2020-01-PDS Page 5 of 6
PRE-DEVELOPMENT SERVICES REQUEST FORM
SUBMITTAL CHECKLIST
A PDF of each document is required at time of submittal. Please label files as numbered and listed below:
(For example: 02 Project Narrative)
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01. Signed Request Form
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02. Project Narrative
‒ Provide a brief overview of your project & summarize what you’d like assistance with from staff
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03. Historic Resources Affidavit
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04. Site Plan (Optional)
Please include the following:
‒ Proposed name of project, parcel number, and area of the site (acres or square feet)
‒ Location of existing public and private utilities, easements, and 100-year floodplain
‒ Environmentally sensitive areas, as defined by Chapter 21A.50 SMC
‒ Location of on-site wetlands, upland wooded areas, riparian areas, rock out-croppings, and
streams (if known)
‒ Configuration and dimensions of all existing and proposed lots and tracts, including proposed
park, open space, and or drainage tracts or easements
‒ Location and dimensions of existing and proposed buildings, structures
‒ Internal circulation system, name and location of existing and proposed roadways and roadway
easements (private and public)
‒ Location of existing and proposed on-site driveways and off-street parking Location of existing
off-site driveways across the street
‒ Location and width of existing and proposed on-site pedestrian and bicycle facilities
‒ Location and width of existing and proposed easement for access, drainage, etc.
‒ Location of existing and proposed trees and other landscaping to be planted at the site
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05. Other Documents (Optional)
‒ Reports, supplemental documents, plans/drawings, calculations, etc.
CERTIFICATIONS & SIGNATURES
I have read this application in its entirety and certify that all information submitted, including any
supplemental information, is true and complete to the best of my knowledge. I acknowledge that willful
misrepresentation of information will terminate this permit application. I understand that my submittal will be
reviewed for completeness and, if found to be complete, will be processed pursuant to Chapter 20.05 SMC.
Applicant/Representative Signature (if applicable):
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