City of Sumner
Shorel
ine Substantial Development
Permit Application
(Please fill out ALL fields unless otherwise noted)
Supporting Materials Required:
Office Applicant - (please check off all applicable “applicant” boxes)
This Application Form and Checklist
Site Plan (1:40 scale - No site plan required for interior tenant improvements) 1 - Copy 8.5” x 11”
Vicinity map
Project zoning
Property line dimensions
All public and private roads, driveway access and all easements (specify type on or adjacent to the site)
Existing and proposed fire hydrant locations and all water main sizes; if no hydrants on site, distance to the
nearest hydrants
All major man-made features; drainage ditches, railroad tracks, etc.
Proposed building locations; setbacks from property lines and distance between structures proposed and
existing
Building dimensions including height and number of stories
Paved and parking areas including parking locations, maneuvering areas, loading areas, handicapped stalls,
walkways, etc
Type of construction
Proposed uses
Proposed landscaped areas
Outside storage areas, including type of surface and product to be stored
Proposed trash dumpster location
Proposed on-site utilities including sanitary sewer, storm drainage, water services (both domestic fire irrigation)
Type of detention/retention system and treatment for stormwater
Environmental constraints identified and delineated
Is the project in a flood zone? What is the base flood elevation?
APPL
ICATION CONTINUED ON PAGE 2
Site/Project Address (if available): Parc
el #:
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:
File Number: __________________________
Community Development
1104 Maple Street, Suite 250
Sumner, WA 98390
Tel. (253)299-5530 Fax: (253)299-5539
www.ci.sumner.wa.us
Shoreline Substantial Development
Permit
Application
(Please fill out ALL fields unless otherwise noted)
PAGE 2
Supporting Materials Required:
Office Applicant - (please check off all applicable “Applicant” boxes)
Shoreline Diagrams 5 - Copy or 11” x 17”
Mailing list of all property owners within 500 ft, 1000 if project is in M1 zone – electronically (Excel)
Landscape Plan 5 - Copy or Reduction 11” X 17”
Title Report 2 - Copy or Reduction 8.5” x 11”
Legal Description 2 - Copy or Reduction 8.5” x 11”
SEPA Checklist (Consult staff concerning fee) 5 - Copy or Reduction 8.5” x 11”
Elevations (Design Review Required– please consult Planning staff) 5 - Copies- 11” x 17”
Permit fee (Please consult the Permit Specialist for the fee amount)
NOTES:
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
Community Development
1104 Maple Street, Suite 250
Sumner, WA 98390
Tel. (253)299-5530 Fax: (253)299-5539
www.ci.sumner.wa.us
click to sign
signature
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