2008, 01-11 ADU-01-08 Accessory Dwelling• Mt y
CITY OF SPOKANE VALLEY
Community Development Department
Planning Division
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Tel: (509) 688-0197
Fax: (509) 921-1008
planningftspokanevalley.orq
DATE SUBMITTED:
FILE No.: Abkkr 01 ` O PLUS No• 2gLO of I
(Staff Use Only)
/II /2,00i RECEIVED BY:
ACCESSORY DWELLING APPLICATION
PART I — APPLICATION INFORMATION
APPLICANT INFORMATION:
APPLICANT: "3V,6 `}` We.i)8e SA& k
MAILING ADDRESS: 41 1 N. ,L-0^. d • tt
CITY: (moi �'�af=l'eS
STATE: IJ A' ZIP: em 0 /6
PHONE: /WORK)5O-x''70 / (FAX) (CELL)
ease Circle
TAX PARCEL:
ZONING DESIGNATION:
55/83.4103y
1? -3
TYPE OF ACCESSORY DWELLING* ATTACHED DETACHED (Please Circle)
PART II - DETAILS OF ACCESSORY DWELLING
ODo you live at the residence where accessory dwelling is located? NO (Please Circle)
ODo you plan on altering the exterior of principal residence? NO (Please Circle)
OHow many parking spaces are available on the property for the new dwelling? F3
44 16/Ise = /6c° 4.!
Mop:: /OO
OHow many bedrooms will the accessory dwelling have? 2
ODescribe in complete detail the design of the accessory dwelling and existing residence (i.e., trim, roof pitch,
height, finish material): 1 e Cd esSo CtilF//i.J� a.�� -Ae jSfi.�( 4129 e,.+a• je (1M �
G25-641).). s�� 7'i is c
ewe- e s / 1 i I, 4 a., LT r. , .. ift,, /iQrT �7.
/�Ter/'i- d 1e)AI t rCa.r,�7` Oho' ° ,A✓Y,s mod y lurk pt/'Gielie rJ) o
I h�z�i'v�
Attached Affidavit confirming owner lives in principal structure.
POOP 1 of 3
PART III — AFFIDAVIT OF OWNERSHIP
STATE OF WASHINGTON )
ss.
COUNTY OF SPOKANE )
1, ?4L+Ne. S e4)4 , being first duly sworn, on oath do hereby certify under penalty of
perjury under the laws of the State of Washington:
That I am an owner of the single-family dwelling unit located at 4/q J 2ovg
, and have a fifty perZ'ent (50%)
or greater interest in this property; and
That I have applied or am making application to establish an authorized accessory dwelling unit at
this location; and
That I presently occupy and will continue to occupy one (1) of the two (2) dwelling units at this
location as my principal and permanent residence.
When the property is sold, I will notify the new property owner(s) of the requirements to file a new Certification of
Owner Occupancy with the Department of Planning and Development for recording if they intend to maintain and
rent the accessory dwelling unit. Failure to submit this certification within one (1) year of transfer of ownership
shall be a violation of the Land Use Code and will render the accessory dwelling structure non -conforming if the
new owners continue renting the accessory dwelling unit.
This certification will remain in effect during the period of my ownership of the property unless I record a
certification that the use of the property for an accessoryvelling unit has been discontinued.
Name of Affiant
Signed and sworn to before p t -hi- r day of
\``�m11.1114e
. �\���1°N t''''''>': ) A', NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON
• t• o
o tv03'r:RY 1 Residing at
, 20
0
my appointment expires:
Effective October 28, 2007
P:\Community Development\Forms\Current Planning Application forms\Accessory Dwelling.doc
Page 2 of 3
PART IV — DECISION
Effective October 28, 2007
P:\Community Development\Forms\Current Planning Application forms\Accessory Dwelling.doc
Page 3 of 3
STAFF USE ONLY:
STAFF REVIEWED THE PROPOSED ACCESSORY DWELLING APPLICATION PURSUANT TO THE FOLLOWING CRITERIA IN
CHAPTERS 19.40.090 AND 19.40.100 OF THE CITY OF SPOKANE VALLEY UNIFORM DEVELOPMENT CODE:
DETERMINATION:
THE PERMIT FOR THE ACCESSORY DWELLING UNIT IS SUBJECT TO THE FOLLOWING CONDITIONS PURSUANT TO
THE CITY OF SPOKANE VALLEY DIVISION OF PLANNING:
1) The owner/applicant shall comply with all requirements and regulations of the Uniform Development Code
and the established criteria of the Accessory Dwelling Unit.
c -ET Y-uu f t ` i N.vv) K (O F X10 ()-1- -C)-S- . A
APPROVED SUBJECT TO THE CONDITIONS NOTED ABOVE:
('I vn a-A_IA a,,,_;�-\ft�,t .c.�--- (114 l og
Division of Planning Signature Date
Effective October 28, 2007
P:\Community Development\Forms\Current Planning Application forms\Accessory Dwelling.doc
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