ZE-62-79
HEaZ"TG =.'r.q CI~?.1.'►T'.r
FC3LIC lMkRrrG
dppl.ication
ApU11 CSIlt, -4L" l'-t. ~
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Twroul.d li.ke to be oa reccrd ia (Gheck one
OPPOSITI@T
.NrJ'I'F..4i
Do ycu wisn to TESTI-F_'' at -this 'Hrearing?
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SPOKANE COUNTY ~ANNIr;G DEPARTMENT
Zone Reclassification Checklist
AgAlicant's Name Addresg_ Telephone No _ Applicant's ~
2 9~.5-0
PRE-APPLICATION FEE, ($10 . 00) , RECEIPT NUMBER
~ - r I (date) J
APPLICATIOIV APPOINTMENT
(date) (time)
PART I
/
~ ENGINEER' S SECTION MAP.
v_~p
ASSESSOR'S SECTION MAP. (Legal Description, 400 foot boundary outside ownership;
ZONE CHANGE APPLICATION.
;ZONING WORKSHEET.
v4
ENVIRONMENTAL CHECKLIST. PLOT PLANS (5 blackline) -(setbacks, road frontage, square footage, open space) ,
PLOT PLAN TO GRAPHICS -51117Y
PHOTOS (8 x 10 and description)
~ SIGNS (4' x 4' )
4- APPLICATION FILING FEE (s) RECEIPT NUMBER
0 41 _ ~ (date) ~
TITLE REPORT OF PROPERZ'Y OWNERS PART LL
NOTICE OF HEARING FORM (AGENDA) TYPES, ORIGINAL GIVEN APPLICANT
(date)
STAFF REVIEW OF ENVIRONMENTAL CHECKLIST
FINDINGS PREPARED
(da te)
POST SURROUNDING AREA
(date)
AFFIDAVIT OF MAILING SIGNED
(da te)
MAIL AGENDA TO CflNCERNED AGENCIES
(date)
FINDINGS MaILED TO APPLICANT
(date)
PART III
HEARING EXAMINER COMMITTEE'S ACTION: APPROVED
DENIED
CONTINUED
MINU'TES MAILED TO APPLICANT
(date)
SEPA's Notice Qf Action
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SPOKANE COUNTY
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=ile No. ZE-62-79
SPOKANE COUNTY
HEARING EXAMINER COMMITTEE
FINDINGS AND ORDER
A. INTRODUCTION
This matter having come before the Examiner Committee on June 21, 1979, and
the members of the Committee present being Ken Kennedy, Chairperson, Abby
Byrne and John Culler and there being the following persons present who wish
to request approval of a Zone Change; ZE-62-79 for a Zone Reclassification, Two
Family Residential to Residential Office for the purpose of residential office
building.
B. FINDINGS OF FACT
1. That the existing land use in the area is residential and vacant.
2. That the Comprehensive Plan designates this area as appropriate for
residential development.
3. That the existing zoning of the property described in the application is Two
Family Residential.
4. That the provisions of RCW 43.21C (The State Environmental Policy Act)
have been complied with.
5. That the proper legal requirements for advertisement of the Agenda Item
have been fulfilled.
6. That this proposal is not in conflict with the provisions of adopted regula-
tion.
7. That the land in this area is suitable for the proposed use, or uses within
the proposed Zone Classification.
8. That the proposed use is compatible with existing uses in the area.
1
~ 'ile No. ZE-62-79
Approval of sewage disposal facilities by the Spokane County Health
District.
c. County Fire Marshal's Office: Fire District #1
Installation of fire hydrants to be in accordance with the requirements of
the Spokane County Fire Marshal.
Access and circulation plans for emergency vehicles to be approved prior to
building permit issuance.
d. Water Purveyor: VERA WATER AND POWER
We are able to supply this proposal with adequate water.
e. Compliance with all requests stated under Reviewing Agency Comments
above.
f. The applicant shall develop subject property generally in accordance within
the concept presented to the Hearing Examiner Committee. Minor variations
when approved by the Zoning Administrator will be permitted, including,
but not limited to the following changes: Building location, building
materials, landscape plans, and general allowable uses of the permitted
zone. All variations must conform to regulations set forth in the Spokane
County Zoning Ordinance. The original intent of the development plans
shal I be maintained.
vg., A landscape plan showing specific detail and accompanied by a performance
bond shall be approved by the County Zoning Administrator prior to
building permit issuance.
h.) That the provisions of SEPA's Notice of Action pursuant to 43.21c.080 RCW
be accomplished by the applicant within thirty (30) days of formal action by
the Zoning Hearing Examiner Committee as instructed by the Planning
Department staff.
3
=ile No. ZE-62-79
9. That the owners of adjacent lands expressed neither approval nor
disapproval of the proposed use.
10. The Hearing Examiner Committee finds the proposed use to be in harmony
with the general purpose and will not be otherwise detrimental to the public
health, safety, and welfare.
C. ORDER
The Hearing Examiner Committee, pursuant to the aforementioned, finds that the
application of Darrel Jones for a Zone Reclassification as described in the
application should be approved.
Special conditions or contingencies applied to motion:
a. County Engineer's Office:
The County Engineer's Office has requested the following be considered if
the rezone is approved:
NOTE: All required improvements shall be built to meet or exceed
minimum County construction standards.
1. Applicant shall obtain approval for on and off-site drainage plans and
access permits before issuance of building permits.
2. Applicant shall construct cement concrete curb sidewalk and pave to
existing pavement on Mission Avenue or be a willing participant in any
future LID, RID or CRP as directed by the County Engineer.
b. Spokane County Health District:
The applicant shall comply with rules and regulations of the Health District
in providing for adequate sewage disposal. All necessary Health District
permits shall be obtained prior to building permit issuance.
2
=ile No. ZE-62-79
` i.. I nterior driveways and parking areas shal I be paved.
" j;O~ Direct light from any exterior area lighting fixture shall not extend over
the property boundary.
k. That the Hearing Examiner Committee after hearing all testimony and a
review of the staff analysis adopts the proposed declaration of non-signifi-
cance and directs the chairman of the committee to sign the final declaration
of non-significance.
I Applicant shall comply with zoning ordinance by providing a sight-
obscuring fence along parking facilities.
Motion by: Culler Seconded by: Byrne
Vote: 3 to 0 (Approved)
HEARING EXAMINER COMMITTEE
~
Chairperson
ATT EST :
FRED L. DAYHARSH
Planning Director
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-;GONE CHANGES POSTED ON ZONIiJG MAPS
Application No, Re s. No. Re s. Date__(- bl / 7`i
~~o~~.
From: lwo-'~avr,~IL, Res,d~~v)+~`~.9 To: RQs~8~~+
IJ
Posted By:_ Kin ►e V-N Date Posted:
Acres: ° 3 7 AC Sec. Two. Range 4
EAST
(Wall Map) Building Codes Department Scale: 1" - 1000'
~
(Wall Map) Front Office Scale: 1" - 1000'
(Wall Map) Middle Office Scale: 1" - 1000'
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(Section Maps) Front Office Scale: 1" - 400'
(File Map) Tracing #34 (Valley Zoning Map) Scale: 1" - 1000`
t
(File Map) Metro i~11 (Director's Office) Scale: 1' - 2000
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(File Map) County - Front Office Scale: 1"- 1 mile
T ^
(File Map) County (Map Room) Scale: 1" - 2 miles
(Score Card) Middle Office
SOUTH EAST
(Wall Map) Building Codes Department Scale: 1" - 1000'
_IVva'1 Map) Front -)ffice Scale: 1000'
(`A :i11 Map) Middle Jffice Scale: - 1000'
(Section Maps) Front Office Scale: 1"- 400'
_ (F?lA Tvlap) Tracina 434 (Sot'-h East Zoning Maps) Scale- - 1000"
~_(File Map) Metrc *11 (Directors affice) Scale: 1" - 2000'
(F.+e Map) Countv-Front Off3ce Scale: 1" - 1 mile
(File Map) Count~, ;'.Viap Room) Scale: 1" - 2 miles
(Score Cards) Middle Office
I
STAFF ANALYSIS June 21, 1979
ZE-62-79, TWO FAMILY RESIDENTIAL TO RESIDENTIAL OFFICE JONES
I. FIiNDINGS OF FACT
a. Zone Classification
1. North: Agricultural, established, 1956
2. West: Two Family Residential, established, 1952
3. South: Two Family Residential, establzshed, 1952
4. East: Local Business, established, 1979
b. Land Use
1. Site: Vacant
2. North: Vacant
3. West: Single Family residence
4. South: Duplex
5. East: Vacant
c. Developmeat Plaa
Property area: Approximatley .4 acres
Proposed building area: 4,100 sq. ft./24.6% coverage
Existing building area: Vacant
Parking area (Spaces): Required - 20 Actual - 23
d. Regional Comprehensive Plan - 1968
The Plan Map has designated this area appropriate for Residential
development.
e. Compliaace with SEPA:
The Planning Department staff has circulated a proposed declaration of
non-sigaificaace and recezved no comments from Agencies of Expertise,
therefore, a recommendation that a final declaration of non-significance
be issued.
II. REVIEWING aGENCY COMMENTS:
a. County Engineer's Office:
The County Engineer's Office has requested the following be considered if
the rezone is approved:
NOTE: All required improvements shall be built to meet or exceed
minimum County constructioa standards.
1. Applicant shall obtain approval for on and off-site drainage plans
aad access permits before issuance of building permits. Access to
road to be prohibited at this time.
(continued)
STAFF ANALYSIS June 21, 1979
ZE-62-79, TWO FAMILY RESIDENTIEI,L TO RESIDENTIAL OFFICE JONES
2. Applicant shall construct cement concrete curb sidewalk and pave to
existing pavement on Mission Avenue or be a willing participant in
any future LID, RID or CRP as directed by the County Engineer.
b. Spokaae County Health District:
The applicant shall comply with rules and regulations of the Health
District in providing for adequate sewage disposal. All necessary Health :
District permits shall be obtained prior to buildiag permit issuance.
Approval of sewage disposal facilities by the Spokane Couaty Health
District.
c. County Fire Marshal's Office: Fire District #1
Installation of fire hydrants to be in accordance with the requirements
of the Spokane County Fire Marshal.
~
Access and circulatioa plans for emergency vehicles to be approved prior
to building permit issuance.
d. Water Purveyor: VERA WATER AND POWER
We are able to supply this proposal with adequate water.
III. CONDITIONS
If the Zoning Hearing Examiner approves this request, the foilowing conditioas
should be considered:
a. Compliance with all requests stated under Reviewing Agency Comments
above.
b. The applicant shall develop subject property generally in accordance
within the concept preseated to the Hearing Examiner Committee. Miaor
variations when approved by the Zoning Administrator will be permitted,
including, but not limited to the following changes: Building locatioa,
building materials, landscape plans, and general allowable uses of the
permitted zone. All variations must conform to rPgulations set forth in
the Spokane County Zoniag Ordinance. The original intent of the
development plans shall be maintaiaed.
c. A landscape plan showing specific detail and accompanied by a performaace
boad shall be approved by the County Zoning Administrator prior to
building permit issuance.
d. That the provisioas of SEPA's Notice of Action pursuaat to 43.21c.080 RCW
be accomplished by the applicant within thirty (30) days of formal action
by the Zoning Hearing Examiner Committee as instructed by the Planning
Department staff.
(continued)
STAFF AIVALYSIS June 21, 1979
ZE-62-79, TWO FAMILY RESIDENTIAI, TO RESIDENTIAL OFFICE JONES
e. Interior driveways and parking areas shall be paved.
f. Direct light from any exterzor area lighting fixture shall not extend o
over the property boundary.
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At said time and place, any inkerested person may appear, for or against, the granting
of this application.
AGENDA, jUiNE 21, 1979 TELEPH0NE N0 456-2205
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SPOKANE COUNTY ZONING HEARING EXA1iIINER CONIMITTEE ;
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Time: Thursday, june 21, 1979, 1:30 P. M.
Place: Broadway Centre Buildinq, Second Floor
North 721 Tefferson Street, Spokane ZONE RECLASSIFICATION
10. ZE--62-79 Jwo-Fa Mily RQcjdeUjjal to Resid.ential Office
a. Location: Section 14 , Township 2 SN., Range 44 , E,tiV , M.
Lot 3, Blocl: 2, Veradale Park Addition
b. Vicinity Location: North of Mission Avenue, approximately
200 feet west of Sullivan Road.
c. Applicant: Darrel jones
Rte, 2, Box 167K
Spokane, WA 99207
d. Site Size: Approximately .378 Acre
e. Existing Zoning: Two-Family Residential, est. February 24, 1952
f. Proposed Zoning: Residential Office
g. Proposed Use of Property: Residential Office Building
h. Application of Zoning Provision: Chapter 4. 21 , Section 4.21 .040
i. Environmental Impact: A topic of discussion at this hearing may be
whether the Hearing Examiner Committee has
adequate information to assess the
adverse environmental imoacts of Che proposal.
The State Environmental Policy Act WAC 197-10-330(2) provides that:
",..In the event that the further investigations authorized by this section
do not provide information reasonably sufficient to assess any potential
adverse environmental impacts of the proposal, an E.I. S, shall be prepared."
- 11 -
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j.pc•~C .'r r "'of'Oti{
~0 }~S E-7~ p /F 1 NAL- OECLARA i IQN, )F
(praposed/finaj°)
I ~ T Cr/d.' t 9: C_ 4X ~.'I-E
(signific3nce/nansigm ficancE)
1. OescriQtion of Proposai: =LbA„?C_'- 'k-V_0_s1Fj~~04) 1E-&00k -M Z!l~AA DE.tRAL.,.
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Propanent: ,.~,4~~~ ~ ~-TAd)~ S
3. Contact Person:~~V Rlr_ 2- - Z64 11-7 Phene:
--T---
4. Caunty Action (s) Requeszed: ~ Zone Change: Preliminary ?lat
Auprovai: rinai Plat Apnmval; Change of Condition
Other•
_ocat -,on or Praoosa 1l 2A9T'~ ~ OF S0 L.B-d VA
.it) &UP /1~I &J,.6 ..41 le
A~PP'PD YV-2,6_00 9 C-~T n'f:'' c, t) L.Q V Ao(3.
5. Lead Agercy: SPQKANE COUNTY. WASHiNG7ON
ihis proposal has been determined to /t)6_T_- have a sianificant adverse iirtoact on the environment. sn EIS ;s
r2quirea ins1er Rf'd 43.21C.O-,U t'L; ic). 'his Cecision was made after rev:en by the County ot a com-
oip*°ed eiviranmsntal ctt2cY.iii-t and other infermacion oi1 riie with the lead ayency.
7. ;esponslble Ofricial•
Praoosed Occlaration: Finai Jec3arac'.on:
Kame ~~4 A Name A6AjXC,6Y
Signature 1-4-1-°„~~ v Sianature
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Titleirl" CM e 1 Titie ~t7K/4l/Qf1/'`~lv ~
Depdrtrment-C^. ~ c ~ 1w.,)~i- Oeo artment ZLALL&' ~'X . ~/-'J7
Gate Oate
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8. For 7eclaratzons of 31gnificance Only:
Qate of c".cpectec: Oraft EIS Availabil:ty (deternrined by Respcnsyble dfficial)
Jate of Issuance
TO BE COMPtE~TED 3Y RESPONSIBLE OFFIC.;,L:
a. Brief descriptior and listing of tfiosa envirormental Zrtroacts lead-ling r.o such aeclaratian:
b. 3rief exoianation of wnat measures, tf any, couid be taken ay _he apoiicant "o O-event cr -itiSare ttte
znvtronmental 3moact of the araoosal to sucn 3n ert2nt :hat ttie -eSDOnsiole mfrzciai vou?d r3n=jder , revlsca
proposai with a aosstole resulting declaration or rcnsigniric3rce•
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i ~ PLANNING DEPARTMENT
BROAOWAY CcNTRE BUILDING N 721 JEFFERSON STREET
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PHCIJE 456-2205
i.ja l! J%%'-`a"':~►' ~ i i i i~
SPOKANE, WAShINGTON 99260
SPGKANE CQUNiY CQURT liQUSE
CURRENT PLANNING
MEMORANDUM
~ ~p~. O F Eco 1-0 ~y ~ ~ oe • co . t4 ~;q V~' -
TO: ~
6- • ~ F F~ A tr~u : E Nv lQ. t~tl ~-r+f . CRE~- °F
1+-tfA,) : TONA JUST[1S
F 12~ Q t5 T
FP) U~A~.~e 4Pow~ ~
kttoO = 8 08 CA Ms,4
FROM: Spokane County Planning Department
North 721 Jefferson
Spokane, WA 99260
(509) 456-2205
Attentian : diAAt_th TJA(
REFERENCE: Lead Agency Destination, Threshold Determination, Staff
Review, Environmenta! Checklist, map; all or some of which
are attached.
Pursuant to WAC 197-10-203, the Spokane County Planning Department, a
division of Spokane County, has determined that the County, as an ACT1 NG
AGENCY, is the LEAD AGENCY for the folfowing project: .7_e~_L,a--74T.
J~-.ZS-~ Ta ~?•4 •
._70 gu~~._,5'ro2y woop Zn2uc_tue_F .n - ►cc
.
(:1)49JeC-l,. °,T0A5 r--,) S U 1 &-C rA)G-- .
i his determination was made in accordance with WAC 197-10-220.
Information on file concerning this proposed action indicates yeur agency to
be an AGENCY WITH JURISDICTlON (WAC 197-10-040 (4) or an AGENCY
WITH EXPERTISc (WAC 197-10-040 (3)
Accordingly, if you tivish to exercise your option to review and comment as
provided in WAC 197-10-340 (5), a proposed Decfaration of Nonsignificance
was issued on TVio F_ . Please respond, if appropriate,
at Your earliest opportunity~ no later than the public hearing scheduled
for ~?t~~1~_ 2, .
The subject proposal or action (IS, rS=3q3O-%T) LOCATED WITHIN THE DESiG-
NATED SPOKANE VALLEY SOLE SOURCE AQUIFER AND AQUIFER ENVIRON-
MENTALLY SENSITIVE AREA AS DESIGNlATED BY THE SPOKANE COUNTY
1208' STUDY. Please advise us as soon as possible as to whether you feel an
Envi ronmental I mpact Statement ( E I S) or a Ground Water I mpact Evaluation
(GWI E) should be prepared.
Enctosures
R ev . 4/ 17/79
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1s In accord~~~~~ ~th, the St~~~~~~ ~~~~ty Environmentel Ordinance'anci W~C 197-1fl f
an Env#xonmental Checklist has b~eri submi.tted by th~e appIic~~~ or his agent.
Thas checklist and a.ny a~dftivnal pertir~ent data h~ ~~ubseq_ ent1y been reviewed
by the &t A~ ~,.4~,~~ .~~A~'A &V
. ~
The f~llowinq data bri+~~ly. describes the pr-opa sa1:
A. Activn (s) Reque~ted: Zone Change; - - ~~eliminary Plat ~
Approual: Ffnal F1dt Approval;, C?~ange of Condition, ~
C) ther: - _ ~
.
B. Desc~~~tioti af Propa'sal. 7-eap OA C
~ -
h
~ ~ t-Lvn of Prop+~sa1: "s a,/i#~~ /L Z "n 6t
t
J&4.,~'.~' &~,q+
1I~ Ch~cklist:
A. SIzght adve:se lopacts a-re no,ted und-er t-he fo1iow-ing questions:
(l) ~anh (8) Land Use (15) Energy
(Z) _ Air (9). . Natur-al (16) Ut?lffie's
Res a.urce s
(3~) Water (10) Risk of (17) - Human
upset He~alth
(4) F1~~~ (U) . Po,pu~ation (L8) Aesthe-tics
(5) „ Faur~~ (12) H'ar~sing (19) Rec,
,(6) Noise (13) Ttans./ (20) , Arch. ~
~ Hil-S t y
1(7) Light & (14) Public (21) 0 ther
Gl3re 5ervices
,
' . i
s
B. Potentia].lJ significant adverse impaGts-are noted under the following
que s tions : -
C. Discussion of impacts identified above:
M. Conclusions and Recommendations:
8ased on this staff review of the environmental checklist, the staff:
A. ~ Concludes that there are no votentially significant adverse impacts
% and recom*nends/issues a
proposect declaratian of nonsignificanee.
8. Concludes that there are no potentiaJ.ly significant adverse impacts
and, because of the nature of the proposal, recommendsjassues a
final declaration of nonsignificance.
C. Concludes that poterttially significant adlverse impacts do exist and
recommends/issues a declaration of signi.ficance,
IU. Staff inembe r( s) revi ewi ng checkl i st
el/z61Z~
c •
►
, = ° ~~*Q~~~'F• G40 lm.
3, j • F ile 62
ENVIRONMC-NTAL Sec . -Twp .-Rge . 4*-^/C*
• CHECKLIST ~
~
,,~~"'i.rx~- •~-~,?r'
f'9•••t .:v•r. "'~r'O~lt ,
Introductfon: The State Environmental Policy Act of 1911, Chaoter 43.21C. 2CA. requfres all state and locai governmental
agenczes to ccnsider envirornnental values both for their awn actions and when licensing private arooosals. The Act also
rtquires that an Environmental Iaroact Statement be prepnred for a11 major acttons significantly (and "adversely". as aer
aAC 197-10) affetttno the quality of the physical environment. Fhe aurpase of this checlciist is *_o hlep the agencjes in-
volved determine whether or noL a proposal is such a major action.
r
Please ans►ver the foilowing questians as cempletely as you can wiwh the informatian oresently available to you. Ptease answer
questions as "yes" or "maybe" if, in your opinion, even only slfght in+pacts wi11 result. ihe revteaers or the checklfst '++ill
be aware of and toncern themselves with the dearee af impact, asking you for more information. if necessary. Where explanatians
of your answers are required, or where you beiieve an explanation would be helpful to qovernment decisionnnakers, include your
exolanaticn in the space provided, or use additianal oa4es, if necessarv. You should inciuae references :o any reports or
studies of whicn you are aware and which are relevant to the ansrrers you provide. Comolete answers to Lhese Guestion s ncw wilT
heip all aqencies involved with yeur prooosal to undertake the required environmental review without unnecessary delay.
The foitowing questfons aQply to your total prooosal. not just to the ticense for ahich you are currently aaplying or the pro-
oosal for whicn approval is sought. Your answers shoula znclude the zmFacts which Mill be taused Sy your prooosal wnen it is
campleted, even tnough tomoletion may not occur until sometfine in *.he future. This Will allow ail of the agencies whsch will
be invoived to comple*_e Lheir environR.ent31 revtew norr. without duplicatfng paoerwork in the future.
No applicacion shall be processed until the checklist has been comoletea and returned ta the 3opropriate Launty department.
State lar+ requires exolanations for everX °ves" and "navbe" answer on tre checklzst. The aerson camoleting the forn+ may be
required t0 provide explanations tor "no" answers, and in some cases, more decailed information to aid in a threshold
determinattan.
YOTt: This is a 5tandard iorm being used by all SLate and lotal sgencies in the State of 'aashtngton for variaus Lypes or
proposals. `lany of the quESttons may not ao01y to your proposal. If a auestion does not appiy, just answer it 'rso"
and continue an to the next question.
EYVIRONMENTQL CHECiCLfST FORM
1 BACKGRQUNO
1. Yame of AroQonent: A,#~ / cTc h -l S ~ ~C7uL1~. ~ Phone 4umber
2. Address of Praportent: f.Z /3ex /G7/r S00c 416.+~ Z-'4 f`i 9.2e '7
3. Oate Checklist Submitted: 7 rf
4. Agency Requirinq Checkltst: c~rO {2.14 .;~v C.:
Name of Proposai, if Applicabie: ,
6. VaLUre and 3rief Description of che Droposai (incluaina hut not iimitea to its size, generai design elements, and
other factors that will give an accurate understanding of its scope ana nature):
~ f'~-~ -•t ~3u /1.--ts- ~ SrieA-Y wa ad } tA-es G.r4~ _S tlv'v'►-l `~e S{ s',+f.
.
1. Locstion ar Proposal (describe the Qnysicai setting of the Prooosai, as well as tre extent af :he tand area aT`ected by
any environmerttal impacts, incluaing any other inrormatian neeaed ta give an accurate urtderstanding of Che environ-
mentai settfrtg of the prnpasai): 3. Estirssated Date for Comcle[ian ar Lhe DrODOSdI: )t >`/9'b
9. List of all ?ertmts, Licenses or Government Aoprovais Required Far the Praposai (federai, state and locai - tinc'.udine
rezones ) : ,~~t .2 " s rv po v~ : fS . S'eet+'G TC~. dt .0.~ ~ f S
( Ir' SPACE FaR EXPLA1'tATIOV IS INADEQUATE. QI.EASE 4TfACH A001 i iQfiAL PACu'S. )
10a. Qo you, or the awner in the event you do not awn the subjett land. have any plans far fucvre additzons, expansion, or
further actfvity related *.o ar connected with chts proposal? If yes, expiain:
lOb. Do vou own ar nave optians on Tand nearby or adjacent to this proDosal'S location? If yes, expiain:_&e
11 Do you knoa of any plans by others inciudtna the owner whlch may affect tne property covered by your prooosal or iand
adjacent or neerby? if yes, explain:A d•c61S iTtLe*-.e,R '7"f)
12. ALtach any other aapizcatian farm Lhat has heen camoleted reaardlnq Lhe prooosal, if none nas teen cemoleCea. but is
expected to be fileC at some future date, aescr4.be the nature or sucts applfcation form:
EivV[ROHM£NTAL IMPaCTS
(£xclanations 0f d~l "ye5° and °maybe" df1SW21^5 3Te ►'OGUIt`2d) Yes Maybe "10
i. clartn. V1i11 the proposai result in:
(a) Unstable earth conditfons or in char.qes ;n geclogic structuresl . . . . . . _ ~
(b) Jisruotfons, displacements, comaactian or overcovering of che soil?
(c) Change in topography cr groune surface relief ;eaLUres? . . • • • • • &
(d) The destruction, covering or modification af any un-,que ceologic .x
or physicai reatures? . . . . . . . . . . • -
(e) any increase in wina or Naier erosion ai soiis, aither 3n or oT` the site?
~ ' .
• s
(dF SPACE EXFl,1NATIflN IS INAQEGUATE. PtEaSE ATTACH ACGIT ?46F5.)
.
(f) Chanqes in depositian or erosion of Deacn sands. or chanaes in ;iltatian,
deposition or erosion which may moCify the channei of a river or stream .
ar the hed of the ocean or any 4ay, inlet or lake? x -
Exoianation: I, a.n d ~c:~ be. L..r, e t~k %J CA c*1 1~70 ~z ~Q L~.► k*JG
o L ~~~-r L2~,► c~ ~ w~ C, ti t~ ~ 1..~ t ti(. O'l`t1r r '~1 A ~l n~,~6. ~ v~~--
2. 4ir. will the praposai resuit in: Yes Maybe ~ No
(a) Air emissions flr detericration of ambient air Qualityt . . . , . . . . . _ _
(b) The craation of objectfortaDie edors? . . . . . . . . . . . . . . . . . .
(c) ATteration of air move+nent, mofsture or Lansoerature, ar any change in
climate, either locally or regianaily? . . . . . . . . . . . . . . . . _
zxotanatton: 2 5ia.-v 13vJd.-+~C i.,e c:/xa.A- Iew 'S/:,4/-e v
„00 -;nii/C /f C/~s f,Y 4/ 7'.^ 14 iqll -L /n X/C ,F t.7 s G '0" F 14
3. water. Wilt the proposal result in: Yes M3Yb2 .40
(a) Change in currents, or the caurse or dlrection of v►ater rtnvements. ~
in either nsarirte or fr_sh waters? . . . . . . . . . . . . . . . . . . w x
(b) Changes in absarptton rates, nrainage pattsrs, or the rat2 and
amount of surface water runoff? . . . . . . . . . . . . . . . . . A ~
(c) Alterations to Lhe cour,e or f1o,r of f1QOd waters? . . . . . . . . . . . .
(d) Change in tne amount of surface wacer in any water body? . . . . . . . . . . .
(e) Olscharge into surface water, or in any alteration of surface water
quality, tnctuding buL not limited to tensperature. dis5oived
oxygen or turbidity? . . . . . . . . . . . . . . . . . . . . . .
(f) 4ltsration of the directton or rate ot flow af ground watars?
(9) Change in tt;e quanttty of gound waters, eigner through dfretL
additions or withdraMais, ar througn Trttertepttort of an
aquifer by cuLs or e,ccavntions? . . . . . . . . . . . . . . ` ~
(h) Oeterioratton in 9round wacer quality, either througn Cirett
lnaection, or throuqh the seeflage of leachate, pnospates,
detergents, waterborne virus or bacteria. ar ather suostances
into the gound waters? . . . . . . . . . . . . .
(1) Reduttion in the amount of water othen+ise avaiiaoie for
public +vater suppiies? . . . . . . . . . . . . . . . . _ L(
Exolanacian: ai. 1't.,.4 t,✓t 3+ C~,1 Ot~ lv,~/l5 Lri,
I^' S 44 'tec t-*-c k' < G'~ a u/d I~- P.s .~S.• 4 !•.c
S f# rG ? c,~•, ~ !.Ad`l,t-
✓
4. FSora. W911 the proposal resuit in: Yes !+ayae 1,40
(a) Chanqe in the dtversity of species, or nurtber of any soecies of
flora (inc9uQinq traes, snrucs, grass, crops, microfiore and
aqe+at7e plants)? . . . . . . . . . . . . . . . . . .
(b) Reductian of the rt wibers of any um que, rare or eadanqered
SpeCteS of flora? . . . . . . . . . . . . . . . . . . . x
(c) Introduction of new species of Plora ;n*.o an area, or
in 3 barrier Lo ttre normal repienishment af existing srecies7 x
(d) Reduc:ion in acreage of any agriculturai croQ7 _ . . . . . . . . . . . . .
Exfliartation:
Fauna. 'Atll the proRosal PeSU1r ;n: Yes MaMtre Ho
(a) Chanqes in the diversity of species, or nuneer of any specles ~
or" fauna (birds, iand animais including reVtiles, fish and
shellfish, aertthic organisms, insecLS cr microfauna)? . . . . . . . . . , y%
(b) Reductfan of Che nucnbers of any urtfque, rare, or endangered "
species of fauna? . . . . . . . . . . . . . . . . . . . . . . .
(c) Introductfon of new species of !aira inta an area, ar re5ult
in a barrler to the mfgration or movea►ertt of fauna? . _ ~
' (d) Oeterioration af axisting fish or wildlife hab+tat? . . . . . . . . . . _ ~
Exalanatian:
o. Naise. Yes Mavbe No
(a) 'atll the proposal fncrease existing noise levels? . . .
cxplanation:
7. l.iant and Glare Yes maybe Ve
(a) 'ai il the proposal oroduce ne►y 1 iaht or glainee? . . . . . . . . . _ ~
cxolanation:
2.
l
~
f ~ -
~ (IF SPN__ FQR EAPLANATI04 IS INAOEOUATE. PLEASE ArACH A06_ JNAL PA6E5.)
~
3. land Use. Yes ~'~avbe No
~
(a) will the proposat result in the aiteration of the present or
planned land use of an areal . . . . . . . . . . . . . . . . . . . .
Ezolanat9on: .
9. iVatural Resoures. wi11 ;he prouosat result in: Yes Maybe "to
(a) increase in the rate of use of any natural resources? . . . . . . . . . . . .
(b) Oepietian of any nonrene+rable natural resource? . . . . . . . . . . . . . .
E+cplanatton: 10. Risk of Uoset. Oaes the proposal involve a resk of an expiasion or the Yes Mavbe No
reiease of hazardous substances (tncluding, but not limited to, ait,
pesticides, chemicals, ar radiation) in the event of an accident or ~
upset conGttions? . . . . . • . • . • • • • • • • • • • • • • • • • -
Explanation: 11. Population. Yes Maybe No
'Aill the proposal alter the locaLion, distribution, density, or gror+th ~
rate of the human populaticn of an areaZ . . . . . . . . . . . . . . . . . . _
Explandtion: ~
12. .4ousinq.
Will Lhe prooosai affect extsting housing, or create a demand fcr
addi tt ona i hous t ng? . . . . . . . . . . . . . . . . . . . . . . . . . _ x
Exolanation•
13. Transoortation/Csrcuiatton. 'a911 the proposal result 1n: Yes ,"tavbe No
(a) Generation of additfonal vehicuiar moveinent? . . . . . . . . . • _
(b) Effects on exisLing parkfng facilities, or desnand for ne++ parkin9? _
(c) Imcact upan existing transportatian systems? . . . . . . . • • • • • • • • _
(d) Alterations to present patterns of circulation or movement
of peoole and/or gaoas? . . . . . . . . . . . . . . . . . . . . i
(e) Alterattons to waternorne, rail ar air traffiC? . . . . . . . . . ~
(f) Increase in Lraftic hazards to motor vehicies,
bicyclists or pedestrians7 . . . . . . . . . . . . . . . . . . .
Exolanation: \~cY~~cvl.nQZ ~MO•1ew~~-~.~.-~ t,c~,~G~. i~1 ~9C-n ~ c\~' ,
C."~~c~ . CV.PuJ ~t"'a _v..t ti C-r ♦ ~ \V,-) P_ ~NC,
14 Public Services. W111 the proposai have an effect uoan, or result Yes Mavbe No
Tn a neea for new or aitered governmental services in any of
of the following areas:
(a) Fire ProtecLzan? . . . . . . . . . . . . . . . . . . . . . . . .
k
(b) Police protection? . . . . . . . . . . . . . . . . . . . . _
(c) Schooisi . . . . . . . . . . . . . . . . . . . . . . . -'2~6
(d) Parks or other recreatianal facilities? . . . . . . . . . . . . . . . . .
(e) Maintenance of public facilities, includfng roads? . . . . . . . . . . . . _ 7t
(f) Other qovernmentai services? . . . . . . . . . . . . _ ~
Expianation• (IF SPACE FOR EXPt.ANATION IS INADEpUATE, PLEASE ATTACH a00ITIONAL ?A6ES.)
15. Enerav. 'dill the arooosal result in: Yes Mavoe No
(a) Use or suDStantiat amounts af fuel or energy2 . . . . . . . . • _ ~
(b) Oemand upon exisLzng sources of enercy, or renuire ~
the deveiapment of nerr sources of energy? . . . . . . • • • . • • _
Explanation: 16. Uti l ities. Wi i i the prooosai resul tin a need far nerr systems. Yes Maybe Vo
or alterations :o the follawina utllities:
(a) Power or natural gas? • • • • • • • • • • • . • • • • • ' - X
(b) Lcmnunication systems? . • • • • • • • • • • • • - ~
(c) Water7 . . . . . . . . . . . . . . . . . . . . . ~
(4) Sewer or septic tanks? . . . • • • • • • • • • • • . -
(e) Storm water drainage? . . . . . . . . • • • • • • • • _
3
(11, E MR EXPLfiWiTiCN 15 1itA0E'1UAt" ?lEASE aTTACh TOPIAI °AGES. )
.
(t) Soiid waste and dfsposal? . . . . . . . . . . . , • • • • • ~ ~
fxcianation: ~i c, ~N t.-I \L ~h. l~iu.►~
Yes Mayoe wo
17. 4unan Health. Will the arooasal resuit in the creation or" any health haz3rds
' or potential health na=ard (sxcluding mntat nealth)? . . . . . . . . . . . . . .
Explanatian:
18. Aestretics. 'atil the proposal result in the abstruction of any scentc vis:a or
view open to the publtc, or,wiil the prooosal result in the creatian of an ~
aesthetically offensive site open to public viewt . . . . . . . . . . . . . . . _
Explanation: ,
19. Recreation. W111 the proposal rPsult in an impac*_ upon the quality or
quantity of existing recreational QRportunities? . . . . . . . . . . . . . . . ~
Exolanation: ,
20. ArcheolocicailHistorical. 'aill the oropasal result in an alteration of a Yes Mavbe NoV
signisican*, archeoiogical or historical site. stncture, object or buildiny? - 4
,
=xolanation: SIGNAPJRE
the undersigned. srrear under the aenalty of perjury that the above responses are rt+ace truthfully and to the
best of my knowleGge. i aiso undersnnc that. srould there be any willful misrecre5entatian or willful latk of
fu11 3isclosure on my pant.SpoKane Caunty may withdraw any declaratfan of nonsiari`ic3nce that it might issue in
reltanc2 upon this cneckiist.
' '5 " e Proonent: ~~%'A~~~` -
Qate: ~ r P
6:1111
(Please Prtnt or Tyae)
?rcponent: aQQress.
Phone: ` 4
Person completing form: J Phone:~ ~Gate: J-'- 7
Oepartrtsent or Office of County Revie++inq Clieck?ist:
Staff Neinber(s) a9viewing CheCkliSt:
~
- -a
FORM A
APPLICATI4N FOR ZQNE RECLASSI1'ICATIO N
SPOKANE COUNTY
Z L= - (c>2 - "A 0)
Date: Applicatian No:
Name of Applicant: p"lZmo, J c> V~3 cz., ,
Street Addres s of Applicant: TZ-C Z- 3 c~ ~c 1~~~ V. ~
C~ zA - Z"k SC►
City: State: U► PtS LA Telepnane No. QL4- lJ~v
Existing Zoning Classification:
Date Existing Zone Classification Established:
Existing U se of Property: IQ ~f~•c a•~
Proposed Zone Classification:
Proposed Use of Property: P, e`1e \r, ,h L..,, c~;~~~..~ ~~v,k.•~,b-.
Legal Description of Property: \J~~p c~n Lc "'?D q.1<
Section: i. dl Township: 2,S Range:
Source of Legal : o«c>►..~
-
Assessors Parcel Number: (See Tax Statement) C 4S -A l- '7_o ~
Property Size: Ct0.05 1 -,c 1'~ . a' -X `fi'l ` X
Total amount of adjoining land controlled uy this owner or sponsor: t\(.UrCi~
Street Address of the Property:
Who Holds Title to the Property:
If you do not hold title to the property affected by this aoplication, what is your interest
in it ? ~'t~3 ~ C~~•.~~C~` ,
Furnish a letter from a Title Insurance Company, showing the property owne: s of recard,
their addres s, wit,.hin 400 feet of the exterior boundaries af subject property.
1 -
t~
Application for ~ ~one Reclass:~.~~caticn (Contznued)
ALL OF THE FOLLOWIiVG OUESTTONS iVIUST BE AITSWERED:
1. What are the changed conditions, of the site and the area, which you feel make
thi s propo saI warranted ? 8AJ i. L
2. What effect will the proposed zone reclassification have on the adjacent properties ?
3. Can a reasonable return from a reasonabie use of the property in question be
secured under the existing zone classification? (IF no, why?)
/VL°' ,-i'
y ~
~r_ ~ ~1 ~ l~,'.P_ ✓t' t= ~ r' ,
.
~
I, the undersigned, swear under the penalty of perjury that the above responsPs arF inade
truthfully and to the best of my knowledge, in accordance with the requirements of the
Spokane Co unty Planning Department and the laws of the State of Washington.
(Sign.-ed) 'dr
q-- .1-' 7 C/
(Date)
- 2 -
.
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. Jrut~Hm YA1_!_t r r 1w- 1jCt'mI IlIt1Y I
- FOR DE-tMI TATIO1J OF RFQW, FIRE FL.M-. ~
. . .
~
CWIE .
~ ZONE #
ADDRESS
.~o
. . - _ PLAN # .
As DE7ERM I NE IYPE OF OON STRUCT ION- CLASS (C I RCL.E E)
. ~
I- II IY III V -
. , . .
.
F I RE-RES I STIVE NON-COMUST IBLE ORD I NARY 'WOOD FRANiE M IXm
tbTE: IF "MIXID". SEE *SPECIAL INSTRUCTIONS FOR AREA AND BASIC FIRE f-1.0'W: ~
. ~ ~
Ba DETERMINE 1NE GROIAm FLOOR AREA ~ ~ A/~
C. DETERM I NE THE NE I GNT IN STDR I ES
D. DE1FRMINE REQUIRID FIRE FLAW 1O ?NE NFJaREST 259 GPM (USE TABL_E) 6U0 GpNJ
_ E. DETMNIINE THE CREDIT OR StlRCHARGE, IFANY, FOR 7YPE OF OCCUPANCY.
. IF LOW HAZARD. SLC3TF2ACT UP lU 257. OF (D); I F HI
GH HAZARD. ADD UP TD Z~% OF (D)
CREDIT (SUBTRACT) (-~.'-S~l • SURCKAFZGE (AIID)
TOTi4L A_6Z
- F. DETERMINE CRmIT IF ANY FOR AUTOMATIC SPRINFQ-ER PROTECTION.
.
CRm I T (SUBTRACT) TOTAL
G. DE?ERMI NE DCPOSURE ADJUSTMFNT:
. USING TNE TABLE,PT LEFT AS A GUIDE. ENTER TNE SEPARATION AND ADJUSTNET!T FOR FJaCH OF
THE FOUR FACES - OF -TNE BU I LD I NG I N. THE TABLE AT R I GHT: - -
-SEPARATION ► . ADJUSIMENT DCPOSURE SEP%~TION ACT. AD.1l1STMETIT
Q-- ~ 2 57 MAX. NORTH b
ADD
- 0 MAC EAST ADD
a MA)C SOUTH ~ ADD
6- 10o MNC . . WEST ADD ,
101- . 51 Mvc TOT~ % ADJus r •
ISI-OR 4-HR. Y~Al.L OI NLA)C. CNOT TO DCEED o:
. .
N. DEIFPAINE ROOF COVER I NG ADJUSTMENT; •
. (I F WOOD SH I NGLE ROOF COYER ING, ADD 5)0 GPM) aDJUSTM-?NT:
(G) & (N) SURCHARGE (Ann)
' mTAL 7
OFF THE FINAL AI'2SWER THE NEAREST Z5O GPM IF LESS 7}iAN ZSC~ GPM At1D 1U Ti~E NEARE
GPM I F GREATER 7~3~i~'~WGPt4,
S
TDTAL REQU I RED FI RE F-LJOtit1
. ,
. ~
c tr.t~~.~rTf~ Dq . i
1
. - I
ZONING WORKSHEET FQRM C
Application # ZL - 6.2
This document wiil provide the Planning Department Staff with written verification
that: 1) The site's legal description has been reviewed by the Engineering and
Planning Departments who agree that the legal description is acceptable.
2) That the proposed development can meet the requi rements of the County
Health District, the County Engineers, the County Utilities Department,
County Fire Marshal and Water Purveyor.
3) That adequate provisions for the proposed development can be provided for:
residential, commercial, industrial and mining uses. An applicant is required to present a copy of the proposed DEVELOPMENT PLAN
with this worksheet to each of the listed agencies for their review and deter- I
mination as to whether the proposal can meet minimum State, County and Health
District requirements. (Note: Applicant shall contact indicated aqencies in
sequence I isted below. )
PAF3I_J ' ~4_~g ~Qmpletgd b~~B.4k.~L~~ (Z4kjDtY_~.~~!!1€g[ ~C ce
- r
A preliminary consultation meeting has been held with the Spokane County
Engineer's Office and the proposed development has been reviewed.
1) State DOT Review requi red : yes ~ no.
.
2) ~ Access to be limited to:
3) Access permit is required.
4) a. ~e Dedication for right-of-way is required.
( feet on Road, Street, Avenue. )
b. Radius ( foot) is required.
(On and Road, Street, Avenue)
c. Slope easement is required along .
5) ~ S Drainage Plan is required. ~ on-site ~ off-site. ;6) Paving permit is required. ( feet on ; v„ Road. )
7) ~ Curb is required, (along • ~;5'. bs~ Road, Street, Avenue. )
8) I'le-4 Sidewalk is required. (along 1Y1SS1`0h Road, Street, Avenue. )
9) Applicant must be willing to participate in future LI D/R I D.
10) Legal description is acceptabte as reviewed.
Parcel No.
Comments :
41- OZ=
Signed Date
~
, . 1
ZON I NG WORK(WT--continued-2
~
PAf3I_J!
A preliminary consultation meeting has been held with the Spokane County
Utilities Department and the proposed development plans have been reviewed.
1) The proposed development lris not located in a public sewer service area
operated and maintained by Spokane County.
2) A storm drainage plan Wis not re►quired for the proposal.
Comments :
lc~ d Date
PAJ3I_.11~,_
A. Water SuPPlY
r
1) The proposed development is located with the Wp Ttx
district boundaries.
2) Satisfactory ay-.t/arrangement IwWhas not been made to serve this
' proposal.
3) We are/ able to supply this development with adequate potable
water.
4) We are/are-p" able to supply this development with adequate water for
fire flow. v r° T'o 2 o Cn pr-•
5) Water Purveyor is ~ public, private community,
private, other: .
6) Water system arWis not under State Utilities jurisdictivn.
7) Ind+cate size of main for hook up: ~ inches.
8) Distance to main: ¢ Q~ feet.
.J
~ 3-- 30+79
~ to be co ple ed b~ Ap i n
1) Individual water supply will be developed with/vAfibMf fire protection
capabilities.
Comments :
Signed Date
,
C. If proposal is outside the boundaries of any water district, the State
Department of Social and Health Services must review the proposal prior to
appl ication .
1) I/We have reviewed the proposal. I t appears to meet State require-
ments for public water.
Signed - D.S.H.S.
J
, _ .
- . ' ZON I NG WORK(WT--continued-3
~
PA RI-L~ ~~Lp,--=Y 5-zQk~at Cput~ty Fir-~ M-aaL a1 R ~ Coo~ ~L's
~
1) Proposai is located in Fire District # .
2) Access and circulation for emergency vehicles is required.
3) Fire flow is/is not adequate for proposed development an is is not
req u i red .
.
4) Main(s) need to be installed.
5) Hydrant(s) need to be instalied.
~
6) ~ Water Supply Cistern shall be installed (of Gallons)
7) Nearest fire hydrant is feet.
i
8) Driving distance to nearest fire statiqn is
-
Comments : p . ~ C v S C C~ ~
, .
' % _ -
, Sighe D e
PA.i3I ti =~st ~.g ~.Qm.Q!€~~.5~_~~ ~o4~~~g_ ~~~Y~.~►1t~1~~~~~~ct_
A preliminary consultation meeting has been held with the Health District and the
proposed development plans have been reviewed.
1) The proposed provision of sewage treatment and disposal app s to be
feasible and desirable at this time by the following means: ~ septic
tank; lagoon; treatment plats; other:
Other methods considered were: ,
, .
2) Air quality <is not concern with this proposal.
3) Ground water qualitylgYis not a concern with this proposal.
4) Noise is~'is' n9JVa concern with this proposal.
5) Light6/is not a concern with this proposal.
6) Proposal is subject to review and approval af final plans.
Comments :
--Q- ~ . % S ~
~
Signed Date
• . ~ ~
PRE-:~PPI.,ICAT?GN FOR ZONE RECIASSIFICATION
SP4KANE COUNTY
Date: !17 q Application No:__,,?- E- 4,2 -7 ~
Name of Applicant: L.. 73~6~e-- ~
Street Address of Applicant: RT Z~~ ~~~l K
Z`~ sU
City: State: V( %-A Telephone ~+'o . q2--4- 1'7 3~
Zip Code: ci 41
~
Existing Zoning Classificationj2 -.2 e, r I
Date Existing Zone Classification Established:-yjS2, 92-ft-01 Existing Use of Property:
Proposed Zone Classification:
Proposed Use of Property: c,cF 72~~z.l~ ~ ~►.~C~
Legal Description of Property: L-d:T 33
?Arcc-,l_ Ko ~d ~•.,a ~ - U 2C~ "3 ,
Section: Township!_~?~ Rance:
~=l
Source af Legal: _
Assessors Parcel Number: (See Tax Statement)
Propecty Size: qO, Q `5 X c)'r1_ [_7 -3•
r~3rc)
.
VERIFICATION OF
AFFIDAVIT OF POSTING
STATE OF 4lASHINGTON )
) SS.
COUNTY OF SPOKANE )
e
,~4w , Being first duly svrorn, deposea and says:
That at a11 times mentioned herein he was, and now is, a citizen of The United
States, a resident of Spokane Cour,ty, Washington, and ovar the age of twenty-one
years.
That on ~K,,,~.,v 197.0r, hc pcrsonally posted three (3) true
and corre't copies of the hereto attaclied NOTICE OF PUBLIC HEARING at tho
following places in Spokane County, to-wit:
GE26 ~/A,4ivl
v ~
67
2.
3-
Subscribed and sworn to mo '
l( , 19
~9
~
NOTARY PUBLIC IN AND FOR SPOKANE COUNTY, WASHIlV(;11104
Residing at Spokane, Washington
ZE-62-79
AFFIDAVIT OF MAILING
~ ~
STATE OF WASHINGTON ) ~G Cptk
) s s .
~~~~~•~~~l~`.G L-~
COUNTY OF SPOKANE )
being firs t duly
V /
sworn on oath, deposes and sa s:
That I am a citizen of The United States of America and a
resident of the State of Washington over the age f 18 years .
That on the day of , 19~
U '
I personally deposited in the United States mail at
v ~
with sufficient pos tage prepaid, a
true and correct copy of the NOTICE OF HEARING, a copy of which is attached
hereto and incorporared herein by reference, to the recorded real property
owners and/or taxpayers, a s shown on the S pokane County Trea surer' s record s
as of the JI day of L -11~ , 19~~uvho have been
found to own property within a four hundred (400) foot periphery of the applicant's
controlled property. The notices were addressed to those individuals and sent to
those addresses as indicated on the attachment attached hereto and incorporated
herein by reference.
DATED this 1~2-
day of 19~~.
~
SUBSCRIBED and SWORN to before me this day of
19~
r,°° • -7/
-
, d
otary Pu81iqJir1-°a'ri0,,for%th,e,'S'- t a t e
,
of Washington; °r-siciin 'at p~okane.
v\~~~ '
O f ,v
J L-1 y e
~ p ~ii I.GGCt• .p rl i \a r ,
11PPL,ICl1TION No>.