HomeMy WebLinkAboutCAM2020-00017For Office Use Only CAM #
b*,,2
ffiDEPARTENT OF COMMI'NITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
T el 360.379.4450 | Fax: 3@.379.445L
Web: www.co.iefferrcn.wa.us/communitydevelooment
E-ma il: dcd@co.iefferson.wa.us
SCAN THIS QR CODE
TO SCHEDULE AN
APPOINTMENT ONLINE
CUSTOMER ASSISTANCE SERVICES MENU
* A portion of the review time may be used for research and follow-up after an initial 15-minute "kick-off' meeting.**ln-depth Critical Areas Review and site visit for wetlands and streams is available for $320.10. This service requires submittal of a special report, permit
application form, and the fee.
Who does what?
o Planner: zoning, setbacks, use allowance, subdivisions, land use and/or stormwater form review and submittal assistanceo Building: building construction, remodel, addition, building form review and submittal assistance
o Sanitarian: drainfield, septic, drinking water, capping page 1 of 2
Design Your Meeting Fee Scheduling Product(s) Delivered
,/
d Sso.oo
(up to 30 minute review*)Planner
(Choose one review fee only)tr Sloo.oo
(30-60 minute reviewr)
tr Sso.oo
(up to 30 minute review*)Building Representative
(Choose one review fee only)tr
Sa n ita f ia n : A site ptan with septic system
information is required for sanitarian comments.tr S96.oo
(up to 60 minute reviewr)
Choose Service {
ln-person Meeting c
Telephone Call tr
Email tr
Subject to
availability;
must request
minlmum
48 hours in
advance.
o Verbal information if meeting or
telephone call selected;
. GIS map products reviewed;
o Standard handouts provided.
r Don't have an appointment? Staff may
meet with customers for up to 15
minutes to discuss questions during
walk-in hours (Monday-Thursday
10:30am-12pm). Staff will use the
remainder of paid service to email
follow-up information.
Do you need a site visit?
(add-on or stand-alone to services above)
,/
Zoning/Land Use ond/or
Critical Area/Shorel ine
Overview**
tr 5L97.40
Subject to
availability
o Feedback at the site visit.
Total cost of meeting
(Sum of fees for all items checked)
Fe€ Crrdft. Customer Seruice fees up to S94 are creditable to a proiect
application if the customer applies within one year from the custorner
seMce provided. Permit review hours that exceed credited permit fees
will be charged the hourly rate. Please schedule appointments online or
contact the receptionist:360-379-4450 to schedule, or email completed
forrn to dcd@co.jefferson.wa.us
CUSTOMER SERVICE DESIGNED YOUR WAY: YOU PICK THE STAFF AND SERVICE REQUESTED.
Choose Staff
You must choose at least one staff
s100.00
(30-60 minute review*)
(
n
Begin Time:End Time:
lnformation Requested
List all questions and any information you need addressed. Attach additional sheets of paper if necessary.
Please submit a conceptual site plan, if available.
Property Description
PLEASE NOTE: lnformation and guidance provided through CusfomerAsslsfa nce is advisory onty and is based on information provided
by the customer. This is not intended to be an exhaustive review of allpotenfial rssues. Any drscussio n or information provided shatt not
bind or prohibit the County's ftlure implementation or enforcement of all applicable laws and regulations. No stafements or assurances
made by County representatives shall in any way relieve the appticant of his or her ddy to submit an application conslstenf with att
relevant requirements of County, state and federal codes, laws, regulations, land use plans, and other requirements,
This CAM meeting will be entered into our database for tracking and therefore will be available to the public through
our website as well as for walk in requests per Act, a state law found at RCW 42.56.
|!,
{D
o(D
o
:
o
7
:lh
\.d
Io
L)
o
g-DlGlT PARCEL NUMBER (from P roperty Tar Statement):8al7,tN3
PROPERW ADDRESS:a olJ
1
NAME:DATE:-a
EMAIL ADDRESS:
MAILING ADDRESS:I!- Kx zssf frrl,bo A qKTo
TELEPHONE: (HOME)1da-at -Dq,(cELL)kqo
Afice Use
Only
Receiot #
ttq 0 5q
Check/CC #
CC
Date Paid:
\ / b/ 2ozo
Received bv:
\^pti
Your
Page 2 of 2
),slapl"ho 6 r,,r ar, . Lo(,1
I