HomeMy WebLinkAboutPC-Master_Land_UseCITY OF
DBURN
WASHINGTON
Planning, Building, and Community Department
MASTER LAND USE APPLICATION - PLANNING APPLICATIONS
Project Name
Parcel No(s)
Date
Site Address
Legal Description (attached separate sheet if necessary)
Applicant
Name:
Mailing Address:
Telephone and Fax:
Email:
Signature:
Owner (if more than one attach another sheet)
Name:
Mailing Address:
Telephone and Fax:
Email:
Signature:
Engineer/Architecture/Other
Name:
Mailing Address:
Telephone and Fax:
Email:
Description of Proposed Action:
T e of Application Required (Check all that Apply)
Administrative Appeal* Rezone (site specific)* Area Wide
Administrative Use Permit* Short Plat
Annexation* Special Exception*
Boundary Line Adjustment Special Home Occupation Permit*
Comprehensive Plan Amendment (Text or Map)*
Conditional Use Permit*
Critical Areas Variance*
Development Agreement*
Environmental Review (SEPA)* Substantial Shoreline Development*
Surface Mining Permit*
Temporaiv Use Permit
Variance*
*Please note that public notification is
Final Plat required. A separate cost is charged
Preliminaiv Plat* for the signs. City prepares signs but
PUD Site Plan Approval
Reasonable Use Exception* applicant responsible for sign posting.
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CITY OF
DBURN
WASHINGTON
Planning, Building, and Community Department
LETTER FROM PROPERTY OWNER GRANTING AUTHORIZATION TO ACT
(A copy of this letter must be submitted for each property owner involved)
I being duly sworn declare that I am the owner of the property
(PROPERTY OWNER)
Involved in the application. I hereby grant
of
to act on my behalf. I further declare that all
statements, answers, and information herein submitted is in all respects true and correct to the
best of my knowledge and belief.
Signature
Address
Subscribed and sworn to before me this
Notary Public in and for the State of Washington.
Residing at
Date
day of
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