_____________________________________________________________________________________
_____________________________________________________________________________________
9. Has any portion of the TDR sending site been cleared or graded pursuant to a Class II, III, or IV special
forest practices permit as defined by state law within the last six years prior to submittal of this application?
[ ] Yes [ ] No
If yes, attach an affidavit of compliance with the reforestation requirements of RCW 76.09.070, WAC 222-
34-010, and any additional reforestation conditions of the forest practice permit.
10. Are there any liens or mortgages on the property? [ ] Yes [ ] No If yes, please list all lien/mortgage
holders.
_____________________________________________________________________________________
_____________________________________________________________________________________
ESTIMATED TDR DEVELOPMENT RIGHTS
The number of estimated TDR development rights on the proposed sending site is calculated as follows:
a) The number of legal, existing, unimproved lots larger than 5,000 square feet on the proposed sending
site and not counted under “b” below = ______.
b) Plus the number of potential lots on the sending site, and not counted in “a” above, based on the area
in acres divided by the following county comprehensive plan future land use designation(s) for the site,
minus any area already subject to a conservation easement or similar encumbrance = ______.
i. Commercial Forest, Local Forest, Commercial Forest-Forest Transition Area (divide by 80 acres)
ii. Low Density Rural Residential (divide by 20 acres)
iii. Local Commercial Farmland, Upland Commercial Farmland, Riverway Commercial Farmland
(divide by 10 acres)
iv. Rural Residential-5, Rural Residential, Rural Residential RD (divide by 4.6 acres)
c) Minus _____ existing dwelling units on all lots on the sending site (under the TDR regulations,
accessory apartments, farm worker dwellings and temporary dwellings are not considered dwelling
units).
d) “a” + “b” – “c” = ________ estimated number of TDR development rights on the proposed sending site.
Note: Verification and final determination of the number of certified development rights that a TDR sending site
is eligible to transfer is the administrative authority of the PDS Director.
EXECUTION OF THE APPLICATION
It is declared that the information in this application and supporting documents is true and complete to the best
of my/our knowledge and is submitted for the purpose of certifying TDR development rights on the proposed
sending site.
It is declared that the proposed sending site for which TDR certificates of development rights are sought is not
adjacent to any lot that has substandard area under current zoning that is held in common ownership with the
proposed sending site.
It is declared that all liens and mortgages, if any, that are recorded against the proposed TDR sending site are
identified in this application.
Dated at _________________________________, on the ________ day of _____________________, 20___.
(City) (State)
________________________________________________________________________________________
Name and Signature of Landowner
________________________________________________________________________________________
Name and Signature of Landowner
________________________________________________________________________________________
Name and Signature of Landowner
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