HomeMy WebLinkAboutHold Harmless recorded648682 FAGS : 2 HOLD
10/14/2021 12:54 PM $204 50 JEFF CO DEPT OF COMMUNITY DEVELOPMEP
Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor
Bill WIPA110111iWMA��h 11111
AFTER RECORDING, RETURN TO:
Department of Community Development
621 Sheridan Avenue
Port Townsend, WA 98368
HOLD HARMLESS AGREEMENT
Grantee: Michael Goldberg & Carolyn Newell
2997 W Long CT APT B
Littleton, CO 80120-8160
Grantor: Jefferson County Department of Community Development, a political subdivision and
governmental entity within Washington State.
Property: Assessor's property tax parcel no.: 938400534
Legal description: CAPE GEORGE COLONY DIV 3 BLK 5 LOT 35
Address: 228 San Juan Drive, Port Townsend, WA 98368
Please read this form carefully and be aware that, in applying for and receiving a permit for
development, you are knowingly and willfully seeking a waiver from the requirement of a professional
geotechnical report describing your Property, proposed development, and potential risk of earth
movement. Your Property contains a mapped Geologically Hazardous Area, a Critical Area as defined by
Chapter 18.22 of the Jefferson County Code. Mapped Geologically Hazardous Areas may contain site
features, such as soil, hydrology, or topography features that increase the risk of earth movement, which
may present a risk to life and property. In accordance with permitting the construction of the items
described and listed below within an Environmentally Sensitive Area, Applicant(s) acknowledge and
agree as follows:
Applicant(s) desire to construct a new septic system and a single-family residence. The Property
is located within a Geologically Hazardous Area within an unstable shoreline slope.
Applicant(s) agree that they are fully aware of the risks inherent in development in a
Geologically Hazardous Area and an unstable shoreline slope.
Applicant(s), as their own free and voluntary act, accept, and assume all risks of loss or damage
arising out of the conditions described herein and further agree to relieve Jefferson County, its
agencies, divisions, officers, agents, and employees of any liability, damages, claims, or other
expenses arising as a result of or allegedly as the result of the approval of the development and
the approval of the Applicant(s)' proposed development.
Applicant(s) agrees to and shall hold harmless and indemnify the Jefferson County, its agencies,
divisions, officers, agents, and employees from and against any and all liability, loss, claims,
suits, damages, costs, expenses (including attorney's fees) that may arise at any time, occur or
be generated as a result of any reduction in the fair market value of the Applicant(s)' Property
and/or any damage to personal property or personal injury by reason of the conditions existing
now or any time hereafter on or around the Applicant(s)' Property or due to any design,
development, or construction pursuant to the building permit, stormwater management system
approval, septic permit, or any other development permits issues thereunder by the Jefferson
County, its agencies, divisions, employees, agents, officers, or representatives pursuant to any
then applicable state statute, administrative code, regulation, or Jefferson County ordinance.
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4. If any term of this Waiver is to any extent invalid, illegal, or incapable of being enforced, such
term shall be excluded to the extent of such invalidity, illegality, or unenforceability; all other
terms shall remain in full force and effect.
5. All associated permits must be obtained or development must be substantially started within
one-year from the effective date of this Waiver. If this condition is not met, the Waiver shall be
void.
6. Development and associated permits must substantially comply with the Exhibit "A" Site or
Development Plan.
7. The approved site plan is in the Department of Community Development case file: SEP2020-
00082.
8. This Waiver is not a permit of any type.
A plic nt(s}•
l 0 S rh f
Owner Date
Owner Date
Dated this day of 1dCJl , 2Q`
STATE OF W )
'((�4 'k ss
COUNTY OF )
On this day personally appeared before me, �(i to me
known to be the individual described in and who executed the within an foregoing instrument, and
acknowledged that he signed the same as his free and voluntary act and deed, for the uses and purposes
therein mentioned.
Given under my hand and o
MELISSA DIEHL
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20194042950
MY COMMjSS iV MIRES N01EM111
J seal this da I 20g
NOTARY PUBLIC in and or the State f Wasor
2023 residing at
My commission expires: I 111-2-1
Approve
C istrator Date
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