Medina, WA · King County
Shoreline Conditional Use Permit Application
Medina property owners or their agents use this application to request approval for a conditional use within shoreline jurisdiction.
What this form is
Use this application for a use listed as conditional in the Medina Shoreline Master Program, or for a use in shoreline jurisdiction that is not classified or specifically prohibited. The application asks for property and contact details, a project description, and responses to five approval criteria. Applicants must also submit supporting materials, including proof of ownership, a site plan, and other applicable checklist items.
Who needs it
A property owner or authorized agent proposing a qualifying conditional use within Medina shoreline jurisdiction needs to submit this application.
How to submit it
Submit the completed application and required materials to Development Services, 501 Evergreen Point Road, Medina, WA 98039. The form lists phone numbers 425-233-6414 and 425-233-6400.
About notarization
This application is signed and dated without a notary; the signer certifies under penalty of perjury that the information furnished is true and correct.
How to submit this form
- 1
Download The Application
Download the Shoreline Conditional Use Permit packet and review its instructions and checklist.
- 2
Complete The Application
Provide the property and contact information, describe the project, answer the approval criteria, and sign and date the form.
- 3
Gather Required Materials
Include the agency declaration, proof of ownership, site plan, and other applicable checklist items.
- 4
Submit To Development Services
Submit the completed application and materials to Development Services at 501 Evergreen Point Road, Medina, WA 98039.
Frequently asked questions
- Who can file the Shoreline Conditional Use Permit Application?
- The property owner or the owner's duly authorized agent may apply for a qualifying conditional use within Medina shoreline jurisdiction.
- What materials must accompany the application?
- The packet lists a signed application, agency declaration, proof of ownership, a site plan, and other materials that apply to the project, such as a SEPA checklist or restoration plan.
- How do I submit the Shoreline Conditional Use Permit Application?
- Submit the application and required materials to Development Services, 501 Evergreen Point Road, Medina, WA 98039.
- Do I need a notary for the Shoreline Conditional Use Permit Application?
- No. The application is signed and dated without a notary. The signer certifies under penalty of perjury that the information furnished is true and correct.
Need something notarized?
This Shoreline Conditional Use Permit Application doesn’t need a notary — but if you have another Medina form that does, a commissioned online notary can help.