Land Use Application Page 1 of 2 (Revised 9/14/2014)
City of DuPont
Planning Division
Land Use Application
Phone: (253) 912-5393
Fax: (253) 964-1455
1700 Civic Drive
DuPont, WA 98327
www.dupontwa.gov
City File Number: _____________________________
All information listed in this application, or by applicable ordinance, must be submitted in order for a land use
application to be determined complete. Only a complete land use application will be processed for conformance with
adopted policies and requirements.
General Information:
Project name: _________________________________________________________________________________
Applicant name: _______________________________________________________________________________
Address: _____________________________________________________________________________________
Phone number: ________________________________ Fax number:_____________________________________
Applicant’s representative:
Address:
Phone number:________________________________ Fax number:______________________________________
Description of proposal. Be specific.
______________________________________________________________________
_____________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Site Information:
Assessor’s Parcel Number(s): _________________________________________________
Area of site in square feet:
Area of streets and alleys:
Area of storm drainage improvements and conveyance lines:
Area of open space and neighborhood green tracts:
Area of critical areas and buffers:
Area of building floors:
Area of impervious surfaces:
Area of landscaping:
Building height:
Number of dwelling units:
Number of employees:
Number of disabled, compact and standard parking stalls:
Description and area of all proposed tracts:
Land Use Application Page 2 of 2 (Revised 9/14/2014)
Required Plans, Information and Fee:
(Quantity and minimum scale of each item or drawing is indicated in parenthesis. Plans shall be no larger than 24 by
36 inch sheet size)
1. Vicinity Map (include as part of site plan).
2. Site Plan drawn at 1 inch = 20 feet extending 100 feet beyond the property lines (eight copies).
3. Landscape Plans identifying: location, size and species of all landmark, historic and specimen trees; trees
to be retained, specific tree protection measures drawn at 1 inch = 20 feet (seven copies).
4. Grading Plan with estimated dimensions and quantities of work involved drawn at 1 inch = 20 feet
horizontal with 2’ contour intervals (seven copies).
5. Storm Drainage and Utility Plan drawn at 1 inch = 20 feet (seven copies).
6. Preliminary Stormwater Management Report and calculations (three copies).
7. Roadway cross sections, (seven copies of single line drawing with dimensions).
8. One each 8 by 11 inch reduction of all drawings.
9. Average daily trips generated by the proposal based on the International Transportation Engineers Trip
Generation Manual (two copies).
10. Building Elevations drawn at ¼ inch = 1 foot or larger. Identify building materials and colors (eight copies).
11. Title report of subject lot that is less than 30 days old to identify all encumbrances (two copies).
12. Draft of proposed covenants, conditions and restrictions related to the maintenance of open space or
commonly owned improvements, if applicable (two copies).
13. Letter of Sewer Availability from Pierce County (two copies).
14. Letter of Water Availability from City of DuPont (two copies).
15. One site drawing showing the refuse enclosure(s) that is approved via signature and date by LeMay, Inc.
Contact person is Charlie Maxwell, Public Relations Director, 253-537-8687.
16. Completed Environmental Checklist (two copies).
17. Completed Land Use Application (one copy).
18. Completed Agent Affidavit (one copy).
19. Filing fee(s).
Note:
Fill out and return this application with all material listed in the Required Plans, Information and Fee section.
Submittal of all required plans, information and fees constitutes a complete application. You will be contacted by the
City within 28 days of formal application submittal regarding whether the application is complete. Site work may not
start until all necessary permits have been obtained. Paper or electronic drawings of the proposal may be requested
for presentation purposes.
(Applicant Signature) (Date) (Print name)
click to sign
signature
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