HomeMy WebLinkAboutCAM2020-00019i).n9--
For OIIice Use Only cAM# ib^ooo,?
DEPARTENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.21450 | Fax: 360.379.4/51
Web: www.co. iefferson.wa. us/commun iWdevelopment
E-mail: dcd@co.iefferson.wa.us
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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 L5-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,useallowance,subdivisions, landuseand/orstormwaterformreviewandsubmittal assistance
o 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 Product(s) Delivered
Choose Staff
You must choose at least one staff
./
H Sso.oo
(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*)Bu ilding Representative
(Choose one review fee only)tr Sloo.oo
(30-60 minute review*)
Sa n ita f ia n : A site ptan with septic system
information is required for sanitarian comments tr se6.00
(up to 60 minute review*)
Choose Service {
ln-person Meeting K
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;
o 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). Staffwill use the
remainder of paid service to email
fol low-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 $L97.40
Subject to
availability
o Feedback at the site visit.
Total cost of meeting
(Sum of fees for all items checked)
Fee Credit. Customer Service fees up to Sg4 are creditable to a project
application if the customer applies within one year from the customer
service 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
form to dcd@cojefferson.wa.us
CUSTOMER SERVICE DESIGNED YOUR WAY: YOU PICK THE STAFF AND SERVICE REQUESTED.
Scheduling
Begin Time:End Time:
lnformation Requested
List al! questions and any information you need addressed. Attach additional sheets of paper if necessary.
Please submit a conceptual site plan, if available.
Property Description
9-DIGIT PARCEL NUMBER (from Properg Tar Statement):
PRoPERTY ADDRESS: 1 7 \r-id1 3o\ r-l
NAME:tzt-Ar ruA \€NIli5]-A DATE: \.-1 ' ?(:
EMAIL ADDRESS:EtArN A r,rtrrlcr-A (C {ct tC AST . ).JET
MAILING ADDRESS:
TELEPHONE: (HOME)')ra-1rc Y sc,'i (cELL)
PLilSE NOTE: lnformation and guidance provided through CustomerAsgsfance is advisory only and is based on information provided
by the customer. Ihis ls not intended to be an exhaustive review of all pofenfial rssues. Any discussion or information provided shall not
bind or prohibit the County's fdure implementation or enforcement of all applicable laws and regulations. No sfafemenfs or assurances
made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consrstenf with all
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 requestEper the Public Records Act, a state law found at RCW 42.55.
Your Signature:
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Receipt #
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Check/CC #
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Date Paid:
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Received by:
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