HomeMy WebLinkAbout20250822_PLN1388_Application LAND USE APPLICATION
LAND DIVISION PERMIT
7•� ®� COMMUNITY A ECONOMIC DEVELOPMENT
18204 591"Avenue NE •Arlington, WA 98223• Main Line 360.403.3551
FOR AGENCY USE Date: File: Fee: $
PERMIT TYPE
Administrative Decision ❑ Binding Site Plan (5 9 lots) Required Submittals 21 Land Division Submittal
❑ Boundary Line Adjustment (Check All That Apply) Requirements Checklist
❑ Minor Plat Preliminary(<_9 lots) ❑ Required Submittal Items
❑ Minor Plat Final(<_9 lots) ❑ Shoreline Substantial
❑ Unit Lot Preliminary(5 9 lots) ❑ Design Review—Admin.
0 Unit Lot Final(5 9 lots) El Design Review—Board
Hearing Examiner or El Binding Site Plat(>_10 lots)
Council Decision ❑ Major Plat Preliminary(>_10 lots)
❑ Major Plat Final(>_10 lots)
❑ Unit Lot Preliminary(z 10 lots)
❑ Unit Lot Final(>_10 lots)
SITE INFORMATION
Site Address 7917 Jensen Farm Lane Tax Parcel ID Number(s) 00893800000500
(Use block#if no bldg.#) Arlington WA 98223
Property Acreage .32 Zoning Classification RHC
Property Square Feet 13674 _ _ Use Classification No.
Water Supply Current Pro osed Sewer Supply Current E Proposed
City of Arlington I City of Arlington City of Arlington I City of Arlington
Existing Use of Property Construction for 4 townhomes _
On-Site Critical Areas? ❑ Yes El No Critical Area Type
e. .wetland,steep slope,etc.)
Has Site Been Logged in ❑ Yes ❑ No Will Site Be Logged as ❑ Yes 0 No
Past 6 ears? Part of This Project?
OWNER APPLICANT •
Name Corstone Contractors LLC Corstone Contractors LLC Ali Tapert
1910 Bickford Ave STE A 1910 Bickford Ave STE A 1910 Bickford Ave STE A
Full Address
Snohomish WA 98290 Snohomish WA 98290 Snohomish WA 98290
Phone Number 425-359-0510 1 425-359-0510 425-359-0510
E-mail ali@corstonellc.com I ali@corstonelic.com ali@corstonellc.com
Relationship of Applicant 20wner ❑Contract Purchaser ❑Lessee El Other:
to Pronprtv frhprk one
PROJECT -•JECT ENGINEER PROJECT SURVEYOR
Name MJ Neal&Accociates Solid Groud Engineering Pacific Coast Surveys
PO Box 1945 8105 166th ave ne PO Box 13619
Full Address Wenatchee WA 98807 Redmond WA 98052 Mill Creek WA 98082
Phone Number 509-663-6455 425-281-8324 425-512-7099
E-mail nm@mjnealaia.com tabbott@solidgroundpnw.com darren@pcsurveys.net
City of Arlington
Land Division Application
Page 1 of 3
Rev 11/2021
PROJECT
Project Plat Name Jensen 4
Total Number of Proposed Lots 4
Total Number of Proposed Units 4
Single Family
Duplex
By Dwelling I Townhouse 4
Use Type
Multi-Family
Other
By Non- Commercial
Residential Industrial
Use Type
Other
Has this property been subdivided,or has application for subdivision ❑Yes ❑✓ No
been made,within the last 5 years?
t -
If Yes, Provide Applicant Name&Plat Name
FINAL PLAT APPLICATION ONLY
Date Preliminary Plat Approved 5-27-25
Improvements have been: ❑ Built 0 Bonded ❑Some Built, Some Bonded ❑Other:
FORESTire
AND MITIGATION O SIGNIFICANT TREE REMOVAL(All Applications)
-
Associated Land Use Permit W
Number of Significant Trees to be Harvested
Total Acreage to be Harvested
Is there a Current Development Moratorium on the Site? ❑ Yes 0 No
Type of Forest Land Conversion ❑ Class IV—General ❑ Class IV—Special
Significant Tree Mitigation Options(A, B,or C)
Will Significant Trees be Removed During any Phase of ❑ Yes ❑ No(If, no,then no mitigation is required)
this Proposed Project?
A)Number of Trees to be Replanted On-Site(3:1 Ratio)
OR Date Completed (For Agency Use Only)
B)Number of Trees to be Replanted Off-Site(3:1 Ratio)
OR Date Completed (For Agency Use Only)
C)Tree Mitigation In-Lieu Fee (#of Harvested Trees)_X(3)X(Tree Cost)_
Date Paid
Receipt W
City of Arlington
Land Division Application
Page 2 of 3
Rev 11/2021
SHORELINE • • ONLY
Development(Required for all
Will this Proposal be a Substantial Development as Defined in AMC§20.93? ❑Yes ❑No
Shoreline Environmental Designation(if yes)
Are you requesting a Shoreline Variance as allowed under AMC§20.92.130? ❑ Yes ❑ No
All projects subject to a Shoreline Substantial Development Permit are required to be processed concurrently.
APPLICANT CERTIFICATION
I certify that I am the Owner or Owner's authorized agent. If acting as an authorized agent, I further certify that I am authorized
to act as the Owners agent regarding the property at the above referenced address for the purpose of filing applications for
permits or review under the Arlington Municipal Code and I have full power and authority to perform on behalf of the Owner all
acts required to enable the City to process and review such applications.
I do hereby declare under penalty of perjury under the laws of the state of Washington that I have familiarized myself with the
rules and regulations with respect to preparing and filing this application and that the statements and information submitted
herewith are in all respects true and correct to the best of my knowledge and belief.
DATED AT Snohomish Washington on this date: 8/19/25
Ali Tapert Date:tysignedbyAli Tapert
8:44
Date:2025.08.19 16:48:44
Applicant's Signature: -07'00'
REAL PROPERTY OWNER CERTIFICATION
I do hereby declare under penalty of perjury under the laws of the state of Washington that I am the owner of the subject
property or an officer/member of the entity owning the subject property,that it is my desire to seek the subject land use permit,
and that I will abide by any requirements and conditions that may be part of the approval of this request. I also hereby grant
permission for City employees, agents of the City and/or other agency officials to enter the subject property, if necessary,for the
purpose of site inspections.
DATED AT xf\0 i rir Washington on this date:
I VOwner's Signature: 1 U1 Z
All other property owners of the subject property must also sign below(attach additional sheets if necessary):
1) Name: Signature:
Address: Phone
2) Name: _ Signature:
Address: Phone:
City of Arlington
Land Division Application
Page 3 of 3
Rev 11/2021
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