BOUNDARY LINE ADJUSTMENT

BOUNDARY LINE ADJUSTMENT FORM Yakima Cunty Public Services 128 Nrth Secnd Street Furth Flr Curthuse Yakima, Washingtn 98901 (509) 574-2300 1-800 572-7354 FAX (509) 574-2301 www.c.yakima.wa.us Revised 01/06/2016 PLEASE ATTACH THE FOLLOWING TO THE FORM: 1. Existing and new legal descriptins prepared and stamped by a licensed surveyr fr all new lts affected by the bundary line adjustment. The existing legal descriptins may be submitted with the Owner s Cmmitment r Subdivisin Guarantee. 2. Tw paper cpies f the Preliminary Survey prepared by a licensed surveyr meeting the requirements f RCW 58.09, YCC 19.30.060(6)(a)(ii) and YCC 19.34.020(7)(a). 3. Site Plan meeting all the requirements f YCC 19.30.070(1) and (2) and 19.30.071. Please nte: If the Preliminary Survey prvides all these requirements a site plan is nt necessary. 4. Cmplete Narrative describing the prpsal. 5. A Owner s Cmmitment r Subdivisin Guarantee (Title Reprt) and must be current within 60 days f submitting a cmplete applicatin and meets the requirements f YCC 19.030.060(8) and as utlined as fllws: a. The existing legal descriptin f each parcel invlved in the prpsal; b. Thse individuals r crpratins hlding an wnership interest and any security interest (such as deeds f trust r mrtgages) r any ther encumbrances affecting the title f said parcels; c. Any lands t be dedicated shall be cnfirmed as wned in fee title by the wner(s) signing the dedicatin certificate; and d. Any easements r restrictins affecting the prperties being adjusted with a descriptin f purpse and referenced by the auditr s file number and/r recrding number. 6. Written verificatin frm the Yakima Health District apprving any prpsed lts that will be served by individual n-site sewage systems and will be under tw and ne-half (2½) acres in size. The written verificatin must indicate that the prpsed lts can accmmdate an n-site sewage system r that the prpsed adjustment des nt affect the n-site sewage system, as applicable under Subsectin 19.34.060(5). If the prpsal is lcated within the Agriculture (AG) r Frest Watershed (FW) zning districts and the prpsed lt sizes and cnfiguratins are based upn the resurce use f the prperty then the applicant shall submit infrmatin that dcuments hw the prpsal will benefit the existing lng-term cmmercial resurce use (YCC 19.34.020(5)()). PLEASE COMPLETE THE FOLLOWING QUESTIONS: 1. Are all lts within the prpsed Bundary Line Adjustment cntiguus? Yes N 2. Hw many lts are invlved in the prpsed Bundary Line Adjustment? If mre than 4 lts are invlved in the prpsed Bundary Line Adjustment then the prpsal will be subject t the prvisins set frth in YCC 19.25. 3. Are yu prpsing t utilize the clustering prvisins f YCC 19.34.035? Yes N 1

4. What is the existing size f each lt? 5. What is the prpsed size f each lt? 6. If yu are lcated in the Agriculture (AG) zning district, are yu prpsing a larger lt size than is generally allwed within the zning district? Yes N N/A If yes, please talk with the Planning Divisin t determine what additinal infrmatin and/r applicatin that may be required. 7. Where the lts created as part f a Shrt Subdivisin/Subdivisin? Yes N If yes, what is the Auditr s File Number (AFN)? 8. Is ne r mre f the prpsed lts invlved in a Financial Segregatin? Yes N 9. Are there any structures lcated within 100 feet f existing and prpsed prperty lines? Yes N If yes, please shw the lcatin and dimensins f all the structures n yur submitted site plan. (YCC19.30.071) 10. Are there any easements (access, utility, irrigatin, etc ) n the subject prperties that wuld be affected by the prpsal? Yes N 11. Are there any accessry dwelling units lcated n the existing lts? Yes N 12. Will the prpsal result in any f the prperty lines t crss a UGA Bundary, jurisdictinal bundary, result in a split zned lt, crss n-site sewage dispsal systems, prevent adequate access t water supplies, r bstruct fire lanes? Yes N 13. Are yu requesting an adjustment t any develpment standard as utline thugh ut Title 19? Yes N If Yes, Please fill ut the Administrative Adjustment frm. 14. Are there any steep slpes, critical areas, streams, wetlands r fldplains within the prject areas? Yes N If yes, list: 15. Which Irrigatin District/Cmpany are yu in? 2

NARRATIVE FORM Yakima Cunty Public Services 128 Nrth Secnd Street Furth Flr Curthuse Yakima, Washingtn 98901 (509) 574-2300 1-800 572-7354 FAX (509) 574-2301 www.c.yakima.wa.us Revised 10/01/15 The Narrative Frm is designed t help yu, the applicatin review, interested agencies, and adjacent prperty wners t the prpsal understand the scpe f yur prject and hw yur prject meets the legal requirements in the Yakima Cunty Cdes. Yu shuld refer t the apprpriate sectins f the rdinance when describing yur prpsal if applicable. Yu can btain a cpy f the rdinance in ur ffice r access it n the internet at: http://cdepublishing.cm/wa/yakimacunty/ Narrative Cntent: Please tell us the wh, what, where, and why f yur prpsal. A list f typical cntent is prvided belw. Please d nt limit yur prject s descriptin t just these items. In rder fr us t cnduct a timely review f yur prject please be as detailed as pssible. Any missing/cnfusing infrmatin culd result in the delay f ur review. Nte: Nt all cntent listed belw will be pertinent t yur prpsal. suggestins in rder t help yu draft yur narrative. These items are Suggested Cntent: Describe the current use f the site including all existing structures with their dimensins, square ftage and usage. Describe the prpsed use in detail (including but nt limited t the type f business and/r use, hurs and days f peratin, number f emplyees, number f peple living n-site, maximum number f custmers and/r guests, changes r additins t the driveways r ther access pints, the type f mitigatin r adjustment requested). Describe which standards are prpsed t be adjusted and justify why the standard needs t be adjusted. Describe any new r existing structures t be used as part f this prpsal. Describe hw the prpsed use will be pertinent t the prpsed/existing structures. Describe any parking facilities (number f spaces and surface type), landscaping, signage, and lighting that will be assciated with yur prpsal. Describe yur access t the prperty and the rute f travel t the site. Fr cmmercial peratins describe the travel ways that will be lcated nsite. Describe the timelines fr cmpletin f yur prpsal. Please remember that yur narrative must explain in detail the specifics f yur prpsal and any missing infrmatin may result in the need fr future reviews. Yur narrative can be typed and printed n a separate sheet f paper with See Attached written belw, r yu may print ut legibly yur narrative n the lines prvided. 1

Please use additinal pages as needed 2

BOUNDARY LINE ADJUSTMENTS SITE PLAN SUBMITTAL CHECKLIST Land Use Actins Yakima Cunty Public Services 128 Nrth Secnd Street Furth Flr Curthuse Yakima, Washingtn 98901 (509) 574-2300 1-800 572-7354 FAX (509) 574-2301 www.c.yakima.wa.us Revised10/01/15 This infrmatinal brchure will assist in the preparatin f yur site plan fr prject submittal. The minimum site plan infrmatin n this page is required. Check the bx beside thse items that yu have included n yur site plan. A sample site plan is als included fr yur assistance. If yu need infrmatin r assistance please cntact the Public Services at (509) 574-2300. 1 Required Site Plan Infrmatin: Paper size shall be 8.5 x 11 r 11 x 17. If multiple pages, prvide an index sheet shwing the entire site. Grid paper r picture backgrunds are nt acceptable, the map must be reprducible 2 Blue r Black Ink, in rder that they may be phtcpied. 3 Nrth Arrw (nrth shuld be pinting t the tp f the page) 4 Legend t include: (nte: Standard surveyr s title blck meets these requirements) Owner/Applicant Name Date the Site Plan was drawn. Name, address and telephne number f the persn preparing the site plan Tax Parcel Number Standard engineering scale f the drawing (example: 1 = 200 ft.) 5 Prpsed prperty lines, dimensins and acreage f all lt(s) invlved, indicated in bld slid lines. 6 Existing prperty lines, dimensins and acreage f all lt(s) invlved, indicated by brken lines. 7 8 The lcatin, width and purpse f all easements (utility, access and/r irrigatin) n the site and adjacent t the site. Streets and access easements, with the name, dimensins, type (public r private) and rad surface (paved, gravel r dirt). 9 Lcatin f all existing and prpsed pints f ingress (t) and egress (frm). 10 11 Lcatin, shape, size, and types f all structures/imprvements n the subject prperties shwing the building setbacks frm the prperty lines and ther structures within 100 linear feet f all existing and prpsed prperty lines. All structures t be remved must be depicted with brken lines and remaining structures must be depicted with slid lines. The distance frm existing and prpsed structures t the centerline f state, cunty, r private access rads. 12 Lcatin f structures n the adjining lts, when needed t address cmpatibility issues. 13 14 15 All majr man-made and natural physical features such as railrads, canals, streams, creeks, drainage ditches, hills, depressins, steep slpes, lakes, shrelines, fldplains*, fldways, the 100-year base fld elevatins etc. n-site r adjacent t the site. (*Bundaries f the 10 and 25-year fldplain using the fld risk maps as prvided by Yakima Cunty as part f a mandatry pre-applicatin meeting.) Lcatin f well r water systems within 100 feet f the subject prperty r within a 100 ft well cntrl zne and the distance frm any structures within the well cntrl zne. Lcatin f prpsed r existing drain field area, extensin area, and tank area as well as replacement areas and distances t structures and prperty lines

GENERAL APPLICATION FORM Fr Land Use Actins Yakima Cunty Public Services 128 Nrth Secnd Street Furth Flr Curthuse Yakima, Washingtn 98901 (509) 574-2300 1-800 572-7354 FAX (509) 574-2301 www.c.yakima.wa.us (Staff Use Only) Zning District: Date: Receipt #: Reviewed By: Prpsed Land Use: Case #(s): Revised 03/28/18 CHECK ALL THAT APPLY AND ATTACH THE APPROPRIATE SUPPLEMENTAL FORM(S) Zning Subdivisin Shreline Type 1 Admin. Adjustment Exemptin (SSE) Shreline Substantial Dev. Type 2 Variance Shrt Subdivisin Shreline Cnditinal Use Type 3 Mdificatin Subdivisin (Lng) Shreline Variance Type 4 Nn-Cnfrming Use Binding Site Plan Shreline Exemptin Reduce Resurce Setback Interpretatin Alteratin/Vacatin Shreline Nn-Cnfrming Accessry Dwelling Unit Dairy *Amendment Shreline Minr Revisin Minr Rezne Mining Sub Variance Majr Rezne Critical Areas CA Standard Develpment Other CA Adjustment Envirnmental Checklist Plan/Dev. Reg. Map Ad. CA Reasnable Use Except. Appeal - HE BOCC Plan/Dev. Reg. Text Ad. CA Minr Revisin Develpment Agreement CA Nn-Cnfrming Use Parcel Number(s): A. B. C. Subject Prperty Address: Are yu requesting the Optinal Cnslidated Permit Review Prcess as prvided under YCC 16B.03.060? Yes N * In accrdance with YCC16B.04.020(2)(a) please submit verificatin with yur Shrt Subdivisin Amendment r Subdivisin Amendment that the majrity f thse persns having an wnership interest in the lts, tracts, parcels, r prtin theref t be revised r altered has signed the prpsed applicatin. EVIDENCE OF LEGAL AVAILABILITY OF WATER (YCC12.08.050) All applicants fr a develpment permit requiring ptable water must prvide evidence f an adequate water supply t Yakima Cunty prir t the issuance f the permit. Check belw the legal surce f water. Water right permit frm Department f Eclgy (Please attach a cpy t this applicatin), r Letter frm an apprved water purveyr stating the ability t prvide water, r **A Yakima Cunty Water Resurce System (YCWRS) dmestic well within the Agriculture zning district, r **A Yakima Cunty Water Resurce System (YCWRS) dmestic well utside f the Agriculture zning district, r Other adequate evidence f interest in a suitable water right held fr mitigatin prpsed by an existing water bank, r Yakama Natin Water Cde permit fr prperties lcated within the exterir bundaries f the Yakama Natin, r Dcumentatin that the well site is lcated utside the Yakima River watershed. Additinal Infrmatin Prir t final apprval, the applicant will be required t prvide evidence f the water quality and quantity in the fllwing frms: 1. A Letter frm an apprved water purveyr stating the ability t prvide water, r 2. Ntificatin frm the Yakima Health District that the water supply is ptable. (wells)

**Yakima Cunty Water Resurce System (YCWRS) is a water system rganized pursuant t RCW 36.94.140 which prvides service t the public in the frm f mitigated r water budget neutral water supplies fr dmestic use thrugh the withdrawal f dmestic supply frm a grundwater permit exempt well. The service areas f the water system is all f the privately held prperty in Yakima Cunty within the Yakima River watershed except thse areas within the crprate limits f the city, within the exterir bundaries f the Yakama Reservatin, r within the service areas f a Type A and Type B water system in existence prir t January 1, 2018. The YCWRS hlds senir water rights and allws the use f such rights by the public when wells are cnstructed and metered accrdingly t YCWRS prcedures. Applicant Infrmatin: (Please check the bx t indicate the primary cntact persn) By signing this frm, the prperty wner/applicant agrees t the fllwing: I hereby state as true that all wnership interests f the prperty have reviewed the prpsal as presented in the applicatin materials and supprt the prpsed change(s) in land use. I hereby give Yakima Cunty permissin t enter my prperty during this review t inspect my prperty as needed. I hereby agree t pay all additinal fees assciated with the prcessing f this applicatin including Hearing Examiner fees, Transprtatin fees r any ther fees that may be assciated with the prpsed prject. I hereby acknwledge that the applicatin fr Subdivisin and/r Land Use Permit with the Yakima Cunty Permit Services Department: Planning Divisin has be filled ut cmpletely. I hereby acknwledge that verificatin f an apprved ptable water supply is a requirement and part f the prcedure t btain a Subdivisin and/r Land Use Permit. I shall prvide Yakima Cunty with prf f an adequate water surce as indicated in Ordinance 13-2017 r btain a YCWRS dmestic well permit. I understand that Yakima Cunty shall be held harmless fr misinterpretatin r misrepresentatin f dcuments t btain my permits. I am aware my subdivisin and/r Land Use Permit WILL NOT be issued until I prvide prf f an apprved surce f ptable water and assciated dcumentatin. (If the prperty is wned by a crpratin r LLC please attach dcumentatin shwing that the persn signing has the authrity t sign n behalf f the crpratin r LLC.) Please Fill Out This Sectin In Blue r Black Ink and Original Signatures nly. Prperty Owner: Day Phne: ( ) Cmpany (if any) Mailing Address: City: State: ZIP: E-mail Address: Signature: (required) Date: Applicant/Agent (if different): Day Phne: ( ) Cmpany (if any) Mailing Address: City: State: ZIP: E-mail Address: Signature: Date: If there are additinal wners, prvide an attachment in the same frmat and with the same declaratins Revised 4/11/2018 Page 2 f 2