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CITY OF MONROE Community Development Department 806 West Main Street Monroe, WA 98272 Phone: (360) 794-7400 Fax: (360) 794-4007 Land Clearing / Forest Practices Permit Requirements LAND CLEARING PERMIT (applies to land clearing of more than a half an acre, over a six-year period, unless an associated land development permit has been issued) FOREST PRACTICES PERMIT (applies to any forest practice resulting in the cutting and/or removal of more than 5,000 board feet of timber or more than a half an acre, whichever is greater, over a six-year period) All Land Clearing or Forest Practices permit applications submitted must meet applicable sections of the Monroe Municipal Code (MMC), primarily chapters 20.04 SEPA, 20.05 Critical Areas, and 20.08 Land Clearing and Forest Practices of the Monroe Municipal Code (MMC). PARTIAL SUBMITTALS WILL NOT BE ACCEPTED. REQUIRED MATERIALS FOR A COMPLETE APPLICATION ARE: 1 original plus 9 copies of the Combined Permit Application signed by applicant(s) and owner(s) involved, including timber owner(s) if different from landowner. Provide tax reporting account number from Department of Revenue if harvesting timber. Call the Department of Revenue at (800) 548-8829 for tax reporting information or to receive a tax number. Fees per the current city of Monroe fees resolution. 1 original site map plus 9 copies, (survey may be required if sufficient information is not available). Items required on the site map: North arrow. Engineering scale (e.g., 1 inch = 10 feet, 1 inch = 20 feet, etc.). Legal description of subject property and parcel number. Existing boundary lines Setbacks and encumbrances, including existing structures within the affected lots. Dedication and easements - all easements must identify the location of the easement, who benefits, and who is responsible for maintenance activities. Critical areas & buffers, delineated critical areas, and other features, as applicable. Clearing limits with area(s) of land conversion and future development identified. Existing and proposed roads and other impervious surfaces on and adjacent to the property. Topography contour lines at 2-5 feet. 1 copy of current title report dated within 30 days of submittal. 1 vicinity map 8 1/2 x 11. 1 set of plans reduced to 8 1/2 x 11. 1 original signed plus 6 copies of a completed Environmental Checklist. Updated May 2009 Please verify accuracy of this information/form prior to submitting. 1

Land Clearing / Forest Practices Permit Requirements (continued) Critical areas report that complies with the Critical Areas Ordinance, if required. 1 original plus 9 copies of the completed JARPA permit (only if required to be submitted check with staff at pre-development meeting). A written narrative that identifies and describes the following (You may use Page 3 of the Land Use Permit Application Form): 1. Specific work to be accomplished that includes number of acres being cleared or timber being harvested and estimated volume of timber being harvested; 2. A time schedule for clearing activities; 3. Type of equipment to be used; and 4. Measures proposed to protect the site and adjacent properties from potential adverse impacts. Other required information specific to the application as outlined and required in the Monroe Municipal Code. Additional Information may be requested by the City of Monroe to evaluate your application. Applications will be accepted Monday through Friday 9:00 am 12:00 pm & 2:00 pm 4:00 pm Updated May 2009 Please verify accuracy of this information/form prior to submitting. 2

Land Clearing / Forest Practices Permit INFORMATION FOR THE APPLICANT A Land Clearing permit is required for land clearing activities of more than a half an acre, over a six-year period, unless an associated land development permit has been issued. A Forest Practices permit is required for any forest practice resulting in the cutting and/or removal of more than 5,000 board feet of timber or more than a half an acre, whichever is greater, over a six-year period. Request for removal of development moratoria. Any property owner subject to a moratorium, pursuant to Chapter 76.09 RCW, may request a release from the six-year moratorium by filing such request with the Community Development Department. Following such request, the Community Development Department shall set a date for an open record public hearing, per the noticing requirements of MMC 21.40.020, before the hearing examiner. The hearing examiner shall consider the removal of a development moratorium pursuant to MMC 20.08.100 when the following criteria are strictly met: 1. The proponent makes application for a land clearing/ forest practices permit; 2. The proponent proposes corrective actions to bring the violation into compliance with this chapter and mitigate any existing damage through the submittal of a reforestation plan or mitigation plan, prepared by a qualified professional consistent with Chapter 20.05 MMC; 3. The person requesting the release did not attempt to avoid the review or restrictions of a land clearing/ forest practices application. Criteria for removal of development moratoria. 1. The removal of the six-year development moratorium will not be detrimental to public health, safety, and general welfare. 2. The removal of the six-year development moratorium will not be injurious to the property or improvements adjacent to the proposal. 3. The removal of the six-year development moratorium will not result in significant adverse environmental impacts. 4. The removal of the six-year development moratorium is consistent and compatible with the goals, objectives, and policies of the Comprehensive Plan and the provisions of this chapter and other applicable municipal codes. Updated May 2009 Please verify accuracy of this information/form prior to submitting. 3

Land Clearing / Forest Practices Permit INFORMATION FOR THE APPLICANT (Continued) Single-family dwelling exception on lots subject to development moratoria. The Community Development Director may grant an exception to the mandatory six-year development moratorium with public notice, per the noticing requirements of MMC 21.40.010, to allow the construction of one single-family dwelling unit and associated accessory structures, when the following requirements are met. 1. The area that is permitted to be developed shall not exceed the minimum lot size for the underlying zoning district, in addition to the minimum area necessary to provide safe vehicular access; 2. The construction of the single-family dwelling, permitted accessory structures, landscaped area, and access road are in compliance with all applicable city regulations; 3. Corrective actions are proposed to mitigate damage caused by the non-permitted action, through the submittal of a reforestation or mitigation plan prepared by a qualified professional; 4. Upon approval of a single-family dwelling unit exception, the landowner will record the approved site plan with Snohomish County Auditor depicting the area of the parcel to be dedicated for the single-family dwelling, yard area, permitted accessory structures, and access road; and 5. The development moratorium shall remain in effect for all other non-forestry uses of the site. Updated May 2009 Please verify accuracy of this information/form prior to submitting. 4

FOR OFFICE USE ONLY Plan. File # Bldg. File # Eng. File #: MONROE FIRE DEPARTMENT COMMUNITY DEVELOPMENT / ENGINEERING 163 Village Court Monroe, WA 98272 806 West Main Street Monroe, WA 98272 Phone: (360) 794-7666 Fax: (360) 794-0959 Phone: (360) 794-7400 Fax: (360) 794-4007 CITY OF MONROE Combined Permit Application Permit Submittal Hours Monday through Friday: Building, Fire & Land Use permits: 9:00 am 12:00 pm & 2:00 pm 4:00 pm Engineering permits: 8:00 am 5:00 pm Building Building (new construction) Commercial T/I Demolition Garage/Carport Mechanical Plumbing Residential Remodel Sign Other Engineering Engineering Review Fencing Grading Retaining wall Rockery Right-of-Way Disturbance Special Flood Hazard Area Utility Service *Please note that all required Electrical Permits will be issued by the Dept. of Labor & Industries. Fire Fire Alarm Fire Sprinkler High Piled Storage Hood Suppression Spray Booth Tents & Canopies Other Land Use Accessory Dwelling Unit Boundary Line Adjustment /Lot Consolidation Conditional/Special Use Land Clearing/Forest Practices Planned Residential Development Shoreline Permit Short Plat Subdivision/Plat Variance Other THIS APPLICATION WILL NOT BE ACCEPTED WITHOUT COMPLETED SUBMITTAL REQUIREMENTS Site Address or Property Location: Size of site (acre/square feet): Assessor s Tax Parcel Number (14 digits): Applicant: Phone # ( ) *Signature: Printed Name: Mailing Address: Fax # ( ) City State Zip E-mail Property Owner: Phone # ( ) **Signature: Printed Name: Mailing Address: Fax # ( ) City State Zip E-mail ATTACH A SEPARATE SHEET FOR ADDITIONAL PROPERTY OWNERS/ADDITIONAL ADDRESSES *Applicant: By your signature above, you hereby certify that the information submitted is true and correct and that you are authorized by the property owner(s) to act on their behalf. **Property Owner(s): By your signature above, you hereby certify that you have authorized the above Applicant to make application on your behalf for this application. Updated May 2009 Please verify accuracy of this information/form prior to submitting. 1

Combined Permit Application - Page 2 Contractor: Phone # Contractor s License # Exp Date Mailing Address Contractor s Bond Company: Contractor s Bid Amount or Project Cost (labor and materials): $ Forest Tax Reporting Account Number (if harvesting timber call the Department of Revenue at (800) 548-8829 for tax reporting information or to receive a tax number): Detailed description of proposal/work: Lending Institution for project (if applicable): FOR OFFICE USE ONLY Planning Application Fee: $ Publication Fee: $ Fire Plan Check Fee: $ Mailing Fee: $ SEPA Fee: $ Technology Fee: $ TOTAL FEES: $ Updated May 2009 Please verify accuracy of this information/form prior to submitting. 2

City of Monroe Land Use Permit Application Page 3 Below, give a detailed description of the proposal/work. Provide details specific to your application e.g. current and proposed lot sizes, number of lots, description of driveway, description of proposed business including hours of operation, number of employees, existing and proposed parking spaces. Updated May 2009 Please verify accuracy of this information/form prior to submitting. 3