HomeMy WebLinkAboutCAM2020-00018tr'or Office Use Only CAM# 2C) ^&p
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ffiDEPARTENT OF COMMI]NITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
f el: 36O.379.M50 | Fax: 360.379.4451
Web: www.co.iefferson.wa. us/communiwdevelopment
E-ma il: dcd@co.iefferson;wa. us
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APPOINTMENT ONLINE
CUSTOMER ASSISTANCE SERVICES MENU
* A portion of the review time may be used for research and follow-up after an initial 1S-minute "kick-off' meeting.**ln-depth Critical Areas Review and site visit for wetlands and streams is available for 5320.10. 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 assistancer Sanitarian: drainfield, septic, drinking water, capping page 1 of 2
Design Your Meeting Fee Scheduling Product(s) Delivered
Choose Staff
You must choose at least one staff
E ss0.00
(up to 30 minute review*)Planner
(Choose one review fee only)tr Sloo.oo
(30-60 minute review*)
tr Sso.oo
(up to 30 minute review')Building Representative
(Choose one review fee only)tr s100.00
(30-60 minute review*)
Sanitafian: A site ptan with septic system
information is required for sanitarian comments tr S95.oo
(up to 60 minute reviewn)
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Choose Service {
ln-person Meeting v
Telephone Call tr
Email tr
Subject to
availability;
must request
minimum
48 hours in
advance.
o Verbal information if meeting or
telephone call selected;
. GIS map products reviewed;
r Standard handouts provided.
o 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 i ne
Overview**
tr 4a\'i2"
Subject to
availability
\
o Feedback at the site visit.
Total cost of meeting
(Sum of fees for oll items checked)
Fec Crcdlt. Customer Seryice fees up to 994 are creditable to a proiect
application if the customer applies within one year from the customer
seMce provided. Permit review hours that exceed sedited permit fees
will be charged the hourly rate. Please schedule appointments online or
contact the receptionist: 360-379-4/lS0 to schedule, or email completed
form to dcd@ co jefferson.wa.us
CUSTOMER SERVICE DESIGNED YOUR WAY: YOU PICK THE STAFF AND SERVICE REQUESTED
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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
PLFASE NOTE: lnformation and guidance provided through Cusfomer Assisfance rs advisory only and ls based on information provided
by the customer, Ihls ts not intended to be an exhaustive review of all potenfial lssues. Any discusslon or information provided shall not
bind or prohibtt the County's future implementation or enforcement of all applicable laws and regulations. No slatemenfs or assurances
made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consr,stenf with all
relevant requhements 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 the Public Records Act, a state law found at RCW 42.56.
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Check/CC #
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Date Paid;
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g-DlGlT PARCEL NUMBER (from Property Tax Statement):
PRoPERTYADDRESS: 32 ., Wa: y15,h ffi L
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NAME:
EMAIL ADDRESS:s
MAILING ADDRESS:
TELEPHONE:cvfr
Your Signature:
Page2 of ?
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