What is the Shoreline Permit Revision application for?

It is for applicants seeking to revise an approved Shoreline Conditional Use or Shoreline Variance Permit. Proposed changes must fit the original permit’s scope and intent and comply with the City’s Shoreline Master Program.

Who needs to submit this application?

An applicant seeking revisions to an approved Shoreline Conditional Use or Shoreline Variance Permit should submit this application with the applicable checklist materials.

Do I need a notary for the Shoreline Permit Revision application?

No. Sign and date the application without a notary. If required, the separate Affidavit of Ownership or Affidavit of Agent Authority must be signed before a notary.

Mercer Island, WA · King County

No notary required

Revision to Shoreline Conditional Use / Variance Permit

Property applicants use this form and checklist to request revisions to an approved Shoreline Conditional Use or Shoreline Variance Permit.

What this form is

Use this application when seeking to revise an approved Shoreline Conditional Use or Shoreline Variance Permit. The proposed changes must remain within the original permit’s scope and intent and be consistent with the City’s Shoreline Master Program. The checklist requests a signed Development Application Form, project narrative, plans, and other materials as applicable; it also notes that Type IV review includes a public hearing.

Who needs it

Applicants seeking revisions to an approved Shoreline Conditional Use or Shoreline Variance Permit need this application and the applicable checklist materials.

How to submit it

Submit the application to Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040. The form notes that required fees apply and refers applicants to the City fee schedule.

About notarization

This revision application is signed and dated without a notary; separate Affidavits of Ownership or Agent Authority, when required, must be signed before a notary.

How to submit this form

1
Download The Application
Download the Shoreline Conditional Use / Variance Permit revision application and submittal checklist.
2
Complete And Sign
Complete the application and sign and date the certification.
3
Gather Required Materials
Use the checklist to gather applicable materials, such as a project narrative, code compliance matrix, title report, and development plan set.
4
Submit To The City
Submit the application and applicable materials to Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040.

Frequently asked questions

What is the Shoreline Permit Revision application for?: It is for applicants seeking to revise an approved Shoreline Conditional Use or Shoreline Variance Permit. Proposed changes must fit the original permit’s scope and intent and comply with the City’s Shoreline Master Program.
Who needs to submit this application?: An applicant seeking revisions to an approved Shoreline Conditional Use or Shoreline Variance Permit should submit this application with the applicable checklist materials.
Do I need a notary for the Shoreline Permit Revision application?: No. Sign and date the application without a notary. If required, the separate Affidavit of Ownership or Affidavit of Agent Authority must be signed before a notary.
How do I submit the Shoreline Permit Revision application?: Submit it to Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040. The form notes that required fees apply and refers applicants to the City fee schedule.

Need something notarized?

This Revision to Shoreline Conditional Use / Variance Permit doesn’t need a notary — but if you have another Mercer Island form that does, a commissioned online notary can help.