,40,090 requires that before an application is made for all Type it and Type III project applications and Type I applications proposing impervious surfaces of ten thousand (10,000) square andlor non-singgle family structures of five thousand (5,0oo) square feet or more, or all projects involving in -water work or work below OMM, a pre -application consultation must be held. The consultation includes preliminary review and administrative assistance. This service does not include extensive field Inspection or correspondence_ Pre -application consultation does not limit subsequent administrative review. At the conference, department of Community Development personnel shall provide the applicant with (1) A list of the requirements for a completed application; (2) A general summary of the procedures to be used to process the application; (3) The references to relevant code provisions or development standards that may apply to the approval of the application; and (4) A list of any applicable hourly review fees that may be charged by one or more County agencies upon the filing of a project permit application with the County. Discussions at the conference or the information provided by the staff shall not bind or prohibit the County's future application or enforcement of all applicable laws and regulations. No statements or assurances made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consistent with all relevant requirements of County, state and federal codes, laws, regulations and land use plans. NAME; Andrew & Sarah Wilke MAILING ADDRESS. 2023 East Sims Way, No. 322, Port Townsend, WA 98368 TELEPHONE: (HOME) 360 774-3737 REPRESENTATIVE: Bruce MacLearnsberry MAILING ADDRESS, 1100 NW Thompson Road TELEPHONE: (HOME) (WORK) (WORK) 206 427-0506 DIRECTIONS 1, Please answer all questions on this form completely. Attach one sketch of the Conceptual Deslgn for the proposed use or activity, showing the following information; a. Vicinity sketch; b. North arrow and scale; c. Property boundaries and identification of land uses on adjacent properties; d. Means of ingress and egress; e. Property/lo( drainage; f. Possible locations of sewage disposal and water supply systems; g, Location of utility easements; and h. Proposed location of buildings, including setbacks to properly boundaries. 3. Attach payment of the applicable fee, as set forth in the Jefferson County Fee Ordinance. at C-)7-cm/ : �dr~067 a CW��-Cn�b Property Description General Location: 240 Sand Road, Port Townsend SEYf., SE1l<, Section 16, Township 30 North, Range 1 West Legal Description (from Properly Tax statement): S18 T30N R M TAX 25 SUMEASE 9-Digit Parcel Number (from Property Tax Statement): 001184004- Total Acreage: 11 Zone; RR-10 % Lot Coverage: >10% Applicant: R Owner 0 Lessee 0 Contract Purchaser EJ Other Project Description This proposal is for a site specific Comprehensive Plan Amendment to rezone the subject property from RA-10 to RR-5, then, if approved, to subdivide the property into two parcels. The property presently has a primary dwelling unit and an accessory dwelling unit. The goal is that each of the existing residences lies on its own separate parcel. Property Owner (name and mailing address): Andrew & Sarah Wilke, 2023 East Sims Way, No. 322 Port Townsend, WA 98368 Standard Disclosure Information provided to a prospective applicant during the pre•apptication consultation is based on County regulations in effect at the time of the pre -application consultation. Revisr�d or new County reaulations could affect a future develg2m rent application. A p - application consultation does not vest a future development application. By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge, I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 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. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's 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. This right of entry shall expire when the County (through the Administrator or the Administrator's representatives) concludes the application has complied with all applicable lays and regulations Access ark+ Lr ghKenrry to the applicant's propelshall be requested and shall occur only during regular qusiness hours. I hereby designate Bruce MaeLearnsberry conferenc (t. NDOWNER SIGNATURE) (DATE) 1-31 1 ? (DATE) act as my agent in matters related to this pre -application 1—z-1-19 © ®sm�aGu!st�r'v nff3RN, 1rMnnRC�li'r�APpWre- prxrefaamufwmdvc REV. 11/v2013 Page 2 ON �o DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 =. C Tel:360.379.4450 Fax:360.379.4451 Web: rnv. o.' r4 n.�v s i �eI ttscRt S� E-mail: dcd@co 'ef£ers n.wa. i N�Sa PERMIT FEES ESTIMATE THIS IS AN ESTIMATE OF BUILDING FEES - FEES SUBJECT TO CHANGE AT TIME OF SUBMITTAL Estimated Cost of Project PRE APP Parcel # Building Base Fees BLD base PLAN CHECK Consistency review SEPTIC H2O Technology/Scan State Fee Other Fees Shoreline Exemption Zoning New Address -Road Approar� ?vv/, Tech fee Total Fees Office Use Only Receipt Number: Cash/Check/CC: Date: Initials: $94.00 $470.00 $244.00 $24.00 $132.00 $48.20 $1,012.20 l0�11. '+ +=—