Building Permit Application

Land Use Permit Application

Lacey Community & Economic Development Department
Proposed Development*

Commercial or Industrial DevelopmentMulti-Family Residential or Mixed UseLand DivisionOther
Permit Type (Check all that apply)*

Binding Site Plan (Preliminary)Binding Site Plan (Final)Boundary Line AdjustmentConditional Use PermitCondominiumLand Clearing/Class IV Forest PracticesParking lotPlanned Residential Development (Preliminary)Planned Residential Development (Final)Shoreline ExemptionShoreline Substantial DevelopmentShoreline Conditional UseShoreline VarianceShort Subdivision (Preliminary)Short Subdivision (Final)Sign DepartureSite Plan ReviewStreet MerchantSubdivision (Preliminary)Subdivision (Final)Townhouse DevelopmentVarianceWetland DevelopmentWoodland District
Summary Project Description*
Project Address*
Tax Parcel Number*
List additional parcels on separate page.
Critical Areas on or Near the Site

Stream or CreekLake or PondEndangered, Threatened, or Priority SpeciesWetlandSteep SlopesHistoric Site or StructureFlood Hazard Area
Describe the Critical Areas
Are there trees located on the project property?*

YesNo

Signature of Authorized Representative*
I affirm, under penalty of perjury, that all answers, statements, and information submitted with this application are correct and accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by the owner to act with respect to this application. Further, I grant permission from the owner to any and all employees and representatives of the City of Lacey and other governmental agencies to enter upon and inspect said property as reasonably necessary to process this application. I agree to pay all fees of the City that apply to this application.
File Upload

15 MB size limit per file
Cancelof
All attachments should be in Portable Document Format (pdf) with plans saved to the scale of the original document. Files over 15MB in size must be compressed.

File names should clearly reflect the project and the document type (ie: College Street Retail Storm Water Report).
Should be Empty:

Land Use Permit Application