FORM: PRDPRE – 1 5/11/10 Page 1 of 2
DEPARTMENT OF COMMUNITY DEVELOPMENT
420 College Street SE Lacey, WA 98503 (360) 491-5642
PRELIMINARY PLANNED RESIDENTIAL DEVELOPMENT SUPPLEMENTAL
(This form to be accompanied by the General Land Use Application form and all other applicable land use forms i.e. preliminary subdivision, or
preliminary short subdivision)
Applicant or Authorized Representative:
Telephone Number:
I certify that the information furnished by me is true and correct, and that the applicable requirements of the City will be
met.
Signed: Date:
Proposed Lot Count:
Proposed Average Lot Size:
Proposed Open Space Area:
Proposed Open Space Elements:
Proposed Setbacks:
Front:
Rear:
Side:
Proposed Commercial Uses:
An Application for PRD Shall Include the Following:
25 copies of the Preliminary PRD supplemental application;
25 copies of the General Land Use application;
Additional supplemental applications as required i.e. Preliminary Subdivision or Preliminary Short Subdivision
supplemental forms, quantities as required by the specific form;
25 copies of a vicinity sketch showing the location of the site and its relationship to surrounding areas, including
existing streets, driveways, major physiographic features such as railroads, lakes, streams, shorelines, schools, parks, and
other prominent features;
25 copies of a map or maps of the site at a scale not smaller then one hundred feet to the inch, showing all the
information required for a preliminary plat plus the following:
1. Site boundaries,
2. Streets bounding or abutting the site,
3. Proposed building including dimensions, setbacks, identification of types and the number of dwelling units in
each residential type,
4. Location and dimension of open spaces,
5. Existing and proposed contours including natural features,
6. Parking facilities, their design, size and capacity,
7. Circulation plan – vehicular and pedestrian, and points of ingress and egress from the site, and their relationship
OFFICIAL USE ONLY
Date:
Case #:
Received By:
Planner:
Related Cases:
