VE-141-84
. SPOKAPdE COUNTY PlANN1NG OEPARTMENT
NPPLICATIONS BEFORE THE ZOriING AQJUSTOR/BOARD OF AOJUSTMENT "
a Certificate of Exernption No.: ApplTCation Na.: V~- V41 'V4-
" Name of App1 i cant:
t" Street Address: /0ti_
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City: _.,~wC. State: Zip Code: Tele. No.:
N ame o f P rope rty Own e r( s):
Requested Action(5) (Circle Approp riate Actipn): .
CVariancels) Condttional Use Permit Admfnistrative Appeal
. 7emporary .ermit Waiver of Uiolation _ Other: •
Ze ro Lot Line Nan-Conforming Lat/Use
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FOR STAFF USE ONLY . *
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Cite Ordinance Section
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Section' 11 Township' ag Range Property Size: *
E'xisting ZoniR.q: Compreherrsive Plan Designation: *
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lagai CheGked by: Nearing Date: Receipt *
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~t . ; ' * * dr. * '1t it ~Ir * # * " # ~r w ~t 1t ie * k . * k tlr Ir . * # * ~t * ir 1r * * ,k * * t ic ic Fr 1r ir * ~c ir
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E xi s t i n g lfs e n f P rppe rty
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~.Pr^opasitd Use of Property:• c-►-~.~,~
Street Address of Property: /v 1) j /Vh~ -
~ LeQal Des cri pti on oP P rrope rty ( i ncl ude easement i f appi i cabl e)
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, Parcel -7: / 7T~/2- JDf Source of Legal:
Tota] amount of adjoining land controlled by this owner/sponsor:
What interTst do you hold fn ttte proper°ty: c4~1s~•-n_~; ~
Il~t Fit'E_'V1oCi$ P1df1(11f1Cf D2(}c31"t(iIE'.flt dCtTOlIS if1V0lVll'T~'? tf1iS pt17aE't't'/:
1 SWEAR THAT I AM THE UWNER OF RECORD OR AUTHORIZED AGENT FOR THE PROPOSED SI1'.
. IF N07 TNE OWNER, WRITTEN'PERMISSION FROM SAID OWNER AUTHORIZING Mr ACTIONS ON
HEi; BEHALF IS ATTACHED. , i
Signed: rc Uate:
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Address:
Phone ldo. :
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NOTARY :
DATE :
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~ VARIAP~CES
1. In view of the above information, what special circun~stances (beyond your
control or actions) deprive you of the sarne..gener.al right~ and privi.leges
' of other property owners within the same zone and vicinity?
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. 2. If the variance were granted, how would it affect neighboring properties
or ir~roverr~ents? ~Le--~,c-- ,
B. CUIdDITIOiVAL~► USES, ~EkO LOT LINE, IV01~-CONFORMI~JG USE, TEMPORARY PERMITS, ETC.
1. Please g a concise explanation of the proposal including size, hours of
. . aperation, pected traffi c and other features , etc.
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, c. WAIVER DF VI~l.1~TION
1. How or why was the structure e dbiished outside the provisions of the
~ Spokane County Zoning Ordinance.
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0: SIGi~t-OFF BY COUNTY DEPARTMEI~TS ~
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~ ~ 1~.~ C~UNTY HEALTH DISTRICT
~ A preliminary consultation has been held to discuss the proposal. The
appl i cant has been inforn~ed of r~c~ui r~en►~nts and standards.
~5ignature) (Date) (Sign-orf Waivtd
by PTanning ~tafr;
~ COUNTY ENGIi~EER'S DEPARTMENT
A preliminary consuTtation has been i~e1c1 to discuss ti~e proposal. The
~p~lican~ a been informed of requi rements and standards.
~ i~%'l ~ 7~~?, ~
{'tgnatu ) ` ~Aate ' (~i,~r;-off Wcsiveq
by Planning Starf?
( 3. J COUf~TY UT It iT IES DEPRRTMEIVT ~
`,r.....
A prelirninary cons ltation ~as been heid to discuss the prbposa~.
appl icant has b~e 'nf rmed of requi rements and standards.. ~
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j gnature ' ~ ~ Date) ~Sign-off Waived
f~,~ P~,~nr~irtg Staff)
~ATER PURVEYOR ( i f appl i cabi e j Nan~e: _ _
a) The proposa~ is/is not located vrithin the boundary of our service area.
b} We are/are not able to serve this site with adequate water.
c) Satisfactor•y arrangements have/f~ave not been made to serve this proposal.
~S~qnat~,-rE~)--- - ~Date) (Si~~r~-off~Waived
by Plannii~g 5taff)