HomeMy WebLinkAboutCAM2020-00023For Office Use Only CAM #
DEPARTENT OF COMMUNITY DEVELOPMENT
621 S,heridan Street, Port Townsend, WA 98368
T el: 36O.379.4450 | Fax: 3@.379.4451
Web: www.co.iefferson.wa.us/commun itvdevelopment
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-depthCritical AreasReview and sitevisitforwetlandsandstreamsisavailablefor5320.i.0.Thisservicerequiressubmittal ofaspecial 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 assistancer 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
Choose Staff
You must choose at least one staff
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(up to 30 minute review+)Planner
(Choose one review fee only)tr
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(up to 30 minute review*)Building Representative
(Choose one review fee only)tr s100.00
(30-60 minute reviewt)
Sa n ita f ia n : A site ptan with septic system
information is required for sanitarian comments..tr Ss6.oo
(up to 60 minute review')
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Choose Service ,/
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Telephone Call tr
Email tr
Subject to
availability;
must request
minimum
48 hours in
advance.
o Verbal information if meeting or
telephone call selected;
o 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 and/or
Critical Area/Shorel ine
Overview**
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Subject to
availability
o Feedback at the site visit.
Total cost of meeting
(Sum of fees for all items checked)
Fer Cr.dlt. Customer Service fees up to 994 are creditable to a project
application if the customer applies \ rithin 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: 360-379-11450 to schedule, or email completed
form to dcd@co.jefferson.wa. us
CUSTOMER SERVICE DESIGNED YOUR WAY: YOU PICK THE STAFF AND SERVTCE REQUESTED.
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s100.00
(30-60 minute review+)
ln-person Meeting
,/
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.
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Property Description
9-DIGIT PARCEL NUMBER (from PropergTar Statement), 8Z10630 I \
PROPERTY ADDRESS:
PLilSE NOTE: lnformation and guidance provided through Cusfomer Assrstance is advisory only and is based on information provided
by the customer. Ihls s not intended to be an exhaustive review of all pofentr,a/ issues. Any discussion or information provided shall not
bind or prohibit the County's future implementation or enforcement of all applicable laws and regulations. No slafements or assurances
made by County representatives shall in any way relieve the applicant of his or her duty to submit an application consislent with all
relevant requirements of County, state and federal codes, laws, regulations, land use p/ans, 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.
Your Signature:
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NAME:Att0t<EW tiEEp DArE: I -l3"zoa
EMAIL ADDRESS:A M D lzEU KEcD L7 Lt 531 @ Gtw (L Sel
MAILING ADDRESS:Po (Pr t((z fouLsgo,vft lKV7o
TELEPHONE: (HOME)(cELL)Tp'626 ^3858
ffice Use
Only
Receipt #
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ChecVCC #
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Date Paid:
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