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Washoe County Development Application
Your entire application is a public record. lf you have a concern about
releasing
personal information, please contact Planning and Development staff at 775.328.3600.
Project lnformation
Staff Assigned Case No.:
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Project 7U
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Description:
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ProiectAddress: ,A4<
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Project Area (acres or square feet): <l A Lt
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Project Location (with point of reference to mayor cros{ streets NND-5rea loc&or):
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Assessor's Parcel No.(s):
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ParcelAcreaqe.
Assessor's Parcel No(s):
ParcelAcreaqe:
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Indicate any previous Washoe County approvals asso6iated with this application:
case No (s)
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Applicant lnformation
Property Owner:
(attach additional sheets if necessary)
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Address: -A q 1
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Name:.
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Professional Consultant:
Name: y'.i",:,t/ f€.t
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Phone:
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ApplicanUDeveloper:
Other Persons to be Gontacted:
Name:
Name:
Address.
Address:
zip.
Phone:
Fax:
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Contact Person:
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Email:
Cell:
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Received:
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Contact Person:
lnitial:
Planning Area:
County Commission District.
Master Plan Designation(s):
CAB(s).
Regulatory Zoning(s):
February 2014
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For Office Use Only
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Property Owner Affidavit
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Applicant Name:
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The receipt of this application at the time of submittal does not guarantee the application complies with
all
requirements of the Washoe County Development Code, the Washoe County Master plan or the
applicable area plan, the applicable regulatory zoning, or that the application is deemed complete and will
be processed.
STATE OF NEVADA
COUNTY OF WASHOE
being duly sworn, depose and say that I am the owner" of the property or properties involved in this
application as Iisted below and that the foregoing statements and answers 'herein contained and the
information herewith submitted are in all respects complete, true and correct to the best of my knowledge
and belief. I understand that no assurance or guarantee can be given by members of planning and
Development.
(A separate Affidavit must be provided by each property owner named in the tifle report.)
Assessor Parcel Number(s):
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Printed t'lame
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Subscribed and sworn
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(Notary Stamp)
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refers to the following: (please mark appropriate box.)
YCLAI{DA Lepr;":0'r.i:1.0
M owner
tr Corporate Officer/Partner (Provide copy of recorded document indicating authority to sign.)
D Power of Attorney (Provide copy of power of Attorney.)
tr Owner Agent (Provide notarized letter from property owner giving legal authority to agent.)
D Property Agent (Provide copy of record document indicating authority to sign.)
tr Letter from Government Agency with Stewardship
February 2014
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Administrative Review Permit Application
for a Detached Accessory Dwelling
Supplemental I nformation
(All required information may be separately attached)
This application is for proposals to establish a Detached Accessory Dwelling unit in the Low Density
Rural, Medium Density Rural, High Density Rural, and Low Density Suburban regulatory zones. Chapter
1 10 of the Washoe County Code is commonly known as the Development Code. Specific references to
the administrative review permit process for Detached Accessory Dwellings may be found in Article 306,
Accessory Uses and Structures, Section 25(i). A Detached Accessory Dwelling is also referred to as a
"secondary dwelling" in this application. The "main dwelling" is the original or larger dwelling on the
property.
1.
What is the size (square footage) of the main dwelling unit or proposed main dwelling unit (exclude
size of garage)?
2.
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What is the size of the detached accessory dwelling unit or proposed detached accessory dwelling
unit (exclude size of garage)?
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How are you planning to integrate both the main dwelling and secondary dwelling to provide
architectural compatibility and a sense of project integration of the two structures?
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4.
How are you planning to provide water and wastewater disposal (sewer or septic) to the secondary
dwelling unit?
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What additional roadway, driveway, or access improvements are you planning?
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A parking space is required. How are you providing the additional parking?
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When do you plan to complete construction of the secondary dwelling and obtain a certificate of
occupancy?
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What will you do to minimize any potential negative impacts (e.9. increased lighting, obstruction of
views, removal of existing vegetation, etc.) your project may have on adjacent properties?
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ls the subject property part of an active Home Owners Association (HOA) or Architectural Control
Committee? lf yes, please include the name and contact information for the applicable board.
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10. Are there any restrictive covenants, recorded conditions, or deed restrictions (CC&Rs) that may
prohibit a detached accessory dwelling on your property?
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11. Only one accessory dwelling unit, whether attached or detached, is allowed per parcel. Please verify
that an accessory dwelling (i.e. secondary dwelling) currently does not exist on the subject property.
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List the age and size of the unit lf you plan to utilize a manufactured or modular home as the
manufactured or modular homes must be permanently affixed and
secondary dwelling. (Note:
converted to real property.)
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13. List who the service provider will be for the following utilities:
c. Solid Waste Disposal Service
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