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s�^°LS... 70T,�� KITTITAS COUNTY COMMUNITY DEVELOPMENT SERVICES <br />411 N. Ruby St., Suite 2, Ellensburg, WA 98926 <br />CDS a CO.KITTITAS.WA.US <br />Office (509) 962-7506 <br />Fax (509) 962-7682 <br />-- "Building Partnerships - Building Communities" - - <br />srrrrr:�scui.sn' - - -- <br />LONG PLAT APPLICATION <br />(To divide lot into 5 or more lots, per KCC Title ) <br />A nz eapplzcatrorz confisSIIeS and <br />erence is REQUIRED if nrop� ' g Inore ilea: nine (9) lots per KCC 15,1.03.020 for this permit. The <br />snore information the County has early in the development �azpconferenthe easier it is to ce, complete andtsu bait an Preapplicatiod work �l zConference <br />conduct an efficient review. To schedule a preapp <br />Scheduling Fornt to CDS. Notes or summaries_fi'om preapplication conference should be included with this application. <br />sary. Pursuant to KCC 15A.03.40, a complete <br />Please type or print clearly in ink. Attach additional sheets alication submittal pa k t and fee. Thefolowmg terns <br />application is determined within 28 days of receipt of the pp <br />must be attached to the application packet. <br />REQUIRED ATTACI3�IENTS <br />❑ Eight large copies of plat with all preliminary drawing requirements complete (reference KCC Title 16 Subdivision <br />Code for plat drawing requirements) and one small 8.5" x 11" copy <br />❑ SEPA Checklist (if not exempt per KCC 15.04 or WAC 197-11-800) <br />o Please ick up a copy of the SEPA Checklist if required) <br />❑ Project Narrative responding to Questions 9-11 on the following pages. <br />OPTIONAL ATTACHIVIENTS <br />(Optional at preliminary submittal, but required at the time of final submittal) <br />❑ Certificate of Title (Title Report) <br />❑ Computer lot closures <br />APPLICATION FEES: <br />$4,900.00 Kittitas County Community Development Services (KCCDS) *Preliminary Plat Fee <br />$602.00 Kittitas County Department of Public Works <br />$524.00 Kittitas County Fire Marshal <br />1 $540.00 Public Health Proportion (Additional fee of $75/hour over 12.5 hours) <br />$6,566.00 Total fees due for this application submittal (One check made payable to KCCDS) <br />$950.00 Kittitas Count C - munity Development Services (KCCDS) *Final Plat Fee <br />$950.00 Total fees due for final plat processing <br />FOR STAFF USE ONLY <br />application Received By (CDS Staff Signature): 4T, El IT # �,� <br />I- � i <br />I ITY PLANNING • BUILDING INSPECTION • PLAN REVIEW • ADMINISTRATION • PERMIT SERVICES • CODE ENFORCEMENT • FIRE INVESTIGATION <br />i <br />FORM LAST REVISED: 12-30-15 <br />Page 1 of 3 <br />