Land Use Forms and Handouts

Below are the forms used for Land Use permitting.  There are also links to helpful tips and other information you may find useful. All the forms are Adobe Reader friendly. A select few of the forms are digitized and you can thus "fill them in" on the computer. If you are having issues viewing or filling in the forms, please click here.

If you do not have Adobe Reader, simply download a free version (click here to download).

Click here for information about electronically submitting Land Use applications.

To access Building Forms click here.

Click here for our  current fee schedule. 

• Accessory Dwelling Unit  - Handout and criteria for Accessory Dwelling Unit
• Affidavit for Categorical Exemption from a Shoreline Substantial Development Permit - For construction and normal maintenance of a single family dwelling by the owner, lessee or contract purchaser which complies with the city's shoreline master program and the ULDC.
• Appeal - Form to be completed to appeal a Land Use decision.
• Code Amendment Application - Apply to amend Title 19 of the Mercer Island City Code - the Unified Land Development Code.
• Comprehensive Plan Amendments - Application and handout for Comprehensive Plan Amendments - includes SEPA checklist
• Conditional Use Criteria Handout - This application form is for all permits that need to go through the plan review process.
• Critical Area Determination - Submittal requirements and criteria for an administrative action by the code official pursuant to MICC 19.15.010(E) to allow reduction or averaging of a wetland or watercourse buffer.
• Development Application Coversheet - For all land use project applications in Development Services.
• Deviations to the Maximum Impervious Surface Requirements
• Design Commission Review Process - The flow chart illustrates the permit process for Major New Construction required to be reviewed by the Design Commission.
• Design Commission Approval & Signage Approval
• Design Review Submittal Checklist
• Fence Height Deviation - Means by which property owners may apply for approval to construct a fence higher than 42 inches, up to 72 inches, within 20 feet of a public or private street or within the front yard setback for "R" residentially zone property.
• Final Plat Approval of Formal Subdivision - After approval of a formal/long subdivision's preliminary plat by the City Council, the Final Plat is the means by which the City approves the final plan for division of land into five or more lots, or the land to be divided is 4 acres or more.
• Home Business Criteria
• Lot Coverage  - Handout on the process to apply for a deviation from the maximum impervious surface limits for total lot coverage on a residential lot.
• Lot Line Revision Application - Application for preliminary approval of a Lot Line Revision.  A Lot Line Revision is an adjustment of boundary lines between existing lots which does not create any additional lots and which does not reduce the area of any existing lot to the point that it fails to meet minimum development code requirements for area and dimensions.
• Plat Improvements - The Plat Improvement process involves the review and approval of detailed final engineering drawings and information related to an approved preliminary plat such as grading, roadways, sewer, water, other utilities, and storm drainage improvements.
• Pre-Application Meeting - You are encouraged to participate in a pre-application meeting for your project. The pre-application meeting is intended to discuss your project while it is still in a conceptual state to help you gain knowledge regarding the permit process, regulations and how they may relate to your project. 
• Rezone - A rezone is the means by which property owners may apply to change the zoning of property to allow a new or different land use which conforms with the Mercer Island Comprehensive Plan.
• SEPA Checklist - State Environmental Policy Act (SEPA).  The purpose of this checklist is to provide information to help you and and the agency identify impacts from your proposal (and to avoid impacts if possible) and to help the agency decide whether an EIS is required.
• Setback Deviation - A deviation from yard setbacks may be granted by the Code Official on any lot with a critical area that makes it impractical to locate a building pad on the lot except by intruding into required yards. A deviation may be applied to single lots, subdivisions and lot line revisions. As stated in MICC 19.02.020(C)(4)(e).
• Shoreline Variance Application - A shoreline variance is the means for granting relief from specific bulk, dimensional or performance provisions of the Shoreline Management Master Program (Mercer Island City Code, Section 19.07.080 and WAC 173-27-170).
• Short Plat Handout - Submittal requirements for preliminary approval of a short subdivision.
• Short Plat Final Approval - Handout on final plat approval for a short plat or lot line revision. 
• Site Development Worksheet-  Must be submitted with all new houses, additions and remodels where new living space or new impervious surface areas are added.
• Temporary Signs in Mercer Island Business Areas - This handout provides a summary of temporary sign regulations for Mercer Island commercial areas.
• Variance/General - General Variance Application.  A variance is a modification of standard Development Code provisions based on special circumstances and complying with the city's variance criteria.
• Wireless Facility Checklist: A checklist for design review of wireless communication facilities.
• Zoning Map - A zoning map of Mercer Island.