Medina, WA · King County
Substantial Development Permit Exemption Application
Property owners or their agents use this application to describe a proposed shoreline development project and provide information for a substantial development permit exemption.
What this form is
Complete this application for activities defined as development under RCW 90.58.030, located in shoreline jurisdiction, and listed as exemptions in WAC 173-27-040(2). It asks for owner and property details, project cost and description, the applicable exemption criteria, current property use, and other permits sought; if the project is not SEPA exempt, the form says to submit a SEPA checklist.
Who needs it
A property owner or authorized agent seeking an exemption for a qualifying development activity within Medina shoreline jurisdiction needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the signer certifies under penalty of perjury that the information is true and correct.
How to submit this form
- 1
Download the Application
Download the Substantial Development Permit Exemption Application PDF.
- 2
Complete the Application
Provide owner, property, contact, project cost, exemption criteria, and current-use information.
- 3
Gather Project Information
Attach additional pages if needed to describe the project; submit a SEPA checklist if the project is not SEPA exempt.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Substantial Development Permit Exemption Application?
- No. The application has signature and date lines but no notary block; the signer certifies under penalty of perjury that the information is true and correct.
- Who completes this application?
- The property owner or the owner's duly authorized agent completes it for qualifying development activities located within shoreline jurisdiction.
- What information does the application request?
- It requests owner and property details, project cost and description, exemption criteria, current property use, and other permits sought for the project.
- How do I submit the application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Substantial Development Permit Exemption Application doesn’t need a notary — but if you have another Medina form that does, a commissioned online notary can help.