HomeMy WebLinkAbout02-Supplemental ApplicationDE PARTMENT OF COMMUNITY DEYELOPMENT
621 Sheridan Street, PortTownsend,\W/A 98368
Tel: 360.379.4450 | Fax: 360.379.4451
Web: www.c<.r.ie fferson.wa.us /communirvdevelooment
E-mail: planning(Dco.iefferson.wa.us
SUPPLEMENTAL APPLICATION
SITE DEVELOPMENT REVIENT
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
7. 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 lawfully 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. \Men necessary, Department of Public Works will review for access and drainage requirements.
SUBMITTAL REQUIREMENTS
1. Additional documentation may be required duing the site development review prrcess, including but not limited to citical areas reporfg Sfafe
Environmental Policy Act (SEPA) checklist, orseptic sysfem documentation.2. As a paft of initialsubmrsslon of fhe SDR application, DCD may require additional documentation demonstrating that a
lot was lawfully created. Submit at least one of the listed documents verifing legal creation of the lot and be advised that
further documentation may be required.
pancer# Ool -Obl-OO *pno.;ecr/npplrcnNr5
Permit Application
Supplemental Site Development Review Application
Lots under two acres rn stze:
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
lf your lot was (or lots were) platted prior to Aug 11, 1969, submit at least one of the following:
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, please visit the DCD webpage:
ww w. co. j effe rs o n. wo. u s /2 60/ Co m m u n ity - D ev e I o p m e nt
-rf have these submit withsubmittal
Critical Area Reports
Site Plan
Page 1
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Required Submittal ltemsl
t
DCD RECEIVED 12/02/2022
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:
Subdivision Name and Auditor's File Number(if applicable):
Existing or Proposed Land Use (check one):Resioentiat S.Commercial C lndustrial Q
Total Acreage of Property: 8 . b L Total#of Lots Proposed for Consolidation. il I -F
Water Supply (check one)lndividual or 2-Party werrs $.PublicWater System Q
on or after 11, 1969: Q Platted beforeAugus!1lQqq Platted before June 7, 193Z:Q
irlrtt Y \>;He-c
Do you own any adjacent lots?
C---t do hereby swear and certify that in
the phrase below that applies):addition to land subject to this application (circle
I have no interest in S I have an interest,n O
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.
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 Print Name:Date: W) Zblzz
xAdditional fees may apply.
OFFICE USE ONLY
Site Development Review Permit Fees
Site Development Review Base (3-houLconsistency review) DCD018 s306.00
Legal Lot of Record Oeterminatioffrozlorrly rate applies, if required) DCD018 lCIL-
Scan Fee ncDo2":s2s.s0
Site Visit Fee - only if site visit is required {S?CI4) DCn*18
Subtotal
Technology Fee *cr:oo: {5/
Total Fees*
Environmental Health and Public Works fees may be required as part of the SDR process.
Receipt #:Date:CashlCheck/CC
DCD RECEIVED 12/02/2022