1993, 08-25 Sewage Disposal System Info ReviewS P O K A N
DEPARTMENT OF BUILDINGS
C O U N T Y
JAMES L MANSON, CB.O., DIRECTOR
ON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM
Date: / 1 �/ S 7
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 sewage disposal
system is not to be considered as a vesting of a right by the
owner/representative to obtain a building permit for the property.
At the time that a building permit is applied for, the 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 septic tank/drain
field on-site sewage disposal system by the Spokane_County .Health
District, pursuant to this form. Accordingly, although as of the
date sof .this documentthe subject .property may meet certain
federal, state or local laws,ordinances orregulations, in the
event such items change between the date of this document and
application for a building permit, the owner/representative will be
responsible for meeting such regulations on the date of the
application for the building permit. Ahl%/
REF: Street Address 5} O ( �- rno'(-1/9/
Parcel Number : 4(1,3`14 . R3o`7.17rhi
Legal Description S+nor c n spy Lor A
Property Owner /4/��,4-%
Describe Proposal :
Signed:
Proposed Owner or Authorized Representative
Date: 77,2.5-
1. An initial review of
conducted by the Spokane
following items are noted.
again be made at the time a
Requirements reviewed
herein above.
Yes/No/N.A
Dedicatory Language within Plat
Subject Property is Legally, Divided
Certificate of Exemption Required
Use Authorized' Under Zoning Ordinance
Setbacks Met in Zoning Ordinance
Shorelines Permit.'Required
Variance Requiretlor Following Purposes:
the above -referenced property has been
County Planning Department and the
An in-depth review of the property will
building permit is applied for.
for property as of the date set forth
Other:
Planning Departmen$S 0� J/ Date:
2. An initial r-j�ew of the subject property has been conducted
by the Spokane County Engineer's Office and the following items are
noted. An in-depth final review of the property will again be made
at the time the building permit is applied for..
SPECIAL REQUIREMENTS:
Maintained County Road Frontage
Approach Permit Required
Flood Zone
Variance Requirements
Other:
Engineer's Office:
;- 4.) ��A Date • )
3. The Spokane County Department of Buildings has advised the
property owner/representative that at such time a structure or
building is to be placed/c• structed 1t the property,a building
permit will be required. /
Department of Buildings:
Date: