Lacey, WA · Thurston County

No notary required

Appeal of a Site Plan Review Committee Decision

This form lets an appellant give written notice to the Lacey Hearings Examiner challenging a Site Plan Review Committee decision.

What this form is

Use this form to appeal a Site Plan Review Committee decision to the Lacey Hearings Examiner. It asks for the appellant’s name, the date and subject of the decision, and the alleged errors, and requests that the decision be reversed. The form says to attach an additional sheet if more space is needed and includes a section for Community Development Department filing information.

Who needs it

A person appealing a Site Plan Review Committee decision to the Lacey Hearings Examiner completes this form.

How to submit it

The form says it is filed with the Community Development Department but does not provide contact details. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the appeal form.

  2. 2

    Complete The Form

    Enter the appellant and decision information, then describe the alleged errors and sign and date the form.

  3. 3

    Gather Attachments

    Attach an additional sheet if more space is needed for the alleged errors.

  4. 4

    Submit To The City

    The form says it is filed with the Community Development Department; check the city website for current contact details.

Frequently asked questions

What does the Site Plan Review Committee decision appeal form do?
It provides written notice of an appeal to the Lacey Hearings Examiner and asks the appellant to state the alleged errors in the committee’s decision.
Who completes this appeal form?
The appellant challenging a Site Plan Review Committee decision completes the form, identifies the decision, and describes the alleged errors.
Do I need a notary for the Site Plan Review Committee decision appeal?
No. The form is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.
How do I submit the Site Plan Review Committee decision appeal?
The form says it is filed with the Community Development Department but gives no contact details. Check the city website for current submission information.

Need something notarized?

This Appeal of a Site Plan Review Committee Decision doesn’t need a notary — but if you have another Lacey form that does, a commissioned online notary can help.