HomeMy WebLinkAboutMLA Writable Consistency Review Form NA Plot plan states "property line"
Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
Legal Access to Property YES NO
Parcel Tags or Scanned Documents YES NO
ESA's: Special Reports Nearby YES NO
Designated Ag YES
Site Address:
Master# MLA Case#
UDC CONSISTENCY REVIEW Project Planner:
Applicant Info:
Parcel Number: S-T-R:
Legal Description
Total Acreage
Land Use:
Fire District:Planning Area:Flood District:
Flood Map (FIRM) Panel No: School District: Zoning:
Shoreline Designation: YES NO
Shoreline Slope Stability: YES
Stream Type:YES
FWHCA: YES
Wetlands: YES
Seismic: YES
Landslide: YES
Flood: YES
Erosion: YES
Aquifer Recharge Area:YES
SIPZ: none At Risk High Risk
CMZ: none High Risk Moderate Risk
Coastal
Stormwater site plan submitted:Yes No
Forest Lands:YES NO
Adjoining Forest Lands: Commercial/Rural/ Inholding
Mineral Lands:YES
Agricultural Lands:YES
Archaeology:
No Shooting Zone:YES
NO
NO
NO
NO
COMP PLAN:
DESIGNATION:
COMMUNITY PLAN:___________UGA:____________UGA Trans___________
Project Description:
NO
NO
NO
NO
NO
YES
NO
NO
NO
NO
Disconnected CMZ
NO
SCC
21-00090 ZON2021-00055
Road Setback Variance
KEITH A DYSON
CHERYL L DYSON
10610 253RD STREET CT E
GRAHAM, WA 98338-6784
181 HILTON AVE
PORT TOWNSEND 98368
962111007 IRONDALE #4 BLK 110 LOTS 22 TO 25 0.28
Section 34 - Township 30N - Range 1W
1 4
53031C0145C 49 RR1:5
RR1:5
4
4
4
4
4
4
4
4
4
4
4
4
Geotech report 962111201
4
4
4
4
4
4
4
4
4
4
4
unstable
4
4
4
4
4
4
4
4
4
chimacum creek
Notice Provisions/Disclosure: Airport YES
Stormwater:New Impervious Surface Land Disturbing Activity
Stormwater Req's:Min Req #2 Min Req #1 thru #5 Min Req #1 thru #10 Engineering
Forest Lands YES NOMRL YES NONO
Landscaping Required: Yes No
Parking Spaces Required NO 2 Other
Building Height: 35' UBC Standard __________________________________________________
Impervious Surface coverage percentage:
Resource Lands & Public: 10%Rural Residential: 25%Rural Industrial: Per UDC Sec 6.7
Rural Commercial: 60%Area of Building Coverage: 60% in Rural Industrial Lands only
Total Building (s) Size:
RVC: 20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,000 SF All others: subject to septic & water constraints/None specified
SEPA Required:YES
NOT REQ'D
Setbacks: Front: Left Side:Right Side: Rear:
Shoreline Setback:
LSHA Setback:
Road Classification:
Road Approach: EXISTING RAP
EXEMPT
Flood Certificate:
Existing Case(s) & Condition(s):
Violations: Yes No
Recorded Date of Subdivision: AFN Over 5yrs=UDC
Plat Conditions:<5yrs=Plat Conditions on plat or Old Ordinance
NOLots/Require Declaration of Restrictive Covenant YES UG NO submitted: YES
NO submitted: No Protest Agreement YES
Site Visit Required YES NO
Require Final Zoning Approval YES NO
ADMIN: Setbacks entered in Permit Plan case
New Parcel Tags entered in Permit Plan
N/A
N/A
YES
YES
Special Reports Scanned N/A YES
Notes:
4
4 NA NA
4 4 4 4
4 4
4 4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
NA
NA
20 5 20 5
NA
NA
Local - County roads
4
NA
1890
4
for building
for building44
4
4
4
4
4
4
no survey
no permit app
MLA
DEVELOPMENT REVIEW TIME SHEET
Date Time Comments
21-00090