LAND USE APPLICATION

LAND USE APPLICATION File Name: File No(s).: Receipt No.: Receipt Date: Received By: Amount.: $ Instructions for Applicants Please read and follow all instructions on your application carefully. If you have any questions about the process or your project, it is strongly recommended that you speak with staff prior to submitting your application to help ensure that processing can advance in a timely manner. Every application must include this cover sheet, the application/checklist and all required items, and a notarized affidavit of ownership (if applicable). Specific Type of Land Use Application to be submitted (check all that apply): Conditional Use Permit Lot Line Adjustment / Combination Variance Critical Areas Review Secondary Dwelling Unit Wireless Communication Facility Environmental Review (SEPA) Short Subdivision (Short Plat) Other (please specify): Landscape Plan Review Please Print or Type Legibly Site Address(es): Assessor Parcel Number(s) (APNs): Subdivision (Long Plat) Zoning: Comp. Plan Designation: Applicant: Address: Phone: Cell: City: State: Zip: Fax: E-Mail: Contact Person, if different: Address: Phone: Cell: City: State: Zip: Fax: E-Mail: Property Owner(s), if different: Address: Phone: Cell: City: State: Zip: Fax: E-Mail: Description of Proposal: 2901 228th Street SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 1 of 2

LAND USE APPLICATION I certify that the information provided in this application, including all submittals and attachments, is true and correct to the best of my knowledge. I understand that this application does not constitute approval of permits and/or work to be performed. I certify that I am or represent the owner and am acting with the owner s full knowledge and consent. I further understand that Initials This application applies only to the property for which it is approved and is non-transferable. Approval of an application does not in any way replace, modify or waive any requirement for the compliance of the proposal with other applicable standards or regulations. It is the responsibility of the owner / applicant to become aware of the requirements of the BMC. The approval of any plans does not guarantee that all provisions of applicable codes have been met. The burden of proof rests with the applicant. An application may be amended only in writing. Submittal of this application grants the appropriate city officials the right of entry to the project site during reasonable hours. Items with any typewritten information must be 10-point font or larger to ensure legibility of scanned documents. It is the applicant s responsibility to request required inspections a minimum of twenty four (24) hours in advance at (425) 755-5440. By submitting this application, I consent to pay any fees incurred for engineering or outside consultant review. Signature of Owner/Agent: Date: Please Print Name: FOR CITY USE ONLY Date Action / Notes Initials 2901 228th Street SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 2 of 2

SHORT SUBDIVISION (2 4 LOTS) File No./Name: A Pre-Application Meeting is required prior to submittal of a subdivision application. Staff strongly encourages applicants to become familiar with the requirements of Brier Municipal Code (BMC) Title 16 Subdivisions. An application for a Short Subdivision is complete when it is accompanied by the following items. Additional information may be required. No application shall be considered complete if any of the required information is missing. Subdivisions are completed in three major phases: Preliminary Approval, Construction, and Final Approval. Per Revised Code of Washingtion (RCW) 58.17.070, the application will be processed simultaneously with applications for variances, environmental review, critical areas review, and similar quasi-judicial or administrative actions. PRELIMINARY APPROVAL PHASE The Preliminary Approval phase consists of evaluating feasibility of the proposed short subdivision for overall conformance with adopted zoning, critical area, utility and environmental regulations. Short subdivisions are reviewed administratively. Preliminary Approval does not constitute approval of final construction drawings. Additional copies will be required later in the process. For Staff Use ONLY PRELIMINARY APPROVAL PHASE REQUIRED SUBMITTALS Verified Waived 1. Land Use Application Cover Sheet, with original signature(s) and Application Deposit: $4,000. 2. Four (4) copies of the preliminary plat prepared by a Washington State-Licensed Surveyor, no larger than 18x24, containing the following information: A. Title block with the name of the preliminary plat, sheet identification, and space for the City of Brier File No.; B. A vicinity map at a maximum scale of 1 = 400 ; C. Date, scale, legend, north arrow, and vertical control datum. The scale shall be 1 = 100 ; D. Site information, including zoning, comprehensive plan designation, utility providers, acreage, and the name(s) and address(es) of the owner(s), developer(s), and any other parties of interest; E. The certification, name, address, and telephone number of the registered land surveyor; F. Note the ownership of all adjacent land and all land contiguous to the proposed subdivision that the applicant owns or has an interest in; G. Snohomish County Assessor Parcel Numbers (APNs) for all affected tracts; H. Legal descriptions of existing and proposed lots, tracts, and dedications; I. Boundary lines of the tracts to be subdivided, with the corresponding bearings and actual dimensions of the tract to be platted, subdivided, or dedicated; J. The locations, widths, and designations of all existing or platted streets within 200 feet of the proposed subdivision; K. The locations, widths, designations, and recording number of all existing easements within 200 feet of the proposed subdivison; L. The location of all other features such as buildings, utilities, watercourses, power lines, and section lines within 200 feet of the proposed subdivison, and an indication of whether they will be removed or retained; M. The location of any existing septic tanks, grinder pumps, or fuel tanks; N. Lot dimensions, lot area (in square feet), building envelopes, front yard designations, and number of lots. Lots shall be numbered consecutively; O. Location and dimensions of proposed roads or access tracts or easements, including pavement width and dimensions of fire department turnarounds; P. Location, dimensions, and area of all land intended to be dedicated, reserved for public use, or reserved for common use of the owners, with the purpose clearly indicated; and 2901 228th SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 1 of 4

SHORT SUBDIVISION (2 4 LOTS) For Staff Use ONLY PRELIMINARY APPROVAL PHASE REQUIRED SUBMITTALS Verified Waived Q. Location of all critical areas and buffers as defined by Title 18 BMC or a statement certifying that there are no critical areas on or adjacent to the site; 3. Four (4) copies of the preliminary construction plan prepared by a Washington State- Licensed Professional Engineer, no larger than 18x24, containing the following information: A. Title block with the name of the preliminary plat, sheet identification, and space for the City of Brier File No.; B. Date, scale, legend, north arrow, and vertical control datum; C. The certification, name, address, and telephone number of the registered professional engineer; D. The contours, with intervals of five feet or less, which shall be referenced to mean sea level datum and shall extend reasonably beyond the boundaries of the site; E. A preliminary clearing and grading plan; F. A layout showing proposed disposal of sewage by gravity flow into a municipal sewage system, including the name of the municipal system; G. A layout of the proposed water distribution system, including fire hydrant placement; H. A layout of the proposed stormwater management system, in compliance with Chapter 14.04 BMC, and I. A layout of other proposed utilities, including electric, gas, and telecommunications. 4. Four (4) copies of a preliminary tree and landscape plan, no larger than 18x24, showing the caliper and species of all trees on site, indicating those trees proposed for removal, and the location and species of all threatened and endangered plants. 5. Four (4) copies of a title report prepared by a recognized title company within thirty (30) days of application for each affected property, including copies of all recorded easements and covenants pertaining to the subject properties. 6. Water and sewer availability letters from Alderwood Water & Wastewater District and/or City of Brier, as applicable. 7. If the project is to be developed or occupied in phases, a proposed schedule for each phase. 8. A completed State Environmental Policy Act (SEPA) application, unless the project is categorically exempt from SEPA review. 9. A completed Critical Areas Report, if required by Title 18 BMC. 10. Property owner addresses, map, envelopes and label sheet created using the Instructions for Obtaining Property Ownership for Snohomish County. 11. A notarized Affidavit of Ownership for all property owner(s), with original signatures. 12. One (1) set of reduced copies (no larger than 11x17 ) of all plans and oversized documents, plus one (1) electronic copy. CONSTRUCTION PHASE The Construction phase consists of the review and approval of construction plans, a required Pre-Construction Meeting, and actual completion of all required improvements. Improvements include but are not limited to street, private drives, sidewalks, trails, utilities (water, sewer, stormwater, electricity, gas, and telecommunications), critical areas mitigation, street lights, mailboxes, parks, survey monuments and signage. All construction must be substantially complete prior to Final Approval. Bonds or other financial assurances will be required. All required assurances shall be in place prior to construction. All contractors and subcontractors are required to obtain a business license from the City of Brier prior to construction. Detailed construction plans may be submitted for concurrent review with the preliminary approval documents, however plans will not be approved or issued until after Preliminary Approval is granted and a Pre-Construction Meeting is held. As-built drawings in CAD and PDF format are required prior to Final Approval and recording. 2901 228th Street SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 2 of 4

SHORT SUBDIVISION (2 4 LOTS) For Staff Use ONLY CONSTRUCTION PHASE REQUIRED SUBMITTALS Verified Waived 1. Four (4) copies of the preliminary construction plan prepared by a Washington State- Licensed Professional Engineer, no larger than 18x24, containing the following information: A. Title block with the name of the preliminary plat, sheet identification, and space for the City of Brier File No.; B. Date, scale, legend, north arrow, and vertical control datum; C. The certification, name, address, and telephone number of the registered professional engineer; D. The contours, with intervals of five feet or less, which shall be referenced to mean sea level datum and shall extend reasonably beyond the boundaries of the site; E. Right-of-way cross section showing pavement, curb, gutter, drains, planter strip and sidewalk; F. Detailed plans for disposal of sewage by gravity flow into a municipal sewage system, including the name of the municipal system, location, depths, and sizes of sewer lines or other sewage structures, designed in compliance with Chapter 13.04 BMC and adopted city standards for sewer installation; G. Detailed plans for draining groundwater from roadway foundations; H. Detailed plans for the water distribution system, including fire hydrant placement, designed in accordance with current Alderwood Water & Wastewater District standards; I. Detailed plans, designs and calculations for a stormwater management system designed to handle runoff from streets, sidewalks, and the maximum impervious surface area for all lots in the proposed subdivision, designed in accordance with Chapter 14.04 BMC, and J. A detailed layout of other proposed utilities, including electric, gas, and telecommunications, along with meter locations, vaults, materials and sizes. 2. A complete Land Disturbing Activity application. 3. A complete Stormwater Facility application. 4. A complete Street Opening / Right-of-Way Use application. 5. A complete Major Tree Removal Permit application. 6. A complete Demolition application, if required. FINAL APPROVAL PHASE The Final Approval phase includes review of the final short subdivision map, submittal of as-built drawings, and approval by the City Planner and the Mayor. Final approval and recording must be completed prior to expiration of the subdivision. The final subdivision shall conform to the preliminary approval and any conditions of said approval. Slight deviations may be allowed if the city determines that such deviations were necessary due to unforeseen technical problems. Additional copies will be required later in the process. Prior to submitting documents for approval, the following construction items must be completed: - Inspection punch list items complete; - Storm system cleaned and inspected; - Sanitary sewer system air tested and video inspected; and - All conditions of preliminary approval met. After Final Approval, the applicants will need to record the approved, signed final documents and any deed(s) of conveyance with the Snohomish County Auditor s Office and pay all taxes to the Snohomish County Treasurer. More information about recording requirements, the recording process, and taxes due can be found online at: http://snohomishcountywa.gov/278/recording. 2901 228th Street SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 3 of 4

SHORT SUBDIVISION (2 4 LOTS) For Staff Use ONLY FINAL APPROVAL PHASE REQUIRED SUBMITTALS Verified Waived 1. Two (2) copies of the final plat prepared and submitted in accordance with the current Final Subdivision Map Requirements. 2. Two (2) copies of the final as-built construction drawings prepared and submitted in accordance with the current As-Built Requirements. 3. Two (2) copies of a current title report issued by a title insurance company showing all parties whose consent is necessary and their interest in the real property, as well as listing all encumbrances. 4. Two (2) copies of lot calculations confirming all dimensions on the plat. 5. One (1) copy of Subdivision Construction Costs with all attachments. 6. One (1) original copy of each utility acceptance letter from all purveyors that installed utilities as part of the subdivision. 7. One (1) set of reduced copies (no larger than 11x17 ) of all plans and oversized documents, plus one (1) electronic copy. 8. Submit all required performance and maintenance bonds and/or financial guarantees. 9. Payment of any outstanding charges for review up to submittal of final documents. FOR CITY USE ONLY Date Action / Notes 2901 228th Street SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 4 of 4

AFFIDAVIT OF OWNERSHIP File No./Name: Property Owner: Contact Address: Phone: Any person with a verifiable interest in the subject property must complete this form. If the above property owner has an express interest in additional parcels involved in the listed project than there is space provided for below, those parcel numbers and associated legal descriptions must be provided on further copies of this form. Full legal descriptions may be attached separately. APN: Legal Description: APN: Legal Description: APN: Legal Description: AFFIDAVIT OF OWNERSHIP To Be Completed in the Presence of a Notary Public I,, being duly sworn, depose and say that I am the owner of record of that certain real property identified as Snohomish County Parcel Number(s), and that the information provided in this application, including all submittals and attachments, is true and correct to the best of my knowledge. Signature of Owner: Please Print Name: Date: STATE OF ) ) ss. COUNTY OF ) I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he signed this instrument and acknowledged it to be his free and voluntary act for the uses and purposes mentioned in the instrument. SUBSCRIBED AND SWORN TO before me this day of 20. NAME (print): NAME (sign): Notary Public in and for the State of Commission Expires: 2901 228th SW, Brier, WA 98036 Phone: (425) 775-5440 http://www.ci.brier.wa.us Page 1 of 1

INSTRUCTIONS FOR OBTAINING PROPERTY OWNERSHIP Instructions for Applicants Please read and follow all instructions on your application carefully. Most applications require notification of surrounding property owners in order to provide citizens the opportunity to review and comment on applications that may impact them. If you have any questions about the process or your project, it is strongly recommended that you speak with staff prior to submitting your application to help ensure that processing can advance in a timely manner. 1. Contact the Snohomish County Assessor s Office: In Person: 3000 Rockefeller Ave 1 st Floor Administration East Everett, WA 98201 By Phone: (425) 388-3433 Email: Jude Boothe, jude.boothe@snoco.org * Note: The wait time varies by request type. Requests made in person will take approximately 30 minutes from the time of the request, and requests made by phone or email will take approximately 2-3 business days. 2. Request the property owner information for parcels within 300 feet of the subject parcel(s). You will need to provide both the parcel number(s) and the address(es). 3. The Assessor s Office can provide the information in two formats: Option A: Hard Copy Labels, Address List, Map * Note: Requests which generate a large number of label sheets may incur a charge. Option B: Excel Database, Map - Generate label sheet(s) using the Excel database. 4. Copy the label sheet(s). 5. Using the label sheet(s), create stamped and addressed legal-sized envelopes with no return address. 6. Submit the address list, map, envelopes and copy of the label sheet(s) with your application.