J-4_Exhibit_2_Tulalip_Building_Permit_Application_5_pages.doc

THE TULALIP TRIBES

GENERAL PERMIT APPLICATION INFORMATION

Filing Procedure:

1. Submit a copy of the completed application, and all attachments required, including maps to the Department of Community Development.

2.

Include the owner's name, project name and address, scale, north arrow, and the date of map preparation on all maps and drawings required for this application.

3.

The application must be completed, dated and signed. Indicate as "N/ A" those questions which are not applicable to your project.

4. A permit fee or portion thereof must be paid at the time of application. Refer to the fee schedule for more information.

Notification

I.

The Community Development Department will distribute copies of the completed application to all applicable tribal departments and agencies and will seek comments

2. Notice of any public hearing(s) concerning the project will be published in local newspapers and posted in the community.

Submittal requirements for all applications:

1. SITE PLAN showing property boundaries, all existing and proposed buildings and structures, dimensions, distance to property lines, roads, right-of-ways, utilities, and waterbodies.

LEGAL DESCRIPTION (Section, Township, Range)

3.

GENERAL LOCATION MAP showing an area at least 500 feet in all directions from the project boundary.

4.

STRUCTURAL DESIGN PLANS

Depending on the nature of the proposal other submittals. such as those listed below. may be required:

· Completed ENVIRONMENTAL CHECKLIST

· TULALIP UTILITY HOOK-UP AGREEMENT

· WELL OR SEPTIC TANK PERMITS

· TOPOGRAPHIC MAP of the site prepared by a surveyor or engineer registered in the State of Washington.

· DRAINAGE PLAN prepared by in engineer registered in the State of Washington.

· EROSION CONTROL PLAN

· MITIGATION OR RESTORATION PLAN

· CULTURAL SURVEY

· TRAFFIC STUDY

THE TULALIP TRIBES

BUILDING AND USE PERMIT APPLICATION

Property Owner:

Mailing Address:

Phone:

(home)

(work)

Fax:

Applicant:

Mailing Address:

Phone:

(home)

(work)

Fax:

Applicant's relation to property owner:

Address and general location of permit application property:

Legal Description of Property (Section, Township, Range): Please attach complete description:

Section

Township

Range

Site Acreage/SF:

Present use of the Property:

Describe proposed activity for which this permit application is made:

Type of Proposed Use:

Single family residence FORMCHECKBOX

Multi-family residence FORMCHECKBOX

Industrial FORMCHECKBOX

Commercial Agriculture FORMCHECKBOX

Gravel Extraction FORMCHECKBOX

Bulkhead FORMCHECKBOX

Beach Access Structure or Dock FORMCHECKBOX

Other Specify

Type of Proposed Construction:

New Construction FORMCHECKBOX

Addition FORMCHECKBOX

Alteration FORMCHECKBOX

Repair FORMCHECKBOX

Demolition FORMCHECKBOX

Total square feet of new construction:

Value of Proposed Improvement: $

Mobile Home:

Manufacturer's Date.

Labor & Industry Inspected:

No FORMCHECKBOX

Yes FORMCHECKBOX

Does the development involve or require the removal or placement of dirt, gravel, sand, etc. ?

Approximate Cubic Yards:

What services are currently available at the site?

Public Water FORMCHECKBOX

Individual Well FORMCHECKBOX

Public Sewer FORMCHECKBOX

Septic System FORMCHECKBOX

Has application for service been made to?

Tulalip Utilities FORMCHECKBOX

Indian Health Service FORMCHECKBOX

I hereby certify that I have prepared this application and site plan and that, to the best of my knowledge, the information provided is complete, accurate, and a true representation of the proposed development, I further attest that I have the authority to submit this application and agree to comply with any and all conditions of development permit approval. I agree to provide any additional information required and understand that if the scope of the project is modified, a new application may be required.

Applicant’s Signature

Date

INFORMATION BELOW TO BE COMPLETED BY

COMMUNITY DEVELOPMENT STAFF

Tulalip Comprehensive Plan Designation:

Tulalip Zoning Map Designation:

Does the proposal create a new lot or subdivide your ownership?

Is the property within 200 feet of a river, stream, lake, bay, wetland, or the sound?

Do slopes greater than 45 degrees (I:I) exist within 50 feet of the proposed building site?

Does the proposal involve or require the crossing or filling of any ditches, drainage systems, or wetlands?