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Ra.tace__ No. oassz - os I -4
RaT
Date:
.,,SPOKANE COUNT'S .PLANNING•DEPARTMENT
APPLICATION FOR .ADMINISTRATIVE ACTION
� 2
Hiss Application No.
Name of Applicant: Jt 5e LL) NG
I)V-5a-P3
Street Address of Applicant: /Yq..23 C. %YAP, /i 1 be
City: ,VANE State: (30- Zip Code: ?9O 7 Tele.. No.1l!cp7-FG�Ci2_
Request (Cite Ordinance Section) : QC . OS/9. 070 (ham )
or- (�i�.A d 4c.- C A__L
Legal Description of Property:
eiS
Ge. -tett °SKS-V —051/
**************************x***_*_**_****
APPROVED BY:
TITLE:
DATE:
FOR OF ICE USE
w /
an .
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Assessor's Map Attached
Copy of Plot Plan Attached (If Pertinent)