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Home My WebLink AboutADR2018-00094 - CANCELLEDPDf\8-cco3q DEPARTMENT OF COMMI.INITY DEVELO 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.M50 | Fax 360.379.4451 Web: www.co.iefferson.wa.us /communiwdevelooment E-mait dcd@co.icfferson.wa.us k NEW ADDRESS APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting app -Fees will be collected at intake. Additional fees may apply after review and payment is required New Address Correction Change / New Drivewa must be with n tape received from DCD is issued. Ee& Io E _o -tr fuN Mdt t6 h,p*l ilgqO Rof,.r W,,wilr Jhrwt,vtlt" 14'NfilWfu t"ffiW t+','6J,Vtn s.k/r,,ols,r?l w,,til/u,J( Mn,1.n 66t {H ,wwLz[ t4h''u l<ftpoq- 0w3 For Department Use Only Receipt #: t #:Related #s: Date: FOR OFFICE USE ONLY 2-q7 71't ,-bn Ltt DIFF Tidemark Entry:Road database entry:Post Office: dLEFT M.P. RIGHT DIFF Notes RI,0 t+ New Address:Date plates mailed: # Plates: Property lnformation Assessor Tax Parcel Number: Parcel Address (if applicable): Directions to Property: 901132002 none City See Attached Document Name of street(s) from which access will be gained: Kingfisher Pl Cross Street Graceland Way ls this a private road? QV"t Neighbor's Name & Address, if known: No Name/Address Name/Address Do you need to construct a driveway from road onto your property? County or State Permit #: Qv"t No o o ROAD APPROACH OR STATE HWY ACCESS PERMITS ARE REQUIRED IF YOUR DRIVEWAY IS OFF A COUNTY OR STATE ROAD lN ORDER TO PROCESS ADDRESS REQUEST. Please contact Public Works at (350) 385-91-60 with questions.o State: WSDOT http://www.wsdot.wa.gov/Northwest/DevelopmentServices/AccessServices.htm or (360) 757-596L a County:nty.civicplus.c om/ 445 / Right-of-Way-Permits-Vacations or (360) 385-9 160 fr$ulq'ft +,€rgit w *^ry" Y \o Vlnd? K$^"1 Ao"\a1nfl- @,en A!- Propefi Owner Name: Address: Phone #: Adam Blackwell 42506 NWTth Ct, \Abodland, WA 98674 360-904-8081 E-mail Address: adam@miksar.com Please contact Authorized Agent/Representative with project info. Applicant / Contractor: Authorized Agent/Representative Name: Phone #: License #: E-mailAddress: Expiration Date: Required Submittal ltems - use column on left to check off items included with your submittal Current copy of parcel map from Jefferson County Assessor's Office, showing: http ://www. co.jeffe rso n.wa.us/id ms/ma pse rver. shtm I a. North Arrows b. Road names in the area c. Existing access easements d. Parcel driveway location, label any driveways as new or existing e. Addresses of neighboring properties f. Travel path from main named county road to the driveway, then the structure Copy of a site plan, showing: a. lf there are multiple structures, the addresses of all existing structures b. For commercial permits, identify suite numbers for all existing and proposed businesses and identify the business names. By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any materialfalsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Signature print Name. Adam Blackwell 921s. 712912018 Jefferson County will notify the appropriate postmaster, fire district, and emergency services of your new address. We will provide you with a new fire plate and you will be required to install it on your property once the address is assigned. OFFICE USE ONLY Permit Fees New Address Permit Fee s276.00* *Additional fees may apply Jefferson County New Add ress Application Parcel: 901132002 Owner: Adam Blackwell 360-904-8081 Direction to Driveway: Oak Bay Rd to Jacobsen Dr., left on Graceland Way then right on Kingfisher Pl. Kingfisher continues straight and at end of paved road turns to a dirt road. Dirt road dead ends after approximately 50 yards. At dead end take left onto dirt road. I cannot find a designated name for this road section. lt may be a private road, I am not certain. From Kingfisher Pl where it dead ends to the right there is no road at all. lf there was a road in the north direction it may connect into Washington Ln, but it is unclear to me if that is the intent. Continue approximately 100yds to start of driveway on the right. Driveway is gated. Flagged: Driveway is flagged with yellow ribbon. At the end of Kingfisher there is also a wooden stake with yellow ribbon. Then down the dirt road section to the left there are also a few more wooden stakes with yellow ribbon. All leading to the yellow ribbon on the gate. tT I{ fr{ $I! IItaIJ I g a t t I Lbab €ryc ,ruo@ q t g l_i rJ--tr I \ rem Way Ia F-- 1 )i'- I I I I I nt---r t-- I J -d- Iilhu I - I-&J] I C€nl€r RdI \l-- )i- I l* ,s9'etr[]l-*---j L IJ -Jr I l_lil rEa arl I 1T Chwhnd St r rTEegla RilgE Dr ,0o la\|3) o Ir I 9ropu Jefferson County, WA Map 1:18,056 Date:712912018 an 'AS-lS" basis, without warranty of anytype, expressed or implied, includ butnot limited to anywarranty as to their performance, rnerchantability, or fitness for are on rticular u Th is map b mt a substitute for rccuEte field suruds or tr l@atim act€l prooertv lines ard anvadiacent features. F(. Iii ! 91, [f] N , €alIr: * rEt G5 1001 921185001 tD21185002 ,lG'rl'rlttrr,i ,t€Sr6lEEt€, @r: Ggtrrd, i Ioe" (; tI -€Yl/t ll}r F Gal itr.IIA , uBDllt, 0r Jefferson County, WA Map 1:9,028 Dale:712912018 an 'AS-lS" basis, without expressed or implied, includ but not limited to anywarranty as to their performance, rnercha ntabi lity, or fi tnes s for oneseare an rticula r nty of anytype, This map b rct a substitute for accuEte field surveys or i r l@atirc actud trffitvlim and anvadieer( f€tures. 113 't 001 D uEt lci,r,n n(clFl ln itttr I ;r901123012 901123013 90111lo01 90112301 4 l- , I oo ooc) o)ro oort.o.oo (n o) ,6;cllN,olc),o,('} :g) I i I i c .:a Ct Ir I 962700021 90 11 41 001 ff ooutoc,o o)(n 962700022 rl 901132001iry a'!Nooo (\I 10olE:' oo Oro'o rot (D oo(rroo(, oct I i i INeoo Nro o) 901132002 ! I : -'.'.-.'.:'-= I { \J\901 141005 \t .Lt NIP-::*__T-_"_:._-_rs e01141016 I |'!o r oh)o e011$015 q iTITEIIEE 901133010 I ,lc'Gtroi ()6!itt Vu!r':., rro{{!dl,t: rlGe6la t€ , [0", I 90 1 1 3$f$niiilas c N 18/11 ll''r E q8' u B D /r " u s{r s' /'i(' tr(r ri ! !i" N il ft oo I Address & Road Search Road lnventory Tool Page 1 of 1 SEARCH FOR ADDRESS INFORMATION ROAD NAME SELECT ROAD SEARCH ADDRESS ROAD NAME KINGFISHER PL KINGFISHER PL KINGFISHER PL KINGFISHER PL KINGFISHER PL KINGFISHER PL KINGFISHER PL CREATION DATE 01t30t't7 09t't0t07 08t27107 08t27t07 04/08/08 11t10t20 05t12t08 121 123 182 232 233 293 323 APPLICANT PARCEL NUMBER [f,il*l"t't e627ooo6o I*',I=Lr.*r, LLC e627ooo26 ,'*'#1".r, *r, LLC e627ooo28 sj|,="t * LAUREEN s62zooo27 ff|Hfti'j- s627ooo2s IBPR.XIBEI s627ooo24 ffi"*r... s627ooo23 ADDRESS SEARCH ROAD SEARCH CREATE NEWADDRESS CREATE NEWROAD REPORTS http ://isserverold/Address/RoadSearch. asp 713U20t8 Address Database Comparison Enter Street Name String Or Enter Parcel Number: Page 1 of 1 Go DCD Updated ADDRESS PARCEL l?,inr,rr.*r,- e627ooo6o l',iorrrnu*r,- s627ooo26 l?*'or,rr.* r.- s627ooo28 iifrnr,r*r*r,- s627ooo27 iiioo,rr,.*r. s627ooo2s i?ior,=rr*0. s627ooo24 i',inr,.r.*0. s627ooo23 Tidemark DB ASSESSOR DB ADDRESS PARCEL i',,ior,rn.*r,- s627ooo23 '*?,ior,rnu* o. s627ooo24 iiior,rr.oo,- s627ooo2s l',,ior,rn.*r,- s627ooo26 '*i*'orrar,.* o,- s627ooo27 l?*'or,rr.*0,- s627ooo28 l',,ior,rn.*r,. e627ooo6o ADDRESS L2t KINGFISHER PL t23 KINGFISHER PL 182 KINGFISHER PL 232 KINGFISHER PL 233 KINGFISHER PL 293 KINGFISHER PL 323 KINGFISHER PL PARCEL 962700060 962700026 962700024 962700027 962700025 962700024 962700023 JeffCom (SiteAddressPoint_PIN ) ADDRESS PARCEL 123 KINGFISHER PL 962700026 182 KINGFISHER PL 962700028 232 KINGFISHER PL 962700027 233 KINGFISHER PL 962700025 293 KINGFISHER PL 962700024 For an address search, leave the parcel field blank. This is the signal that you want an address search. For a parcel search, enter the nine digit parcel number. During a parcel search it does not matter what you have in the address box. This tool uses a "fuzzy" search so if you enter "ZE|-ATCHED" you will get all addresses that have that word in it. If you enter 'ZELATCHED POINT RD' you will only get the addresses that have that exact sequence of characters in it. This should allow you to identify the source of many of the discrepancies between the data sources. For instance, searching for "AZALEA LN" gives only 5 addresses in the Advantage DB. Searching for just "AZALEA' adds another address because one was entered incorrectly as "AVE'. I purposely did not make a street picklist so you can have flexibility in your searches. http.,llww2jeffcowa.us/idms/devtest/address.asp?street:kingfisher&parcel:713y2018