City of Sumner
Zoning Text Amendment
Application
(Please fill out ALL fields unless otherwise noted)
Supporting Materials Required:
Office Applicant - (please check off all “applicant” boxes)
ZONING CODE TEXT AMENDMENT: Supplemental Application 4 - Copies
Responses to the following:
o Description of the requested code amendment;
o An explanation of why the amendment is being proposed including specific areas needing change;
o Proposed amendatory language in a strikeout/underline format (stri
keout/underline)
o An explanation of how the proposed amendment implements the comprehensive plan.
Required fee: $1,000 unless during an Annual Comprehensive Plan Amendment Cycle then no fee.
Other information as applicable to evaluate the impact such as traffic analysis, etc. (Staff will request this if
needed.)
NOTES:
Site/Project Address (if available): Pa
rcel #:
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:
(253)299-5530
www.sumnerwa.gov
File Number: __________________________
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
click to sign
signature
click to edit
![]()
