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PL PACKET 01172006
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PL PACKET 01172006
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Last modified
4/19/2016 4:26:28 PM
Creation date
4/19/2016 4:26:19 PM
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SP Box #
33
SP Folder Name
PL PACKETS 2005-2011
SP Name
PL PACKET 01172006
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Application to Establish an Accessory Dwelling Unit <br /> CHECK ONE OF THE BOXES BELOW: <br /> Applying to create a new ADU <br /> Applying to legalize an existing unauthorized unit. As reflected in King County real estate re- <br /> cords, I purchased the home in which the unauthorized unit is located less than one year ago, <br /> and am submitting proof of this purchase. (No penalty) <br /> ❑ Applying to voluntarily legalize an existing unauthorized unit. There will be a penalty of$100 un- <br /> less final inspection approval is obtained within one year of permit issuance. <br /> Applying to legalize an existing unauthorized unit based on a complaint, and have already been <br /> issued a Notice of Violation. (Penalty$1,000) <br /> Project Number <br /> Address <br /> Owner Daytime Phone# <br /> Assessor's Parcel Number <br /> Submit this form along with required plans and other documents. <br /> Parking Waiver Request, if necessary _ Not located within a Residential Parking Zone(RPZ) <br /> Located within a RPZ; parking waiver study included <br /> Name(s)of Tenant(s) Phone: <br /> Phone: <br /> Phone: <br /> Owner Occupancy Certificate, completed and notarized <br /> Date Unit was Created (to best of your knowledge): <br /> Value of Construction Work Needed to Legalize Unit: <br /> Copy of the Contractor's Registration/Lien Law Form (completed) <br /> --- — Copy of Agent's Authorization Letter-from Owner(if-agent) <br /> Applicant's Name Date received <br /> (PLEASE PRIM) <br /> Applicant Signature Date signed <br /> Relationship of applicant: (circle one)owner, agent, architect, contractor, engineer <br /> Receipt# Date of receipt <br /> For DPD Use Only(must be completed) <br /> Application Parking #of Parking Unit <br /> for Parking Waiver Spaces Square <br /> Waiver? Granted? Provided Footage <br /> Yes No Yes No spaces sq.ft. <br />
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