I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN
OR NOT.
**BY LEAVING THE CONTRACTOR INFORMATION SECTION BLANK, I HEREBY CERTIFY FURTHER THAT CONTRACTORS (GENERAL OR
SUBCONTRACTORS) WILL NOT BE HIRED TO PERFORM ANY WORK IN ASSOCIATION WITH THIS PERMIT. (building permits only)
_____________________________________________________ _______________________________________________ DATE: ______/_____/_____
SIGNATURE OF OWNER / AUTHORIZED AGENT PRINTED NAME
City of Sumner
Con
ditional Use Permit
Application
(Please fill out ALL fields unless otherwise noted)
Supporting Materials Required:
Office Applicant - (please check off all “applicant” boxes)
This Application Form and Checklist
Site Plan 4 - Copies (11” x 17”)
(No site plan required for interior tenant improvements) 1 - Full Sheet (24” x 36”)
Building envelope with building setbacks
Environmental constraints delineated
Streets in relationship to the proposed building
Location of easements (if any)
Stormwater/open space locations
Parking configuration
Accessible spaces
Location of fire hydrants
Fire access lanes
Floor Plans 4 - Copies (11” x 17”)
1 - Full Sheet (24” x 36”)
Identification of the use of all areas
Proposed use of the spaces and storage arrangements
Design Review Conditions added to plans (if applicable)
Cover letter addressing criteria of SMC18.48.050 1 - Copy
Mailing list of all property owners within 500 ft, 1000 if project is in the M1 zone 2 - Sets of labels
Permit fee (Please consult the Permit Specialist for the fee amount)
Site/Project Address (if available): Par
cel #:
Owner: Phone: Email:
Owner Address: City: State: Zip:
Surveyor/Engineer/Contractor: Phone: Contractor License Number:
Address: Email: City: State: Zip:
Contact Person: Phone: Fax:
Contact Address: Email: City: State: Zip:
Description of Project:
Community Development
1104 Maple Street, Suite 250
Sumner, WA 98390
Tel. (253)299-5530 Fax: (253)299-5539
www.ci.sumner.wa.us
File Number: __________________________
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