LAND USE APPLICATION

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1 CITY OF WOODINVILLE rd Avenue NE Woodinville, WA Monday Thursday 7:0am 5:00pm Friday 7:0am :00pm LAND USE APPLICATION PROJECT PROJECT OWNER INFORMATION Unit # PERMIT NO: PARCEL NO: APPLICANT PRIMARY CONTACT / AGENT ARCHITECT / ENGINEER PROJECT INFORMATION DESCRIPTION: PERMITS APPLIED FOR UNDER THIS APPLICATION Land use approval Design review SEPA (environmental) review Critical areas Determination Alteration Exception Reasonable use permit Tree removal Master signage plan Variance Wireless service facility Boundary line Binding site plan Subdivision Short plat Preliminary plat Final plat Modification Conditional use Special use permit Temporary use permit Mobile vending permit Administrative Interpretation Check if consolidated review is preferred Shoreline permit Substantial development permit Conditional use permit Exemption Variance Annexation Zoning code amendment Comprehensive plan amendment Development agreement Zoning map amendment Area-wide Site-specific Subdivision vacation I certify under penalty of perjury that I am the owner or authorized agent of the above property and the information furnished by me is true and correct to the best of my knowledge. I certify that all applicable federal, state, county, and City of Woodinville requirements for the work authorized by this permit shall be met. I grant permission for City staff to enter areas covered by this permit application for the sole purpose of inspecting work completed under this permit application and enforcing provisions related to the issuance or approval of the permit. Owner / Owner s Agent Date Revised February, 207

2 Building/Construction Plans (max. 2 x 6) Site/Civil Plans: Site and Parking Plans (max. 2 x 6) Reduced Site and Parking Plans (max. x 7) Reduced Landscaping Plan (max. x 7) Title Report (less than 0 days old) SEPA/Project Approval Design Review Critical Area Determination Critical Area Alteration/ Exception/ Reasonable Use 70 rd Avenue NE Woodinville, WA Preliminary plans (grading, drainage, etc.) are required for project approvals, shoreline permits, conditional use permits, variances, preliminary plats and short Revised December 7, 205 Page of 5

3 Building/Construction Plans (max. 2 x 6) Site/Civil Plans: Site and Parking Plans (max. 2 x 6) Reduced Site and Parking Plans (max. x 7) Reduced Landscaping Plan (max. x 7) Title Report (less than 0 days old) Conditional Use Permit Temporary Use Permit Shoreline Permits Shoreline Exemption 70 rd Avenue NE Woodinville, WA Preliminary plans (grading, drainage, etc.) are required for project approvals, shoreline permits, conditional use permits, variances, preliminary plats and short Page 2 of 5

4 Building/Construction Plans (max. 2 x 6) Site/Civil Plans: Site and Parking Plans (max. 2 x 6) Reduced Site and Parking Plans (max. x 7) Reduced Landscaping Plan (max. x 7) Title Report (less than 0 days old) Binding Site Plan Short Plat Preliminary Plat Final Plat/ Short Plat Boundary Line Adjustment 70 rd Avenue NE Woodinville, WA Preliminary plans (grading, drainage, etc.) are required for project approvals, shoreline permits, conditional use permits, variances, preliminary plats and short Page of 5

5 Building/Construction Plans (max. 2 x 6) Site/Civil Plans: Site and Parking Plans (max. 2 x 6) Reduced Site and Parking Plans (max. x 7) Reduced Landscaping Plan (max. x 7) Title Report (less than 0 days old) Variance Zoning Code Amendment Zoning Map Amendment Comprehensive Plan Amendment Special Use Permit 70 rd Avenue NE Woodinville, WA Preliminary plans (grading, drainage, etc.) are required for project approvals, shoreline permits, conditional use permits, variances, preliminary plats and short Page of 5

6 Building/Construction Plans (max. 2 x 6) Site/Civil Plans: Site and Parking Plans (max. 2 x 6) Reduced Site and Parking Plans (max. x 7) Reduced Landscaping Plan (max. x 7) Title Report (less than 0 days old) Wireless Service Facility Permit - New Wireless Service Facility Permit - Existing Master Signage Plan 70 rd Avenue NE Woodinville, WA Preliminary plans (grading, drainage, etc.) are required for project approvals, shoreline permits, conditional use permits, variances, preliminary plats and short Page 5 of 5