[City of Bonney Lake ] Shoreline Exemption Application

SHORELINE EXEMPTION APPLICATION

Project Information

Project Name:

Site Address:

Tax Parcel Number(s):

Project Description:

Total cost or fair market value of the project (whichever is higher):

Is the proposed development below the 545 elevation?

Yes

Is a single family residence proposed?

Yes

Is the residence intended for owner's own personal use?

Yes

Is a dock or pier proposed?

Yes

Is the dock or pier intended for the owner's own personal use?

Yes

Property Owner

Name:

Phone Number

Project Contact/Applicant

Same as Owner?

Yes

Phone Number:

Email:

Upload Review Documents (1-10)

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Upload Review Documents (11-20)

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Notices:

1. If any potential archaeological resources are uncovered during land surface modification or development activity, all work must immediately stop and notification provided to the City, the Department of Archaeology and Historic Preservation and affected tribes. Failure to comply with this requirement shall be considered a violation of the shoreline permit.

2. The property owner is required to adhere to all applicable federal laws, including the Bald and Golden Eagle Protection Act and the U.S.Fish and Wildlife Service National Bald Eagle Management Guidelines.

3. Appeal: The decision may be appealed to the Bonney Lake Hearing Examiner. Please refer to BLMC 14.120.020 for appeal procedures.

Certification

I am the:

Owner

Project Contact/Applicant

Sign Here

First Name

Last Name

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I certify that the information on this application is true and correct and complies with the applicable requirements.