1994, 08-19 App: CE626-94 Sewage DisposalOn-site Sewage Disposgl System Informational Review
NOTICE
The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health
District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health
District for the installation of an on-site sewa a dis osal system is not to be construed as a vesting of a right by the owner /
representative to obtain a building permit for this property. At the time that a building is applied for the
permit subject property must
comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a
permit for the on-site sewage disposal system by the Spokane County Health District, pursuant to this form. Accordingly, although as of
the date of this document the subject property may meet certain state or local laws, ordinances or regulations, in the event such items
change between the date of this document and application for a building pennit, the owner / representative will be responsible for
meeting such regulations in effect on the date of the application for the building pemuit.
Street Address: CO U CCS ,r /)L (, `"
7l L -c4 ✓x`
Parcel Number: 35-2 3 (0 (o' C)
Legal Description:
Property Owner: �1 ,S L\4 V" 0 v _ J c J Phone: S y-0.-4 1 •
Mailing Address: / �t/3 l . KC'r 11 La 6.:-( 0 r0r_ (1/2( ? �— I D
.
Signature: L,- , .z — Date: a
—
PLANNING DEPARTMENT
Dedicatory language within plat
Q Subject property is legally divided �, y ��� q
l� Certificate of exemption required (�C=
Use authorized under the Zoning Code n e.a.c4_s_414.--• /121 4.24:4-4-40 ee��.,, �.�
7 Setbacks meet Zoning Codes requirements -M cf x/`'64-' 4""e 1 `---
J0 Shorelines permit required
/JO Variance required for the following reason:
Other:
Reviewed by: A Date: /1/�
DIVISION OF ENGINEERING
7{- - Site drainage review required
1 ' Maintained county road f f
G. Approach permit required (l CC 4-7 t .Qf �
` Flood zone Q -1W /3 '
''�G' Variance requirements
77e Other :
C
Rcvicwed by: //7-e( / Date: �
DIVISION OF BUILDINGS TRANSACTION #: I ciL —) Lf (7-1
The Division of Buildings has advised the property owner / representative that an in depth review may be necessary when a formal
building permit applicati r is submitted.
( / ` r ,rye;
`
Reviewed by: `� i,Gep>%7,c.!/(�I O
,�
_'• Date: j
RECEIPT SUMMARY
TRANSACTION NUMBER: T9401489 DATE: 08/22/94
APPLICANT: HALL, SHARON L
ADDRESS: 1415 S KAHUNA DR
SPOKANE WA 99212
PHONE= 509 534 2112
CONTACT NAME: JILL PESTRIN PHONE= 509 534 2112
TRANSACTION: SEPTIC REVIEW FORM
DOCUMENT ID: 1) 2)
4) 5)
FEE & PAYMENT SUMMARY
ITEM DESCRIPTION
SEPTIC REVIEW FORM
3)
6)
QUANTITY FEE AMOUNT
1 45.00
TOTAL DUE = 45.00
TOTAL PAID= 45.00
BALANCE OWING= .00
PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT
08/22/94 00009691 7826 45.00
PROCESSED BY: DAWN DOMPIER
PRINTED BY: KATHY CUMMINGS
******************************** THANK YOU ************************************
SPOKA"C COUNTY COURT Hou e %
APPLICATION FOR
CERTIFICATE OF EXEMPTION
APPLICATION NO.r E C.(2 -Lk' - l
COMPANION FILE NO.
. f Business Phone:
Applicant's Name: i ^V Home Phone: S 3 L/ — // 7...—
Address:
Address: f 4/ C Se . KA f.l Grid A 1.0e_.
City: o /JE_ State: LOA- Zip: .VZ/ Z–.
L 71AL 77ESCRIY1ION of property for which this "Certificate of Exemption" is being applied:
NOTE:NOif the property is being divided or changed - - - provide the NEW LEGAL DESCRIPTION below.
2-
Section 1 Township 2-S- Range 175 within Spokane County, Washin ton.
I Fli' ` N 'J -- OFF SE ''Ai Or ��'lr� ec Ato 'iq
Al llZ'
Ex6.__ z7- , 71
. continued on back
3. Existing tax parcel number(s) 23Z. Qa(¢D
4. Total existin acreage . 4 r 5. New property size: (sq.ft. or acres) .4 '
6. Zoning: f 7 CQmpr nsive P , Category: a ...4A/
8. Existing or intended use of property:
. co ued on back
9. Existing road frontage name: d CAJ 3i1An1 &TAD Feet of Frontage JZ /
NOTE: Minimum Road Frontage must extend into or be adjacent to the property as required per ZONING. If access is
by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR
RECORDING NUMBER entered as "Existing road frontage name" above.
10. I, .\ t 1 ( T1'4 (print name), swear under penalty of perjury that
the ab vc responses are made truthfully and to the best or my knowledge. 1 also agree to
furnish any further documentation that may be required by the Planning Department. I also
understand that, should there be any willful misrepresentation or willful lack of full
disclosure on my part, Spokane County may withdraw any approval that it might issue in
reliance on this application. I also have provided written permission from both property
owners, if this application is for a "minor lot line adjustment."
I/
SIGNED: K
Applicant Date
STAFF ONLY
THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION" AS INDICATED
BELOW FOR THE PROPERTY DESCRIBED tBQVE, PURSUANT TO SPOKANE COUNTY
SUBDIVISION ORDINANCE, SECTION 5 tS
THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING
ONDITIONS AND/OR FINDINGS:
The applicant shall comply with all requirements and regulations of the ZONING CODE of Spokane County.
The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities
Division and/or County Engineering Division regarding wastewater disposal, on-site water or public watcr
systems and access and roads, respectively.
3. If above legal is new, the applicant shall file SEGREGATION APPLICATION with the County Assessor as
soon as possible after this application is approved. Not required when denied.
4. If private road is used, no building permit can be issued until the s inrt9r'ls Chapter a 0c 050 of the County
Code have been complied with for the location and construction of the private road. ~
5. The applicant shall comply with the following additional conditions:
�, .continued on back
/ bJ THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL
BE AP• ABLE TO THEAPPLICANTOWNER, HEIR SS�UCCESSORS OR ASSIGNS. -
THIS _ L DAY OF `�"� a5% , 19 �
�
cf' 71.1)a1Qi,4EN
RECEIPT NUMBER ' S
THIS CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON
SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509)456-2205
THIS CERTIFICATE MUST ACCOMPANY YOUR I:;IJILDINO PERMIT APPLICATION
roa,u: Arps k;atk w1' : O API' MsrR(new): rev 4,93