PLANNING & DEVELOPMENT SERVICES 1800 Continental Place Mount Vernon, WA Inspections Office Fax 360.

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PLANNING & DEVELOPMENT SERVICES 1800 Continental Place Mount Vernon, WA 98273 Inspections 360.416.1330 Office 360.416-1320 Fax 360.416-1340 Date Received: Administrative Setback Reduction Checklist Pursuant to Skagit County Code Chapter 14.16.810(4) In certain circumstances, it is beneficial to reduce front, rear or side setbacks from the applicable zone requirement to allow reasonable development of a parcel. The Administrator can approve setback reductions for topography, critical area, lot size, or lot configuration reasons. This decision is based on justification provided in this form. Associated Permit Applications in Progress: Please indicate any submitted permit applications that are in review whose approval is dependent on this administrative setback reduction. Examples include building permit applications, septic permits, well applications, shoreline permits, etc. Approved prior to Administrative Setback Reduction: Lot of Record Certification (See enclosed information) Approved Lot Certification, previously recorded; OR, Approved Lot Certification or RUE. PDS will submit it for recording.. Critical Areas Review Completed staff report or Recorded Protected Critical Area site plan. Accepted by Permit Number Zoning / Setbacks Flood Plain/Floodway Shoreline Notes: Submitted with Administrative Setback Reduction: Fees: $ Publication $ Public Works $ Fact Sheet Please Complete and sign the attached Fact Sheet. Assessor s Map This can be printed from the website. Please identify the subject parcel. Ownership Certificate A notarized ownership certificate is required. Site Plan No larger than 11 x 17 See attached page for site plan requirements. Depict the location of any natural features, infrastructure or existing buildings on the property that help to demonstrate why the proposed structure or addition cannot meet the full setback requirement. Pre-addressed/Stamped Envelopes Include list of property owners and physical addresses. Applicant shall provide one set of pre-addressed stamped envelopes for owners of record and physical addresses within 300 feet of all subject property boundaries. Attach a Detailed Project Description Narrative Statement Describe in detail the proposed modification of setback including a numeric description of the required setback, the number in feet and inches the setback is proposed to be reduced and from what property lines. Describe the reasons that the setback modification is needed considering topography, critical areas, lot size and the proposed site plan. Address the Variance Criteria SCC 14.10.030(2) Attached Page 7 Rev. 8-28-15 Page 1 of 8

Planning & Development Services Fact Sheet Community Development Division PL# - Date Received Administrative Decision Agricultural Variance Binding Site Plan Boundary Line Adjustment Final Plat Long CaRD Lot Certification Modification Open Space Pre-application Review Preliminary Plat Shoreline Exemption Shoreline Substantial Use Permit Short CaRD Short Plat Special Use Permit Level I Special Use Permit Level II Variance Level I Variance Level II Other Brief project description: Applicant Name: Other Related Permits or Approvals: Parcel ID#: Parcel ID#: Assessor Tax #: - - - Assessor Tax #: - - - Section Township Range Comprehensive Plan/Zoning Designation: Site Address: Lot of Record: Yes No Urban Growth Area: Yes No If yes, City: Comp Plan/Zoning within 200 feet: Mineral Resource Overlay within ¼ mile: Yes No Pre-application meeting required? Yes No Critical Area/Water within 200 feet: Yes No Meeting verification form enclosed? Yes No Acreage / Lot Dimensions: Flood Zone: FIRM Map Panel #: Map Date: Road access: Private County Permit #: State Permit #: Water Source: Drilled well - Permit #: Community Well Public PUD #1 Anacortes Sewage Disposal: Septic Permit #: Public Sewer: Legal Description: (Attach additional sheet if necessary Rev. 8-28-15 Page 2 of 8

Planning & Development Services Community Development Division Applicant Name Address Phone Fax e-mail address Signature Owner Name Address Phone Fax e-mail address Contact Name Address Phone Fax e-mail address Rev. 1-13-15 Page 3 of 8

OWNERSHIP CERTIFICATION I,, hereby certify that I am the major property owner or officer of the corporation owning property described in the attached application, and I have familiarized myself with the rules and regulations of Skagit County with respect to filing this application for a and that the statements, answers and information submitted presents the argument on behalf of this application and are in all respects true and correct to the best of my knowledge and belief. Street Address: City, State, Zip: Phone: ( ) Signature(s): for: (corporation or company name, if applicable) STATE OF WASHINGTON ) ) ss. COUNTY OF SKAGIT ) On this day personally appeared before me, known to be the individual(s) described in and who executed the within and foregoing instrument, and acknowledged that they signed the same as their free and voluntary act and deed, for the uses and purpose therein mentioned. Given under my hand and official seal this day of,. Notary s Signature Notary Public in and for the State of Washington residing at. My Commission Expires Rev. 1-13-15 Page 4 of 8

Site Plan Requirement Checklist Site plan must be prepared on 8 ½ x 11 or 11 x 17 paper. *The first 7 requirements of the Drainage Plan may be met by utilizing a third copy of this site plan. 1. Title Block Indicate applicant's name, site address, Assessor's Tax Account # and Property ID # (P#) for the subject property. 2. Scale Indicate map scale. Use any appropriate scale and note it on your site plan. Example - Scale: 1 = 40 3. North Arrow Show an arrow indicating the NORTH direction. 4. Property Boundaries/Easements Show property lines and all easements (utility, drainage, dike, access, railroad, etc.). Indicate site dimensions and names of adjacent roads. 5. Driveway Show entire length and width of driveway in feet. Indicate grade of driveway in percent (%) of slope. Turnouts are required every 300 feet. To create a turnout the road shall be widened to 20 feet in width for a distance of 30 feet in length to allow for vehicles to pull over and allow emergency vehicles to proceed. 6. Building Footprint Show location, dimensions and setbacks of all existing and proposed buildings or structures. If this project includes an addition, please clearly show the addition different from the existing building. Identify each building by its use (residence, garage, etc.). Indicate roof overhang lines and any decks, porches or retaining walls. 7. Impervious Surface Indicate the amount of new impervious area. Impervious areas include the square footage of new building roof area, parking area, patios and any new driveway. 8. Setbacks Indicate the building setbacks from all property lines with a dashed line. Include shoreline setbacks when applicable. 9. Well Location or Water Lines Indicate the drinking water supply (existing and/or proposed, public or individual). Show all private well(s), public water mains and water supply pipes to all buildings. 10. On-Site Septic System Location or Sewer Lines Indicate method of sewage disposal: Private septic - show existing and proposed on-site sewage system(s). Include drainfield replacement area(s). (Tanks are required to be 50 and drainfields 100 from a well.) Public sewer - indicate location of sewer main and private pipes to building. 11. Propane Show the location of the propane tank (if any). 12. Slope Indicate slope (elevation change) of building site. Use contour lines or arrows to show direction and percent (%) of slope(s). Identify any erosion or landslide areas as well as any potential unstable slopes greater than 15%. Percentage % of slope = Rise (drop in height) divided by Run (distance) multiplied by 100. OTHER FEATURES TO INCLUDE ON YOUR SITE PLAN: Shorelines For shoreline properties, show the ordinary high water mark (OHWM) and setbacks from OHWM to all structures, including neighbor s, within 300 feet from both side property lines. Dike District Show both measurements from the water ward side and the landward side of the dike and distance to project. Rev. 1-13-15 Page 5 of 8

Policy Guidance for Use of Administrative Reductions (14.16.810 (4) SCC) In order to promote consistent and equitable applications of the above referenced provisions of the Skagit County Code it is the policy of Planning & Development Services to review requests for administrative reductions to front, rear or side setbacks in accordance with the following guidance. Applicability and Definitions In order for administrative reductions to be requested the applicant must demonstrate that one of the following constraints: critical areas, topographic, lot size, or configuration impact reasonable development of the property. Critical Areas as defined under section 14.24 of the Skagit County Code include Wetlands, Fish and Wildlife Habitat Conservation Areas, Frequently Flooded Areas, Geologically Hazardous Areas and Aquifer Recharge Areas. Topography is defined to mean the surface features of the property. Lot size is defined in Section14.04.020 of the Skagit County Code as the horizontal square footage area within the property lines Configuration means the shape of the lot and its structural and vegetative elements. Impact is defined as limiting or rendering impracticable the available building envelope within the property boundaries. Reasonable development means a permitted use in the zoning district that does not exceed the lot coverage requirement. Processing Administrative reduction requests will be processed in accordance with the guidance for Level 1 review procedures set forth under section 14.06.110 of the Skagit County Code. Staff review will include analysis of the guidance and definitions included on the previous page and incorporate consideration of public health, safety and welfare through the solicitation of comments from the Fire Marshall, Building Department and the Departments of Health, and Public Works as determined to be necessary. Administrative approval of reductions to front and rear setbacks will be accompanied by a determination that the Public Health, Safety and Welfare will be maintained. A brief analysis and staff findings will be included in the project file. The decision will include a succinct statement describing the basis of the decision utilizing, in part, the guidance and definitions provided on the previous page. A standard disclaimer will be attached to the Notice of Decision indicating that relief from the standard setback requirement does not constitute or imply approval relative to other county, state or federal requirements. The following language should be utilized relative to county requirements: Please be advised that this approval for reduction of setback is based on a limited review specific to the criteria for this application (14.16.810 (4) SCC). Other County requirements may alter your proposal and require revision to your plan to comply with all jurisdictional requirements for development. Minimum Setback Requirements For Garage and/or Carport Entrance: a. No garage and/or carport entrance or opening facing a street shall be closer than twenty (20) feet to the property line. b. Demonstrate that room for on site parking will still be available after project completion per SCC 14.16.800 (Room for two (2) cars on site, not within the County Right-of-Way). c. Property line must be clearly identifiable on site, if not a survey by a licensed land surveyor may be required. Setbacks are from property lines, which are typically the edge of the right of way, not paved/traveled surfaces. d. Easements for ingress and egress are considered the same as property lines. Therefore Setbacks from easement lines shall be the same as from property lines. Rev. 1-13-15 Page 6 of 8

Please address the following code section: SCC 14.10.030(2) Variances (2) A narrative statement shall be included with the application forms demonstrating that the requested variance conforms to the following standards: (a) (b) (c) (d) (e) Special conditions and circumstances exist which are peculiar to the land, structure, or building involved and which are not applicable to other lands, structures, or buildings in the same district. Topics to be addressed include topographic or critical area constraints that make use of the particular site infeasible without the proposed variance. Literal interpretation of the provisions of this Chapter would deprive the applicant of rights commonly enjoyed by other properties in the same district under the terms of SCC Titles 14 and 15. The special conditions and circumstances do not result from the actions of the applicant. The granting of the variance requested will not confer on the applicant any special privilege that is denied by SCC Titles 14 and 15 to other lands, structures, or buildings in the same district. An explanation of how the requested variance meets any other specific criteria required for the type of variance requested, where applicable, including, but not limited, to the following: (i) (ii) Explanation of compliance with the criteria for a Critical Areas Ordinance variance under SCC 14.24.140. Explanation of compliance with the criteria for a shoreline variance under the Skagit County Shoreline Management Master Program. (iii) (iv) Explanation of compliance with the criteria for a public works alternative under the Skagit County Public Works Standards adopted pursuant to Chapter 14.36 SCC. Explanation of compliance with the criteria for variance from the agricultural siting criteria found in SCC 14.16.400(6). (v) Explanation of compliance with the criteria for a Flood Hazard Ordinance variance found in SCC 14.34.130. (f) If applicable, an explanation from the applicant as to why, if a variance is denied, the applicant would be denied all reasonable use of his or her property. (Ord. O20070009 (part); Ord. 17938 Attch. F (part), 2000) Rev. 1-13-15 Page 7 of 8

Rev. 1-13-15 Page 8 of 8