Fillable Form 7982 Boundary Line Adjustment Application (City of Bainbridge Island)

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Form 7982 Boundary Line Adjustment Application (City of Bainbridge Island)

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The Form 7982 Boundary Line Adjustment Application (City of Bainbridge Island) form is 3 pages long and contains:

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  • 77 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Bainbridge Island

BROWSE CITY OF BAINBRIDGE ISLAND (WA) FORMS

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Rev. 06/26/20
T
ype of Application: (Select all that apply)
Project Description:
Project Name:
Parcel Number(s):
Property Address:
CITY OF BAINBRIDGE ISLAND
MASTER LAND USE APPLICATION
P100
FOR OFFICIAL USE ONLY
PROJECT #_________________
PLANNER ___________________
Revision:
Type of Revision:
Other:
Tree Removal & Vegetation Management
Zoning Verification Letter
Tree Removal & Vegetation Management
Select
If additional parcels or contacts are required, please attach additional sheets
Address
Property Owner
Project Contacts (owner, surveyor, engineer, etc)
Property Owner:
Address:
City:
State:
Zip:
Email:
Phone:
Name:
Agency:
Address:
Function:
City:
State:
Zip:
Email:
Phone:
Name:
Agency:
Address:
Function:
City:
State:
Zip:
Email:
Phone:
Name:
Agency:
Address:
Function:
City:
State:
Zip:
Email:
Phone:
Authorized Agent (Please attach notarized Owner/Applicant Agreement Form)
Name:
Agency:
Address:
City:
State:
Zip:
Email:
Phone:
Applications must be submitted by appointment only by either the owner or the owner’s designated
agent. Should an agent submit an
application, a notarized Owner/Applicant Agreement must
accompany the application.
Supporting information and/or documents may be required to review your application. If you have
questions about specific requirements for your project, please consult with planning staff prior to
submitting your application. Submittal requirements for each application are described in the
Administrative Manual for Planning Permits.
I affirm, under penalty of perjury, that all answers, statements, and information submitted with this
application are correct and accurate to the best of my knowledge. I also affirm that I am the owner or
designated agent of the subject site. Further, I grant permission to any and all employees and
representatives of the City of Bainbridge Island and other governmental agencies to enter upon and
inspect said property as reasonably necessary to process this application.
Print Name (Owner) Signature (Owner) Date
Print Name (Owner) Signature (Owner) Date
Print Name (Owner) Signature (Owner) Date
Print Name (Owner) Signature (Owner) Date
Print Name (Agent) Signature (Agent) Date
** INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED OR WILL DELAY PROCESSING. **
_____________________________________________________________________________
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Form 7982 Boundary Line Adjustment Application (City of Bainbridge Island)

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Completed 16 July 2020

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