HomeMy WebLinkAboutZON2022-00050 - permit applicationsDsun-0w)
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DEPARTMENT OF COMMUNITY DEVELO
(r2l Sheridan -\treet, Port Torvrrsend, WA 983(18
Tel: 3ti0.379.4450 | Fax: 36fi.3?9..1451
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SUPPLEMENTAL APPLICATI ON
SITE DEVELOPMENT REVIE$(/
pnRcEr_# 902244003 pnoLecr/appucANr NAME, Molly Klupfu ll
PURPOSE
The purpose of the site development review (SDR) process is to provide owners or developers of land a means to
obtain an assessment of site requirements for development of a parcel before applying for a development permit.
The SDR process implements Chapter 18.40 Jefferson County Code (JCC)and Chapter 18.12 JCC. SDR
includes identification of environmentally critical areas that may constrain development of the site. The legal
status of lot(s) is also part of this review process. The result of the SDR process is a 'buildability' analysis of the
site, determination whether the lot is eligible to receive development permit applications, and instructions for next
steps in the permitting process for development of the site.
PROCESS
1. Submit the standard Permit Application along with this Supplemental Application for site development review.
2. Department of Community Development (DCD) will determine whether the lot was laMully created.
3. DCD will identify any critical areas affecting the property and illustrate resultant development envelopes.4. Environmental Public Health (EPH) will review the site for septic disposal and water availability requirements.5. When necessary, Department of Public Works will review for access and drainage requirements.
SUBMITTAL REQUIREMENTS
ubmittal ltemsr
r'Permit Application
Supplemental Site Development Review Application1/
lar nera lrl aarac ia ci-a.
Water Availability Notification form completed by your water purveyor (only required if on public water)
Soil log registration to be submitted to EPH after development envelope determined by DCD through SDR process
lot was (or lots were) platted prior to Aug 11, 1969, submit at least one of the following:
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Recorded Plat or Associated Auditors File Number (AFN)
Approved Unrecorded Subdivision
Deed Prior to August 11, 1969 Title Report
Title Report
Deed History
Tax History
For guidonce, pleose visit the DCD webpage:
www. co.j eff e rso n. wo. u s/2 60/Com m u nity- Deve I o p m e nt
Critical Area Reports
Site Plan
1. Additional documentation may be required duing the site development review process, including but not limited to critical areas reporls, State
Environmental Policy Act (SEPA) checklist, orseplrc syslem documentation.2. As a part of initial submisslon of fhe SDR application, DCD may require additional documentation demonstrating that a
lot was lawfully created. Submit at least one of the listed documents verifying legal creation of the lot and be advised that
further documentation may be required.
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Page 1
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-tf have these submit with
PERMITTING DEVELOPMENT OF SUBSTANDARD LOTS
As a part of site development review, DCD may determine that a lot does not conform to size requirements as described by
zoning standards. Development of substandard lots must meet the exceptions of JCC 18.12.070(4) or go through the
residential development exception process of JCC 18.12.080. Be advised that additional permitting may be required
accordingly: lots requiring aggregation under JCC 18.12.050 or JCC 18.12.070 must go through lot consolidation permit
processes; lots requiring the residential exception process must complete a supplemental application for residential
development exception per JCC '18.12.080.
Provide the following supplemental information if the lot(s) is/are in an existing subdivision:
The applicant hereby certifies that the site development review and any associated applications are an
accurate representation of the property information and proposed development. The applicant hereby
acknowledges that any approval issued on this application may be revoked if any such statement is found
to be false, and that site development review shall not constitute vesting or authority to commence
development per limitations at JCC 18.40.490:
Signature M PrinrName: /4oct cu,Date: Or/ 6, ?oAL
I r /7l/
Name and Auditor's mber
Existing or Proposed Land Use (check one):o oResidentialCommerciallndustrial
Total Acreage of Properly: .72 Total # of Lots Proposed for Consolidation:
Water Supply (check one):lndividual or 2-Party Wells Public Water System
Platted on orafterAugust 11, 1969: Q Platted beforeAugust 11, 1969:O Platted before June 7, 1937:$
Do you own any adjacent lots?
t,/1/l ot-t-y K. t-u fFec-do hereby swear and certify that in
addition to the land subject to this application (circle the phrase below that applies):
I have no interest,n E I have an interest in
land adjacent to any portion of the subject lots by reason of ownership, contract for
purchase by agreement or option by any person, family member, firm, or corporation in any
manner connected with me or the development.
Determination
part of the SDR process.be requiredHealthWorks as
Receipt #:Date Cash/Check/CC:
Page 2
*Additional fees may apply.
OFFICE USE ONLY
Site Development Review Permit Fees
Site Development Review Base i.:i-i;.,),;r i,rii,'.iri1;.. i :.."! r,:'.r.; ,i;il*.lJ s306.00
an Fee DCD$a?$25,s0
Site Visit Fee - only if site visit is required ,ii?i:,i 1 :.:; i ,,:':;::
Subtotal
Technology Fee ill r.]ti{}:l * 5%
Total Fees*