Fillable City of Sumner Permit Application Shoreli ne Conditional (City of Sumner)

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City of Sumner Permit Application Shoreli ne Conditional (City of Sumner)

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  • 11 check-boxes
  • 31 other fields

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File type: PDF

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City of Sumner
Shoreli
ne Conditional Use or Variance
Permit Application
(Please fill out ALL fields unless otherwise noted)
Supporting Materials Required:
Of
fice Applicant - (please check off all applicable “applicant” boxes)
This Application Form and Checklist
Cover Letter 2 - Copies
Address the criteria listed in SMC 16.28 or 16.30 as applicable.
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?
APPLICATION CONTINUED ON PAGE 2
Site/Project Address (if available): Parce
l #:
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: __________________________
City of Sumner
Shoreline Conditional Use or Variance
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 - Copies (11” x 17”)
Mailing list of all property owners within 500 ft, 1000 if project is in M1 zone – electronically (Excel)
Landscape Plan 5 - Copies (11” X 17”)
Title Report 2 - Copies (8.5” x 11”)
Legal Description 2 - Copies (8.5” x 11”)
SEPA Checklist (Consult staff concerning fee) 5 - Copies (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
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City of Sumner Permit Application Shoreli ne Conditional (City of Sumner)

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Completed 16 July 2020

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