City of Sumner
Comprehensive Plan Amendment
Application
(Please fill out ALL fields unless otherwise noted)
S
upporting Materials Required:
Office Applicant - (please check off all “applicant” boxes)
TEXT ONLY AMENDMENT: Supplemental Application 5 - Copies
o Proposed amendments to text in a strikeout/underline format (strickout/underline)
Required fee $2,600 for Comprehensive Plan Amendment
C
omprehensive Plan Map Amendments: Supplemental Application 5 - Copies
Comprehensive Plan Map Amendment Map 5 - Copies (Min: 8”x11.5”; Max: 11” x 17”)
o Show Existing Map Designation and Proposed Map Designation
o Property lines
o Existing public and private roads
o Features such as wetlands, rivers, streams, slopes
Required fee $2,600 for Comprehensive Plan Amendment and $3,000 if Zoning Map amended
Other information as applicable
Site/Project Address (if available): P
arcel #:
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:
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.
_____________________________________________________ ___________________________________________ DATE: ______/_____/_____
SIGNATURE OF OWNER / AUTHORIZED AGENT PLEASE PRINT NAME
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: __________________________
Stewart road and 24th Street East
APNs: 0420014004; 420014007; 0420014058; 0420121000; 0420121001; 0420121002; 0420121020; 042012022; 0420121011; 9520000050; and 9520000080;
click to sign
signature
click to edit
![]()
