Mercer Island, WA · King County
Setback Deviation
This signed submittal checklist is for applicants requesting a setback deviation to increase protection of a critical area or its buffer.
What this form is
Applicants use this checklist when seeking a setback deviation for a development proposal constrained by critical areas or their buffers. It lists supporting materials, including a project narrative, code compliance matrix, development plan set, and potentially affidavits and technical reports. The signer certifies that required materials are included unless waived and that the submitted information is true and complete.
Who needs it
Applicants seeking a setback deviation for a development proposal constrained by a critical area or critical area buffer need this checklist.
How to submit it
Submit the application materials to Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040. The checklist says required fees apply and refers applicants to the city fee schedule.
About notarization
This checklist is signed and dated without a notary; separately required ownership or agent-authority affidavits must be signed before a notary.
How to submit this form
- 1
Download the Checklist
Download the Setback Deviation checklist PDF.
- 2
Complete the Application
Complete and sign the Development Application Form and prepare the project narrative and code compliance matrix.
- 3
Gather Required Materials
Include the applicable title report, plans, affidavits, studies, reports, and other checklist items; some may be waived or required only when applicable.
- 4
Submit to the City
Submit the application materials to Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040.
Frequently asked questions
- What is the Setback Deviation checklist for?
- It lists application materials for a setback deviation request intended to increase protection of a critical area or critical area buffer.
- What materials does the checklist ask applicants to provide?
- Items include a signed Development Application Form, project narrative, code compliance matrix, title report, development plan set, and other materials when applicable.
- Do I need a notary for the Setback Deviation checklist?
- No. The checklist itself is signed and dated without a notary. Separately required ownership or agent-authority affidavits must be signed before a notary.
- How do I submit the Setback Deviation checklist?
- Submit the application materials to Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040. Required fees apply; consult the city fee schedule.
Need something notarized?
This Setback Deviation doesn’t need a notary — but if you have another Mercer Island form that does, a commissioned online notary can help.