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Public Agency and Utility Exception (City of Sammamish)

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LAND USE APPLICATION CHAPTER 21A.50 SMC
Public Agency and Utility Exception
Page 1 of 3 Updated
10/17/2018
Department of Community Development
801 228th Avenue SE
Sammamish, WA 98075-9509
Phone: 425-295-0500
Fax: 425-295-0600
City Hall Hours: 8:30am-5:00pm
Permit Center: 8:30am-4:00pm
Web: www.sammamish.us
www.mybuildingpermit.com
Public Agency and Utility Exception
A public agency and utility exception is required when the requirements of Chapter 21A.50
Sammamish Municipal Code (SMC) would prohibit an activity or a development proposal by a public
agency or utility. This Type 2 land use decision is subject to the review and approval of the Director of
Community Development, and is granted upon compliance with the criteria outlined in SMC
21A.50.070(1). The decision of the Director of Community Development is appealable to the Hearing
Examiner.
The public agency or utility shall apply to the department and shall make available to the department
other related project documents such as permit applications to other agencies, special studies and
SEPA documents.
Please provide a Criterion Compliance Document that includes specific written descriptions of how the
activity meets the following SMC criteria:
1. There is no other reasonable alternative to the activity or proposed development with less
impact on the critical area; and
2. The activity or development proposal is designed to avoid, minimize, and mitigate the impact on
environmentally critical areas consistent with the avoidance and mitigation sequencing
requirements in this chapter; and
3. If applicable, the proposed development or activity is of a linear nature and is on an existing
corridor or connects to public lands, trails, utility corridors, rights-of-way or other public
infrastructure, or is required for functional reasons such as gravity flow.
The department shall process exceptions, provide public notice, provide opportunity for the public to
request a public hearing, and provide an appeal process consistent with the provisions of Chapter
20.05 SMC.
Public Agency and Utility Exception
Page 2 of 3 Updated
10/17/2018
Applicant Information
Property Information
Required Documents
Submittal Instructions
• If applying in person, applicants must schedule an intake appointment.
• If applying in person, one paper copy of each document is required, including a signed version
of this cover sheet, unless otherwise stated.
• A PDF version of all documents is required at time of submittal, either on a USB drive or CD. File
names must contain the document type as listed on this form, the name of the applicant, and
the submittal date. For example:
Project_Narrative_Smith_01-18-2018
.
Submittal Documents
Acceptance of Financial Responsibility / Affidavit of Applicant Status
Alternatives Analysis
Boundary, Topographic, and Land Features Survey
Criterion Compliance Document (see page 1 for requirements)
Critical Area Affidavit
Critical Area Study
Draft Easements
Eastside Fire & Rescue Review Sheet
Geotechnical Report
Historic Resources Affidavit
King County Health Department Septic Approval (if required)
Legal Description
Mailing List (Template) and Map
a. Mailing list and map to include all property owners within 1,000 feet of the subject site
(2,000 feet for properties within EHNSWB overlay).
Mitigation Sequencing Analysis
Plan Set (3 copies)
Pre-Application Conference Notes
Technical Information Report (3 copies)
Project Narrative
Public Works Standards Deviation (if proposed)
Signed Application Form
Title Report (<30 days old)
Traffic Concurrency Certificate
Water & Sewer Certificates or Septic System Approval
Name:
E-mail:
Address:
Owner Name (if different):
Company (if applicable):
Phone:
Property Address:
Current Zoning:
Critical Areas on or near property:
Parcel Number(s):
Development Name:
Public Agency and Utility Exception
Page 3 of 3 Updated
10/17/2018
Fees
Type 2 Land Use Application Counter Service Intake Fee
$256
Preliminary Review Deposit
$1,920
Legal Notice Posting
$295
Legal Notice Publication/Mailing
$273
Critical Areas Review
$640
SEPA Determination (if applicable)
$640
The listed fees are initial deposit amounts based on hourly rate. If the initial deposits have been exhausted before the
project is completed an additional deposit will be required in the amount estimate by the Community Development
Department round to the nearest 10-hour increment.
Signatures
I certify that all of the information submitted in this application including any supplemental information
is true and complete to the best of my knowledge and I acknowledge that willful misrepresentation of
information will terminate this permit application. I have read this application in its entirety and
understand that my submittal will be reviewed for completeness and, if found to be complete, will be
processed in accordance with Chapter 20.05 SMC.
Date:
Date:
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Public Agency and Utility Exception (City of Sammamish)

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Completed 24 January 2021

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