ZE-8-78
N i~ ~ d *T ~T o, ~ . ~ 0. , NU No. 1 L.~6 8 1
~ r , ~ 1,~10. N r~ I c N ~ ~ b c
~ECEI~~ FaR ~ FrJ~IPT FQR CER~fFIED MAIL ~t~~ `~p ~~TIFIEp MAIL .~CEIPT FOR CERTIFIEQ It+fAfL ntCEIPT FOR C~RTIFIED MAIL T FOR C~RTI~'IED MAII RE~EIPT ~~?R CERTIFI HO fNSURANCE C ~D MAIL NO INSURANCE COYERA~E PROVIOED- N~ .tECEIPT FOR CERTIFIED MAIL No iNsuRANcE covERuGE PRovIDEp-
NO INSiIR aYERA6E F~py~~pEDs NO INSURANCE COVERAGE PROYIAED-- ND INSURANCE CpVE~AGE PROYIDED~ AHCE COY~RII6E PRflVfaED- I~QT FOR iNTERNJITIOHA NO INSURAMGE COYE~RAG~ PROVIDEQ- N4T FOR INTERNATIOHAI N4AIL NOT FOR INT~RN~lTION~L MAII ~~a~~ MOT FOR MOT FOR INTERHATfONl4l MAIL IVOT FpR INTERNATION~t MAII NOT FOR INTERNATIOMA!l MJIIL
(,r~~ ~~y~,~~ ~ INTERMATIOMAI MAII (Se~ Reverse) (See Reverse} - . g~E ~e a (See Rcverse) (See Revers~) . s~r~r ~rr~ ( verse) sE~rr T.~ ' sEN~ (See Reverse) SEN71f~~
E Tfl ' ~ SEP,iT T - SENX Tfl SEN Tn ~ • + ' . ~ ~ ~ ) [.![.L~ A , ,
STRE f STR- T tn~ „ P'~4~/' ar~r-F . ET Np N~J • EE ~ ~C 1~J ~ "ti . - c.- - 5°r~r~Eh ANd NC) ' ?R,_Ci AIvC~ NU. ~ tiTFfiE T~~N:~ 5 EET A~1D r, STFj[F I AND 'dC] 9' (e,3l V
' ~ ,,.I.~• ~h.~-.+ ...r / - _ - , ~"~v4 ~ ~9 ,cr~.~[~ ~ n . . LY - - (F ~ ~ ~ ~iD ~ ~ ~ ~ I . . aTE AND t ? ' ~p~~ F , STnT~ ;,tiC~ ~1r ~:[~~E ~ G~i'1E - f'.~3 ~T~AE r~hl~~ ZIP C;f~C?~'~ R C~ 5; ATt_ ,4P;~ ~I~ ~.UC;E 0.$TAT~ .ANa ZIP C~DE I' C} ~TATF A,
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, ~ ~~SFAGE + ~i ~T:1GF i Aa~ ~ ' Pt~ TAGE I$ ~ - ~ C~ATIFIED F~~ $ CERTIFIED FEE _ CI ~ERTIFIED FEE <
v► ' d u# 4 CEFiTIfIEO FE~ Q GE~ ti~Flci~ :~r.~ Q y ~'~RTIFIED FE~ ~ :c ~ ERtIFi~p F_~ q 4+ SPECIAL DELIVERY ~ y i ~ SPECIAL DELkVERY 4 4+ SPECdAI DEL9VERY u+ ~ N SPECIAL bEtIVEFlY ( i ~
~ ` yr ~ I d SPECIAI QELIVERY Q ~ ` SPEGdAL DELIWERY a p~ T SPECIAL O~LIV~RV Q RESTRIC ~ ~ ~ 5 RICFEp DEIIVERY ~ ~ oc TED OEUVERY Q RESTRICTED DELIVEAY 4 RESTRIGTEa DEUVERY ~ ~ R 'C m I dc c~ ~ ~ RESTRICFED CIEl.l1lERY i
~E5TRICT~~ pELIVERY d ~ ps AE5Tq1CTE~3 DEUVERY a y a o ! y w S+N'NH 10 Q ~ ot W W SHOW f0 WN(1M AND AATE ~ v► ti y ~ 4 W W . W ~ c~ N'NOM dNp D~~ w~n c~ d a~++ ~ SHpW 10 "MHOM AMD DA1E w W SHOW 10 WHDM AMD DATf i„~ c c~ ~ W~ SHUW i4 ~I~HOM ANU qA1E ~
, ~ ~ SNOW 10 WIH41M AMD ~41f ~ GEIIVEREU 6 oc ~ ~ SHQW 70 WHOM AHD OATE 6flIYENED w~?' ~ ~El1VEAED R ~ DELIUEREO 4 QfIIYERED ~ W y ~ ~EIIVERED ~ ~ ~ ~ s" ~ ~ N 41 CL uf p~t A~t h u ~ ~ ~ 6E11YERED
W . . ~ II~ Il~ ~ ~ ~ ~ 'rC VJ $MIJIM ~O WN T = W ~ ~ W ~ Y ~ ~n r~ N( 1 W T O W t 1 4 M, D Y t i E, A R D w N ~ AD~R~~S OF O M, D h E. q N D ¢ g c ~ S N( i M i 1 0 W H 6 M, p A T E. A l I D _ S H ~ 1 W 1 0 W N O M, D A T E, A N D v s A[ 1 D R f S`~ O j ~ E I P l E R Y ~ y S N Q W f w O f~ f Y E R Y ~ ~ ~ rn S H O W T O W N t? M~ D A 1 E. A I I D q ~ s u~ 4 0 W N q M. ~ A i f, A M m a M D R E T~ O F D E L I U E R B N r~ A D~ R f S S U f O E I N E A Y Q~ z $HOW TO WHOf1f QATE, AND ~ P.- tiDDRESS flF DflNERY
N D D R E S S 6 F 4 EliV€ RY ¢ Q z~ y~~ bUl~Rf~ S O f D E i I Y E H Y ~ w p ~ c _ o = ~ C ~ SN01N M WHOhI ANd MTE
w S}i0W Tp w Q u~i SHOW T9 WHOM AND (MTE 'd a v n~. a~ ~ S AfID [UIE ~ ~ W S f f O W T~ W H D M ~ I M fl i l A i E ~ S H p W 1 U W H q M A N U f~ T E ~ SNpW i Q WHOM AN~ DATE C ~ EUVE~EQ Wl I H A E S T R I r. S H U W 1 0 W H ~ 4° t ~ E L I Y E A E D W I 1 N RESTR1CfED ` a f. W WHIM a o a~ DELIYE,~D WI1H RESTNiCTED ~ DEIIYEHY C~EO Q J~~w (k14 AND DhdE y p~ UEINERY ~ ae ~ f~tINER~O WITH RESTkIC1ED ~ d a UEIIVEREm WITN RESTRICIED N C 6EllYERED WITH RESiRfCiED ~ H a s DELIVERY
a z 4ELIV[RY ~ a a o OCUUEREO WITH R~SiRiCTED Q = ~ ~y o DEUVERY ~ o,~ DEINERY ~ ~ o ~ H ~ r G~II V E Rr o y z ~ = o c o v ~ a D W T 4 W N p M, U A~ t A N O c~ t i k DR ll} W~ M D~ 1~ A H U D ~ S H D W T O W H O M, D A T E A N U o ~ SH O W i Q W H O M, D h T E A H p ~ ~ = SFNPW iO WFIOM. DIITE ANm
, S H O w i 0 W H D M, O A P E A A p D D H E S S O F ~ E I I V E R Y W I ~ ~ S I I~ W T C W N p E S S O F O E L I Y E~ Y W 9 T N t c t RfSTRhCT~~ ~ t t~ Q~M, Dh1E PNO ~ HESTRIC1Eb dE~fVERY A04RESS OF DfLINERY WIiH E ~ ~i+ AOUBfSS QF DELINENY WITH { r u ~ p U R E S S 6 f D f L I Y~ R Y 4 Y f 1 H ( DEUVEAY r+i AppkESS OF OElI4ERY WI1 ~ m AEST~ICIEU DEUYERY p~~TBICiEO p~IIVEflY ~ RE$TRICTED DELIYERY . °C RESTRIC?EP ~EEIYERY ~ ;L; i ADDRfSS OF DtLNERY W4TH t 09 RESTRiCTED DELIVERY
TOTAL TOTAL PO5TA4E AND FEE$ c° ~ TOTAI . c~ ~]STAGE AND FEES . $ r- TOTAL POS7A F r• $ 4E A11D EES $ 1'OTAL POSTA(iE AND PEES $ ~ TOfiAl P05TACiE AND F£ES $ m
~TAI. POSTAGE AND F~fS r' tpTAl PpSTAL~E ANQ FEES p a' ~ ~ ~ ~ POSTMARK OR DA7E ~ p0$?I - a ~MARK OR DATE ~ a POSTMARI( UR DATE a STMARii OA DATE d, POSTMARK OR dA~E Q ~ POSTMAi~K QR OATE ~ ~ POSTMARK OR [?ATE
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_ ~ ~ -+~~IPT FOR CERTI~I Rt~EIPT FOR CERTI~IED MAI~ . , RE~CIPT FOR CE~TIFIED MAIL RECEIPT F~R CERTIFIEp MAIL INSURAlVCE COYEIU6E PROYID~~~ _ ED MAIL No ~,~~EIPT FQR C~RTIFIED MAIL Ur FflR itii~RNATIOM~I MAIL R~.~ ~L,,tIPT FOR CERTIFIED N1A'IL NO 1NSU'RlIMCE COVERAGE PROV1DEt)-
NO INSURAHCE COIf~Rp6E pp~ylpE - MO I#iSURANCE COYER~6E PAOVIDED- - HO INSURANCE COVERA6E PROYIDED- NO INSURAACE C0IIERIICE pROVIqEO~- ~ NOT F ~ NQ iMSURANCE COYE Se~ ~~vcrse) MO OR IHTERNJITIONAL MIIIL N0Y FO~R INT~RHATIONAI MAII RA6E PROViDED- NOT FOR IHTERNATIpNAI MAII NOT FOR IliTERNATIONAL M~IL (
NOT FOR I~ITERNIITIOHAI MAII ; 1~.~u'" (See Reverse) jSeu Reuer~e) (See Reverse} (See Rev~rseJ ,~r, _ ce NOT FOR I~NTERM1lTlONIMI MAII
iT to - (~e~ ~everse) . ,~y~ SENT T~ S T~ , . S~N T , ~ID %~~Q'~~~ ,p~ SEMT 'r, f~ ~ ~ ~7E,F~ i t,r;`.~ ,~C' SENT (See Rp-verse) SENT Tr~,~•
- S~' ~ ~!°~2~~ ~.y~.~ ,y EET ANd I . ~ d f N0. STREET ANp • ST~fET A~~. ~J ;T T,4ND N~}, /y ~A - ' ~~~r'~ .
_ ~ LC.~G-_ ~.e:T N~i,~.~r_y i/ 1 J ~ ~ a • ~ a~g _ i_7,~,~3 „ ...e P ~7AT~ AND Zlp CiIC)E STAEE h - c,~a ~a ~c fiTrM1T'~ A.dp cIF ~C1C1E ~ f7:~ TAT~ ANG [°IP Gy[?~ `~'H'~d~f{.• p 0,~T~TF AGdf~ Zlk~ ~,C'~Dc n~7fiATE AND ZIP C.C,L'r wrREEr xx.Nn raO _ ~ • ~30 2
$ P (7 • ' T,nTE APVI ~1r C~iC~~ ~ PL}STAG~~ . e ~2~ GrJ'~ ~'a . ~ ~I r; ,,,7:',7P ANO Z9P CC?C,F
, ~ po > fAGE --,~~~,~~L= /Lyt~t'~ 110~ i';~~5rrv~iC p ~r,Er: ~ - ~ _ ~ ~.1}-, ~ q~; f ~ . $ . ~ C,ERTtFIEp FEE ~ ~ P~.5~~ ~ _ $
~~riFi~o FE~ TIFI f '4 ~ C RTIFi fE 4 RTi€'q F~~ N S Q CER Ed EE ~ E Ep E CE E~ Q I 5PECIAL UEUVEf?Y C~RTIFIED FEE u~ q CERTIFIEa FEE a
SP~CIAL DELIVEpY y SP~CIAL lSELWERY d a ~ ~ SPECIAL OELIVERY 4 ~ SPECIRL DELIVElaY Q FiE57R1GTED DELIVERY v~ ~ y~ I L~ W p W w SPECIAL pELiVERY a ` ~ - W RESTRICTEp DELIVIERY pt RESTRICTED O~LIVERY ~ k p~ RESTRICTEO OfLIVERY R pY RESTRICTE[? DELIVERY Q ~ ay u. La SPECIAL DELIVERY I d LLS
I I W IE ~ I ~ O ~ RE^~TRICTED DELdVERY ~D p ~ u~, s~ow to w~ ~~o ~ 4 ~ I a ~ RESTFIICTED DELIVERY C3
SHf1W T " w W t~ 6 W W ~ W DE~NERED p ~ ~ Hf)W 0 WHUM ~4WD P1~liE p~ ~ SH6W 10 WHQM ANQ UA1E ~ y ~ ~ SN~V T~ WHOM hMb DATE a ~ ~ SN(~W TO WHpM JINO DATE p~ 4, y a~ DELIVEREfl 4 W~ QEl14ERED a~ W SHpW 10 W110M AN~ DkTE ~ OE~IVERED ~ OEl14ERED a W o~ K~ D E L N~ RfD 4 ~ vi ~ S N D W T 4 W H q M, U A T E. A N D a ~ 13 MJ SHUW TO WN011E ANC9 DATE °s L3 " oEuvERED a
~ ~ ~ °E W ~ ~ ~t °E 4+ .+~c °1C u~i ~ ~ A DA~SS Of 6EtIVfRY ~ ~ S N O W T O WHOMI, DA~E AND ewn ~ SN[tiW TA M r H O M, DA 1 E, ~ N U i W W ~ H'~ SHQW Tb WH O M, a+l i E, ~N D ~ H' n SHON' iQ WHOM, RATE, ~HD + ~ s~~ ~ a e ~ ~ ~ ~
AOORESS Of ~ AN R~f UE~PYEBY ` w N hDDAESS Of QEL9YE~Y 4 q 4 0~ w ~ y i a, ~ E I I Y E R Y 4 y f~ E S S ~ S N O W T b W N O M, p A T E, q A p v e D D R E S S O F D f L I Y E R Y a w t ~ W a~ S HOW 10 W H i~ I l ~ t l D G A 1 ED H ~ n A O D R E S S O F D E l l 4 E R Y Q Q~ W 4~ w t y ~ ~ 4n SHOw TD wHHM. DATE, ikND , n ApfN7ESS C]F DELIYERY 4
SHfJ~Y o u n z W d o ~ d o u ~ d a e U E~ I V E R E~ W 1 1 H R E S T A C f E c~ ~ . ~ u 1 0 W h Y I M A N D D A i E w S H i O W T f~ W H 4 M M 1 D O A T E 4 N W S H D W T 4 W I# O M A M O U A I E w y ~ S H O W T t l M~ H 1 M A N D D A T~ ~ O y t~ E I I Y f H Y d ~EtI V~R E D W I T N R f S T R~ T E D 4 ~ a~ d f i I Y E R€ D W I 1 M d t E S T~ I C T E~ { w S H O w f D w H O M ~ p ~ A 1 E a~ 6 E l~ E R E p W I T H N F~ i A I C d E~ ~ m D E I I Y E R E D W 1 1 N R E 5 I R I L T E D a a c ~ a ~ ~ W ~ C) µ~j TQ W" A~ DELIVERE ~ d
~ D E~~ Y E R Y ~ o~ D C l. I V E R Y ~ d 4: D E I I Y E R ED Wi1H RESTRICTE~ t Z G E I I Y( k T ~ o z b E I I Y E R Y p S~ W T C+ W H 9 M, 4 A i E p N 0 ' 4 ~ a a O a~ a ~ $ 5 O f D E L I V E fl Y 1 N I T N ~ c~ ~ v~ ~ DECIVERY a z ADORE ~ S H OW fi Q WHOM, D~TE ~NU ~ SHGW ifi WHOM, fllliE hND ~ ac ~ ~ SNOW f~ WIiaM, OAiE ~ND o ~ SNqW 10 WHQM, P#lE RHD a~ES~IILTE~ ~El14ERY = 926. ~ DELfif€RYD YYI€H RESTRCTED Q
'v o ~ v u~ii ADDRESS 4F DfIIVERY wITH t y ~ RO~BESS DF f1FL14ERY WITW ~ AbQRE$$ (X DE~~YERY WI~II a~ a h~~PESS DELIYERY WI1H i ~ SMOVM ~CI W~{1M, DATE ANa ~ ~ 4 R~ °C R~STRiCTfD DE~4fRY RES~~I(TE4 6EkIYERY ~i A6DAES$ 4f pELCJEkY WITN RESTRICTED ~ELIYERY RES1kICTEU DEIiYERY ~ ~ ~ SHOYY TO WH{}i~l. DATE ~4!'1{! ~ ADpRES$ {)F DELIVERY WIFH Q
" . • ~ RESTRICTED ~EUYERY 4 r- TOTAL P05TA(iE AN[1 FEES $ o~ , PQSTAQ€ AN[7 FEE$ ~ fi4TAL POSTA~iE ANQ FEES $ • ~ TUTA4 POSTAf~E AND FEES $ ~ TOTAL PO^sTA(~E AND FEEB $ ~ ~pK pp p~T~ va RESTRICfED i7kll'VERY
~ r- TOTAL POSTA(iE AND FEES ~ POS~MI ~ fiOtAl IARK OR DATE pp$'1'AIARi( qR DATE ~ L P03TMARK UR DATE P4ST~IARK DR DATE d ~ ~ TorAL ~stA~ r~~+o FEes .
~ a PpSI`~MARK Qp OATE ~ ~ ~ POSTM d ~ a. < ~ a, ~ pasrMaFIK aR aArE
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RECEIPT F0R CERTIFIED MAIL RECEIPT FOR C T RECEIPT FQR CERTIFIED MAIL ~ -~.cF► ~~IFi~D MAIL ,
ER IFIED MAII. r,,uEIPT F0~
h~CEIPT FOR CERTIFIEt~ {1AIL
NO INSIIRA~ICE COYERAGE PAOYIDED-- NO IHSURANCE COYERA6E PROVIDEO- NO INSURANC~ ~OVERA6E PRQVID~~- NO INSURANCE CQYERAC; PROYIDE~-
N01 FOR IHTERN~TIONAI MAIL NQT FOR INTERNATIONAI MAII Maf FOR IMTERNATfOHAI MAIL NO? FOR INTERNA110NA1 Mall N4 INSIIRANCE COYERAGE PROYIDED--
(SEe Rsverse MOT fOR INTERNATIDNIII MAII
. (See Reverse) tSee Revers~.l ) (See Rev,rse) S~ h~l rt '
SEHT 7~ SENT TCl • ' SENT T~ ~ IS~~' R~VEfSe~
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rAGE $ r75rAGEL $
° GC7SfAGE $
CERTIFIED FfE d CER7YFIED FEE CERTIFIED FEE ¢ C RTIFIEd FEE Q
N y~ E C€RTIFIEU FEE S
w SPECIAL DELIVERY ~ W SPECIAL DEllVEHY ~ SPECI+~L QELIWEFiV 'A
SpEC1AL DELIVERY 4 w
~ REST ~r u! SAECUI. QELIYEAY ~
pE RESTRICTED DELIVEHY RESYFICTED DELIVERY a o RfCTED DELIVERY RESTRIGTED DELIVERY ~ b
~ ~ W ~ ~ ~ ~ RESTRICTED DELIVERY ~
oc SMQW SO WIIOM AND DAiE a W y SNOW T4 WIIQM ANp DATE oc ~ ~ v D~I.ISHDW i0VERt~ WHOM AND DATE ~ ~w~++ SI40W TO DEIIVERED MI~QM AIID DATE R u~. yi
~DfIIVEREQ ~ W~-~{LI4ERE0 4 a W ~ W ~
o' vr m ~ r~IDW T6 WI~4M AND DATE
oc e C
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A~URESS ~f O~l14fRY ApDNfSS OF 6EtIVERY Q v► ADpi~ESS OF UELWERY ` r ADURESS Of DEUVEkY °A SE~W iQ WHaM, DhiE. AN~
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nQ z OEllv[RY ~ o~ DEIIUERr u) ~~l1VE~Y ~ ae 4£I~EREG WITN AESi~C1ED ~
o ~ OfL14fRY a
~ ~ z ~ o g ~ ~c ~ o z ~INERY
SHOW TO WHOM. DATE ANO ~ SNf~W 1(1 WHf}hl. DATE AND ca ~~OUA ~ WHOM, pBTF AND O SHOW 10 WHOM, pA1F AMG ~ ~
~ u Aa~RESS pf OEL9UGtY Wl1H A6~Rf~S OF t1EtWEHY WI1H E~ 6 DEIIV{RY WITH ADDHESS
c.~ ~ SHOW °C RES~ICi D I ~ oc RESTflICTED OELIVERY ~ Of DEtIVERY WITN 4 ~ SH~IM 10 WHDM, DATE I~N6
E Ofl4EHY BESIRICiE~ DELIVEpY ~RESiHICTE6 DEtIYERY w AUqRESS Qf 4ElNEAY WIN «
RESTAICfED UEUVERY
h tOTAL POSTAt3E AMD FEES
`Ol'~IL Rt)STA6E AND FEE$ $ ~ TOYA4 POSTAGE ANO FEES TOTAL POSTAQE AND FEf9 $
_ $ c, F• 1"OTAL POSiAl3E AND FEES $
'aSTMARK aR DATE 4 PO$TMARK OR DATE POSTMARK dR DATE ~ DATE ~
_ ~ ~ ppSTMARK 0R 6P48TMARK 4R DATE
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UNITED STATES POSTAL SERVICE r! l•'~'\~
OFFICIAL BUSINESS
SENDER INSTRUCTIONS t - i~Ln PRIVA~ ' ` •
~ USE TO AVOIQ ;PAYMENT
Print your name, address, and ZIP Code in the space below.' OF POSTAGE, $300
• Complete items 1, 2, and 3 on the reverse. :,j ~
• Moisten gummed ends and athch to front of anicle
If space permits. Otherwise affix to Dack of article.
• Endorse article "Raturn Receipt Requested" adjs•
cent to number.
RETURN -
TO
~ //7'~
, -
~ ~trec,t or P,ff. Iitrx}
~ ~ t::~ , ..rr,. ,~;,:i 7,1.• ;~i~• ~
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u~ +FNDER: Complete ittms 1. 2, ancl i.
o Add your addres% in !he b RETURN TO" sp,
~ reverse.
~O 1. The following service is requested (check oae
Show to whom and date delivered . . . . . . . . . . 254,
Show to whom, date, & address of delivery .45f
° ~ RESTRICTED DELIVERY.
°f Show to whom and date deliveted . . . . . . . . . . . . 850
~ RESTRICTED DELIVERY.
Show co whom, date, and address of delivery Z 1.05
(Fees shown are in addition to posta,ge charges aad ocher
fees). ~
x 2. ICLE ADDRESSED TO:
t
Z
x
" ti XZD
n
jA 3. ARTICLE DESCRIPTION:
~ REGISTERED NO. CERTIFIED NO. IN5URED NO.
~
C) N (Alwa" obbin sianatun daddhssN or asant)
~ I have received the article describcd above.
~ SIGNATURE ❑ Addresscc ❑ Authorizc•d agent
C 4,
~ DATE ~OF DELIVERY POSTMARK
~
v •
z 5. ADDRESS (Completo only H requ*stedo .
C)
~ . , . -
~ 6. UNABLE TO DELIVER BECAUSE: CLERK'S
G INITIALS
~
r
GOP 1976-0-203-456
i
UNiTED STATES POSTAL S~ 1
OFFICiAL BUSINESS ~
~ PENALTY FQrARIVATE
USE TO AVOIB'PAYMENT ~
SENDER INSTRUCT{ P-t ~ I
Print your name, iddresa, snd ZIR Code in :p~ce balow. ~ J OF POSTA6E. =300 ~
• Complete items 1, 2, and 3 on the e~se• ~ ''t
uL i
• Moistan gummed snds and attach to ront ot articl4_
it space permits. Othernise sffix to back ovalli~q
• Endorse srticle "Return Receipt Requested" edja• ~
cent to number. ,
RETURN
TO
` i
(~r~-~t----t-~~ , / - - - - - -
,
~ .
' J//7
~ ~~.tr•-~t ,~r i'.fJ. T~~s}
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~ ~cir;~~:<<~•. r~:~f~ ; r,~:~tf~'~
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~
11 iENDER: C_omplete iteg~s 2, an.l
o Add your a,~jress in the "RENRN TO" sp;
~ rtwerse.
0 1. The following service is requester4heclc one
Show to whom and date delivered . . . . . . . . . . . . 25¢
0
Show to whom, date, & address of delivery 450
RESTRICT'ED DELIVERY.
°i Show to whom and date delivered . . . . . . . . . . . . 850
~ RESTRICTED DELIVERY. . I
Show co whom, date, and address of deliverq ,':;1.05
(Fees showa are ia addition to postage charges aad other
fees ) .
x 2. ARTICLE ADORESSEO TO:
M 6 r.~ . 1 • ~
z
m
0
LA 3. ARTICLE DESCi(IPT10N:
~ REGISTEREO NO. CERTIFIED NO. INSURED NO.
1=~C^
~ ~
N (Always obtaln signatun M addnssN or apny
~ I have received the article described above.
rn SIGNATURE ❑ Addressce ❑ Authorized agent
Z
C >4.
~ DATE OF DELIVERY ~ POSTMARK
~
O ,
~ , .
~ S. ADDRESS (Compleft only i} rpu~dx ,
nni , •V\,`.
~ 6. UNABLE TO DELIVER BECAUSE CLERWS
~ INITtALS
;
r
~ GOP:1976-0-203-158
UNiTED STATES POSTAL SERVICE
OFfICIAL BUSINESS ~
SENDER INSTRUCTIONS PENALN FOR PRIVATE '
USE TO AVOID PAYMENT
Print rour name, addrest, and ZIP Code in the space beiovr. OF PQS1IlGE, =300 ~
• Complete itema 1, 2, and 3 on tha roverse.
• Moisten gummed ends and atUch to front of article ~
if spaca permits. Othatwise sffis to back of article. ~
• Endorse uticle "Return Rxeipt Requeated" sdja• i
cent to number. i
RETURN ~
TO
~
I ' ~ tinni-- ,;f '-.-ender i
~ .
;ENDER: Complete items 1. anii i.
o Add your addras in tht "RE'IVRIV TO" sQa
3 revtrst.
~ 1. The foliowing service is requested (check one).
Show ro whom and date deiivered . . . . . . . . . . . . 250
Show co whom, dace, & address of delivery .....45d'
RESTRICT'ED DELIVERY.
Show to whom and date delivered . . . . . . . . . . . .850
RESTRICT'ED DELIVERY.
Show to whom, date, and address of delivery ..$I.OS
(Fees shown are in addition to postage charges and ather
fces).
~ 2. ARTICL,& ADDRESSED TO:
YJ
_
z4f . / a
m 3. ARTtCLE dESCRIPTION:
~ REGISTERED fYO. I CERT1ftE0 NO. IN5URED NO.
rn
C)
0 (Alwsrs obtaln slsnature M addnssN or -g-nt)
~
r+ I havc received the article descri d above.
o SIGNI.1T ❑ Addressce Authorizcd agent
.
C 4.
x OAIE OF DEtf VERY POSTMARK
m
>
Z S. ADDRESS (Complete only !f nqu"d)
l~
~
~ 6. UNABLE TO DEl,IVER BECAUSE: I CLERK'
0 INITIA
3c
r i
' t
1"j GOP : 1915-0-203 456
i
UNITED STATES POSTAL SERVICE i
OFFICIAL BUSINESS ~
SENDER INSTRUCTIONS U$E TO AVOID PAYMENT 'I
Print rour aame, adEress, and ZtP Code in the e be~o rr.J;~,~ r, . OF PENALTY fOR PRIVA7E
~
POSTAGE, $300
• Complete items i, 2, and 3 on the ro - ~
• Mofsten gummsd ends and attacfi to iro i a ~rL ` ~
if space permits. Otherrvisa aHix to bsc o1lc
• Endorse artlcle "Return Rsceipt Requel~'.:
cent to number. r ;
RETURN
TO
/'1 L. 't bL.
~
- - -
i:il: e~•t o; 1', c►. R(tiz )
~ +Citt.-~Si.t~t~•. ~s~c' 'l.If' Cnde)
i
n ElvDER: Complett items 1. anJ i.
o Add your iddras in che "RETURN TO" sPa .
~ trverse.
~ 1. The foliowiag service is requested (check one) .
0 Show to whom and date delivered . . . . . . . . . . .250
° 0`6 ow to whom, date, & address of delivery . . . . .45¢
R~TRICTED DFLNERY.
Show to whom and date deliveLbd . . . . . . . . . . . 850
RESTRICT'ED DELIVERY. ^
S~ow to whom, date, and address of delivety ..$1.05
'(Fees atiown are in addition co postage charges and other
fees).
~ 2. ARTICLE ADDRESSED O:
c V•
.
;0
m 3. ARTICLE DESCRIPTION:
~ REGfSTERED NO. CERTIFIEO NO. IN5URED NO.
(Always obtaln sfanstun d addnssN o► argenU
m I have receivtd the article describe above.
❑ Addressce Q~Authorized agent
o FATURE
y
c .~/flC/•
~ ATE OF DELIVER
Y S A{l
;
p 5. ADDRESS (Complete only N rpiosttd) ~ C
0
m N~~
~ ,
~
~ 6. UN118lE TO DElIYER BEGIUSE:
O ALS
~
>
~
t• Gor : 1976-0-203-45e
T ~
UNiTED STATES POS AL SERVICE
OFFICIAL BUSINESS
SENDER iNSTRUCT{ONS PEnALTV FoR PRivATE
USE TO AVOID PAYMENT
Print yaur aasne, eddress, snd ZIP Code in the space belorr. OF POSTAGE, t300
• Complete items 1, 2, and 3 on the roverse.
• Moisten gummed ends and attsch to front of sRicle
if spsce permits. Otherwisa affix ta back ot articie.
• Endorse article "Return Receipt Requested" adja- ~
cent to number.
RETURN
TO ~
' (~1ll7f1? r! ! `~'TIlS
~ --7~-7- - -
~ S! rr.•t r,r T'.U.
,
c° ENDER: Complete items and 3. ~
o Add your addm-s• in Ae "REIURN TO" sp14
~ reverse. '
~ 1. The following service is requested (check one
Show co whom and date delivered . . . . . . . . . . . .250
Show to whom, date, & address of delivery .....450
RESTRICT'ED DII.IVERY.
Show to whom and dace delivered . . . . . . . . . . . .850
~ RESTRICTED DELNERY.
Show to whom, date, and address of delivery ..;I.OS
(Fees shown are in addition to pcutage charges aad other '
fees).
2. ARTICLE ADDRESSED T~/ :
C
x
z
:0 V 14 D~C._ a-,c,,.J~ ~-~!.L,ar.~,~. • 9' 9~
(c
m D
m 3. ARTICLE DESCRIPTION:
~ REGISTERED NO. CERTIFIEd NO. INSUREO NO.
N (Alwsn obtain sl:natu►~ M sddrassM or agN+q
m I havo received the article described abave.
o StGNATURE ❑ Addressre ❑ Authatizcd agent 000
~NA-
c 4.
m D/lTE OF DELIYERY
z S. AODRESS (Complete only if roque n
l ►77
y`, ~
~ v • ~
~ 6. UNABLE TO DEL.IVER BECAU3E: 'S
v iNi LS~
i ~
r
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS PEru►Ln FoR PRivATE
USE TO AVOID PAYMENT r
Print your name, address, and ZIP Code in the spice below. Of POSTAGE, s300
~
• Complete items 1, 2, and 3 on the roverse.
• Moisten gummad enda ind attach to front oi atticle
if space permits. Otharwise sffia to back of article. ~
• Endorsa article "Return Receipi Requested" adja-
cent to number.
RETURN ~
TO
• -t--
rn~uP ~~~iil~•- -
i:;tr,~~•t nr I'.i). Baz)
c°n iNDER: Complete items 1.=. ant1
o Add yonr addras in the "RF.TURN TO" spat
~ rcverst.
« 1. The following service is requested (check oae).
Show to whom and date de[ivered . . . . . . . . . . . .250
< E] Show co whom, date, & address of delivery .....450
RESTRICT'ED DELIVERY. '
Show to whom and date delivered . . . . . . . . . . . .850
RESTRICTED DELIVERY.
Show co whom, date, and address of delivery s1.05
(Fees shown are ia addicion to poscage charges and other
fees).
2. ARTICLE ADDRE3S&D TO: _
~
t~-
z / r~3
~
m 3. ARTICLE DESCRIPTION:
REGISTERED NO. [ZCERTIfiED NO. INSURED NO.
m
9i ~
(Always obtain Ngnatun M addnssN or agenq
m I have received the articlc dtscribed above,
Q StGNATURE ❑ Addressce Autho ' a~~'►~
fA /
~ 4 DATE OF DELIVERY STM ~
O ~ !
z 5. ADDRESS (Compl~t~ onlr N nQuest~
v
.
~ 6. UNABLE TO DELIVER BECAUSE: CLERK'S
INITIALS
~
r ~
u (',OP; I976-0-203-456
UNITED STATES POSTAL SERVICE -1
~ OFFICIAL BUSINESS
t
~ SENDER INSTRUCTIONS PENALTY FOR PRIVATE
~ USE TO AVOID PAYMENT y
~ Print your name, address, and Z{P Code Sn the space 6etow. Of POSTAGE, $300
• Complete items 1, Z, and 3 on the roverse.
1 • Moisten gummed ands and attach to firont o( articie ~ ~
~ if space permits. Otharwise affia to back of article.
~ • Endorse article "Return Recaipt Requested" adja- ~
cent to numbec. ~
I
; RETURN . ~
! TO ~
r ~
I ,
T---- i
~ -
rSt.reet or 1'.0. is,,s,
I
I
~
c~n DER: Complete iterns 1. and
o Add your addresa in the "RE7URN TO" space
3 reverse.
w
1. The following service is cequesced (check one) .
co
" (lm Show co wham and date delivered . . . . . . . . . . . . 25¢
° E] Show co whom, date, & address of deIiverq .....450
~ RESTRICTED DELIVERY. '
Show to whom and date deliveced . . . . . . . . . . . . 850
RESTRICTED DELIVERY.
Show to whom, dace, and address oF deIivery ..$1.05
( Fecs shown are in addition to posrage charges and other
fees).
~ 2. ARTICLE AO~DRESSEO TO:
Z 8~ o ~
0 y a
rn
n 3. /1RTICLE DESCRIPTION:
~
~ REGtSTERED NO. CERTiF1E0 NO. INSUREO NO.
~
anature M addnss" or aaer~
~ (Always obtsin sl t)
r~n I have received ihe article described above.
v SIGNATURE ❑ Addressce ❑ Authorized agent
C 4.
~ DATE OF OELIVE POSTMARK ~
z 5. ADDRESS (Complete onfy if nqussted)
M
-~i
~ 6. UNABLE TO DEIIVER BECAUSE: CLERK'S
p INITIALS
~
~
r
y^~ GOP:1976--0-203-d56
UNITED STATES POSTAL S6~{V1CE y'~,;.''•.
OFFICIAL BUSINESS
SENDER iNSTRUCTIOtVS M•~ ~=i PENALTY FOR PRIVATE - ,
:-OSE TO 11Y01D PAYMENT
spacd Ael~t. + J Of POSTAGE, =300 .
Print your neme, •ddresa, and ZIP Code in tirse.
• Complete Items 2, and 3 on the
• Moisten gummed ends and attach to frWi,~ oF,~at~io-~
if space permits. Otherwlsa affix to back 6ca ticlo.
• Endorse a►ticfe "Return Receipi Re4uested" a a-
cent to number. ~
RETURN ~
TD ,
lremr~ r,_ ~end
• -"L'~~a.~
i~t ree; i~t• 4'.O. 130`-,
7t>/
D~
1 _ ~
~
y ~ DER: Complete'4iems J. »d i•
o Add your addrcss in the "RETURN TO" space on
reverse.
~
cc 1. The following service is requested (check one).
Show to whom and date delivered . . . . . . . . . . . . 254
° Show to whom> date, & address of delivery .....450
RESTRICTED DELNERY.
Show to whom and date delivered . . . . . . . . . . . .850
E] RESTRICTED DELIVERY.
Show co whom, dace, and address of delivery ..$1.05
(Fees shown are in addition to poscage charges aad other
fees).
r2.TIC_LE AODRESSED T
q , -4c
a ~-'.3.~
z
~
m 3. ARTICLE aESCRiPT10N:
~ REGISTERED NO. CERTIFIED NO. tNSURED NO.
rn
N (Atwsys obtaln signatun W WdnssN or agent)
r~n I have received the article described above.
o SIGNATURE Addressce Authorized agent
z _
c 4.
~ A OF DELiV
° /~o
0 5. ADDRESS (Cqinplete 6nty N/Eequested)
rn 6. UNABLE TO OELIVER BECAUSE: I wS
p INIT
~
>
r
~ GpP:19 -0-203-456
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS PENALTY fOR PRlVATE
USE TO AVOlD PAYMENT
Print your nama, address, and ZIP Coda in the space helow. Of POSTAGE, =300
• Compiete items 1, 2, and 3 on the reverse.
• Moisten gummed ends and attach to #ront of article
if space permits. Otherwise affix to back of article. rr
• Endorse article "Return Receipt Requested" adja-
cent to number. ~
,
RETURN
TO
,
_..7~- - ~
~ '{$~'r<,r,j r~T
~ ti 17
~ ~ • !9 ~I ~ ~i ~/L/ / ~ / '1.
`j'~ . .
~ (f:7t•,'. . :?t~l•.:;(~tc; l' t,'„ri„ :
~
S
~
.4 NDER: Cvmpirte items 1. ant1 i•
o Add your address in the "RETURN TO" spac
~ reverse.
w 1. The following service is requested (theck one).
" "2" Show ro whom and date delivered . . . . . . . . . . . .25~
Show to whom, date, & address of delivery .....45¢
~ ~ RESTRICT'ED DELIVERY.
Show to whom and date delivered . . . . . . . . . . . .85¢
(j RESTRICTED DELIVERY.
Show to whom, date, and address of delivery a1.05
(Fees shown are in addition to postage chacges and other
feec).
2. ARTICLE ADDRESSED TO:
c '*5
Z
m ~ ~-~p.~,~ • -et .z o 4
n 3. A TtCIE DfSCRtPT1O'N:
~
~ REGISTERED NO. CERTIFIED NO. INSURED NO.
~ I t~~ l ~
N (Alwaps obtain sfVature M addr~ssN or ssent)
~ Y have received the article described above.
mQ SIGNATURE ~ Addressre ❑ Authorized agent
.
C 4.
~ OATE 6F DEeIVERY ~-pT(~
v 1 _ ~ c~ t " ;
~ _ . ~ , ✓\c.
>
p S. ADDRESS (Compiete only if roqu" co
~ 6. UNABLE TO DELIYER BECAl1SE:
IALS
~
>
r
~ C,ov: 197&--o-203-45s
I ~
i UNITED STATES POSTAL SERVICE ~
OFFlCIAL 9USIIVESS '
I PENALTY FOR PRiVATE ~
( SENDER INSTRUCTIONS USE TO AVOID PAYMENT '
Print your name, address, and ZIP Code in the spsce belaw. OF POSTAGE, =300 ~
` • Complete Items 1, 2, and 3 on the roverae. u i ~
~ • Moisten gummed ends and attach to front of articie ~
if space permits. Otherwise affix to back of aRicle. ~
• Endorse article "Raturn Receipt Requested" adja• ~
cent to number. i
I
RETURN '
► ~
I TO
► '
V-X' - _ I
► _7/_
E (tifrG?er nr I'.iT.
I
I
I
c° :NDER: f,onoplete items and i.
o Add your address in the "RETURN TO" spac
~ reversc. •
3
co 1. The following service is requesced (check one ~ Show to whom and date delivered . . . . . . . . . . . .250
~ Show to whom, date, & address of deliverg.....450
E] RESTRICI'ED DELIVERY.
Show co whom and date delivered . . . . . . . . . . . . 850
E] RESTRICTED DELIVERY.
Show co whom, dace, and address of delivery ..$1.05
(Fees shown are in addition to postage charges and other
fees).
2. ARTfCLE ADDRESS TO:
~ •
2
xj ,
n
L 3. A ICL£ DESCRIRTION:
~ REGtSTEREO NO. CERTIFIEO NO. IFI5URED NO.
~
m
0
(Always obtsin sf6nature M sddnssN or a;ent)
N
m I have teceived the article described above.
m SIGNATURE,----"8, Address d agent
N
C 4.
m DATE~ OF DE P'OS~MJRK
Z At
p 5. ADD (Compleft only if requ4,91*d
~
~
~ 6. l1NABLE TO DELIVER BECAUSE: CLERK'S
p iNITIALS
~
>
r
* Gpp ; ig)6--0-203-456
~11t G~ • {I. ~'f
1
UNITED STATES POSTAL SERV{t
OFFICIAL BUSINESS
SENDER INSTRUCTIONS PEN 'LTY FOR PR
' y SE AVO10 PAYA~ii~► ~
Print your name, addsess, and Z!P Code in the space below. /OF PQSTAGE, ~3Q0 ~
• Compiete items 1, 2, and 3 on the reversa. r~ ~
• Moisten gummed ends snd attsch to front of article u~ i
if space permits. Othe►wise affix to back of artlcle. J I
• Endorse articla "Return Receipt Requested" adja• ~
certt to number.
RETURN
TO
~
~
_ . • J--
_ litii+' <<i :~1'1!f~~•: i
ar V. O. linc i
!
c SENDIER: Complete items 1. 2. aod i.
s Add your address in the "RETURIJ TO" s, ~
~ reverse.
00 1. The following service is requested (check one) .
~ rcn Show to whom and date delivered . . . . . . . . . . . .25f
Show to whom, dace, & address of delivery
v ~ RFSTRICTED DELIVERY.
Show co whom and date delivered . . . . . . . . . . . .850
~ RE5TRICTED DELTVERY.
Show to whom, date, and address of delivery ..$1.05
(Fees shown are in addicion to postage charges and ocher
fees).
2. ARTICIE ADORESSED TO:
~ ~V ~ 1 ~'S...c..rL-~J ~i+-e- •
c
~
m Y~ d ~•c.+~.c. G-fi~.~c-~--~( • ~f'~.~o -
m 3. ART(CLE DESCRIPTION:
~ REG(STERED NO. CERTIFiEO NO. IN5URC0=1V0.
m
~ g+ature M addnsse* or agerrt)
~ (Always obtaln si
r~i I have received the article described above.
o SIGNATURE ❑ Addressce ❑ Authorized agent
~ 4' '
m TE-OF DELI Y POSTMARK
0 C r `
♦
2 5. AODRESS (Complete only if r"u-00tll~I - '
v . . , .
A
m o
~ 6. UNABLE TO DELIVER BECAUSE: CLERK'S
p - 71NITIALS
~
>
r
(',QP:1976-0-203'A56
UNITED STATES POSTAL SERVI,Ql~; F"'`~,
OFFICIAL BUSINESS Y • '
SENDER INSTRUCTION r p~ENALTY FOR PRIYATE~s* ~ •
l!~ TO AYOID PA9wAE!(f°"a...
Print your name, address, snd ZIP Code in the ~ ce below. OF POSTAC,E,•4304._,_
• Complete items 1, 2, and 3 on the rev
• Moisten gummsd ends and athch to fro ot aiEielei ~ • ,.Y ug,}y~~~_,._
if :pace permits. Othsrwise aHix to back f article.
• Endorse article "Return Receipt Requested" edja• ~ "cent to number.
RETURN
TO
~ - ,00_ -
(~flt)I•' ,r•l:~~ht'
'
~7-~
~ SFNDER Complc!e ittm; ! . . .ind i.
~ Add your addras in the "RE"IURIV TU" s,___ _n
~ rcvcrse.
~ 1. The following service is requesced (check one
" Show to whom and date delivered . . . . . . . . . . . . 25¢
g
Show co whom, dace, & address of deliv~cry 45
ic ~
r
RESTRICTED DELIVERY. ~
Show to whom and date delivered . . . . . . . . . . . . 8
~ RESTRICTED DELIVERY.
Show co whom, date, and address of delivery . . S 1.65
(Fees shown are in addition to posrage charges and ocher
fers).
2. ARTICLE ADDRE SEDTO:
~ .~o-~-~'~ ~
X e/a
_ ~ ~590 •
m ,G'~%~4~-~ • ~~a ~ ~
m 3. RTtCLE Df.SCRIPTION: '
~ REGISTERED NO. CERTIFIEO NO. INSURED NO.
m
G)
0 (Mwaps oblsin slsnatuire of sddssN or asent)
~ I have nceived the article described above.
rn SIGNATURE ❑ Addressce ❑ Authorized agent
. r
N • ~~i~ C S~''' ~~i(~
C~ 4.
~ DATE OF OELIVERY ST~RX, .
49 y , r
Z 5. ADDRESS (Comploft only if nqueste k~ I9)9 'y
fn 6. UNABLE TO DEt1YER BECAUSE: CLERK'S
~ INITIALS
~
>
r ~
;t GOP 1916--0-203-456
.
~
UNITED STATES POSTAL SERVIE6, , ~1 I
OFFICIAL BUSINESS
SENDER INSTRUCTION 0, PENALn ~R aqiv
Print your name, address, and ZIP Code in the below. N~ USE TO AV
• Complete items 1, 2, and 3 on the rev . ~ OF PppiAA
• Attach to front oi article if space permits_ Qtherwise. MAIL
affix to back of articte. ~ Endorse article "Return Receipt Requested"\a
cent to number. • °
RETURN
TO
ame ot $enalo;~
~ / ~ / ~ l.i/~ • t
(Street or Y.O. Bo:)
(City.~State, and 2IY Code)
[ic's s(: il~t: "'rZi I ~ li~ti ! l/ 7{':tcc OR
rcvcroe.
. t. The Fc►ilowin8 service is requested (chtck me).
Show to whom and date delivered.. r.~. ~
. Show.co whom, date, and addras of delivery. . ¢
RESTRICTED DELIVERY
Show to whom and date dtlivered. . . . . . . . . ¢
' RE5TRICTED DELIVERY.
~how to whom, date, and address of deliverv $
iCONSULT POSThtASTER FCIR FF'l
; ,=,RTiC E ADDRESSED TO-
i
,a/ c~L~rC C
m
T 3. AR ICLE DESCRIPTION:
a
~ FtEGtSTEREO NO. CERT+~-iEp ti0 r:G
r~
m
/-?~6ff~
~
~ (AIM►.Vi Obtsitl s1¢fitute Of 8ci:'-n:s<;He or ;;qent;
m
I have rtceived the article described above.
~
SIGNATURE i] ~i,,1=~>:e..('~ .~.~,i„~r:..• ' _ .
m
m
m
D
VOF4.
ERY TMti~aY
DELIV
c
.
rn
D S. ADDRESS (Complete ortry i este
2 -
O
cy ~
m ,
~ r--:
_ 6. UNABIE TO DELIVER BECAl;E:
m
v ` .
3
D
r
UNITEO STATE5 POSTAL SER r . ~ ~
~ r , ~ a.G•.t~y~~,~ ••~ar~~
OFFICIAL BUSINESS .
~...tir.ia • 5.. aA ,
SENDER INSTRUCTION ENALTY Fo,~~~~„t
TO AVO1 I
Print your name, address, and ZIP Code in the ce below. Of POSTAt3E; 'Z980- •X j` i
• Compiete items I, 2, and 3 on the rorr e.
• Moisten gummed ends and sttach to iro ot asl+cle U.S.MA~lL
if space permits. Otherwisa affix to back ar-ticle: A • ~ • Endorse article "Return Receipt Requested" adja- '
cent to number. ~
RETURN ~
TO ~
~
, • ~ - _ _
i - me ni' :;~ncti
I 1 1-9 .
, , -
( 4t r~~-t ur 1.U.
,
AMEMP,
c 4 DER: C.ompletr itcros 1. and '
N
o Add your address in the "REIURN TO" space
~ reverse.
« 1. The following service is requested (check one). r9
~ ~ Show co whom and date deIivered . . . . . . . . . .25~i
z .
Show to whom, date, & address of delivery .....450i
~ E) RESTRICTED DELIVERY.
Show ta whom and date delivered . . . . . . . . . . . . W
~ RESTRICTED DELIVERY. ~
Show to whom, date, and address of d v $I.OS
(Fees shown acc in addition to posca.ge cha g~~ni cr dther
fees).
~
2. ARTiCLE ADDRESSED TO:
~
z
~ vd ~a.2~
0
L 3. ARTICI.E DESCRtOION: •
~ REGiSTERED NO. CERTIFIED NO. IN5UREO NO.
~
m 41
~
N (Always obtain slsnsturo ot -dossN or smenq
~ I have received the artide described above.
Q SIGNATUR/ 7 Addressce ❑ Authorizeagent,,
c 4.
~ OATE~OF`bE ' ~.E~STMA K
~ ~I . •
p 5. ADDRESS (Completo onlr lf rpu*st*d)
A! ' ,
~
1
~
O6. UNABLE TO DEL1VER BECAt1SE: ~ CLERK'S
INITIALS
~
>
r- • [
y"( GOP:1971'r-O-203-ASG
UNITED STATES POSTAL SE
OFFICiAL BUSINESS
~ ~
SENDER INSTRUCTION PeruLrY
Print your name, address, and Z{P Code in the ace b~ow.~ ~ USE TO AVOIQ Pj,~~tJT
. Compiete items 1, 2, and 3 on the rev . 1 OF PlSSTAGE,
. Attach to froni of articie if space permits. Othfr*4is? I =IL N
aEfix to back uf articte.
• Endorse article "Return Receipt ReQueated" adja-
' cent to number.
RETURN
TO
i i
l/1 Name oP Seny~ ,
• 7 ~ ~ PL .
` (Street or Y.U. Box)
• ~ ~1~I~ ,~j
Zzz~
!~1? ~~C.eJ ,
v (Clt.v, State. nnd ZIP Code)
SENDER: Complete items I. l, and 3.
Adci your address in thc "RETURN TO" space on
rcverse.
i. Th ~ foltowing service is rcquested (check anr).
D Show to whom and date delivered
. .t .
. w Show to whom, date, and address of delivery
RF.S'TRICTED DELIVERY
Show to whom and date delivercd.... ,
RESTRICTED DELtVERY. ,
Show to whom, date, and address of delri•eny.. S ~
(CONSULT POSTMAST'ER FOR FFF.S)
2. ARTIC E ADDRESSEO TO:
m
c
Z 3. ARTICLE DESCRIPTION:
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i USE TO AVQID PAYMENT
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RESTRICI'ED DELIVERY.
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RESTRICTED DELIVERY.
Show to whom, date, and address of delivery s 1.05
(Fees shown ate in additioa to postage charges and other
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2 ZAICLE~7DRESSED TO:
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HEARING EXANIIlIM CONMITT'F~E
~ PUBLIC HEARING
Ap%plication No.
Applicant ui off4
I would like to be on record in (Check one
~ FAV4R
~ r OPPOSITIOTT
NfE.t1MAL
Do you wiah to TESTIFY at this Hearing?
~ YES
NO
P-Name ( Pl eae e Print ) 6i:& WAYI(
.
Addre s a S. 2j?
~►~.S .
HE,ARINa EXAMINER CONMTTEE
P'UBLIC HEARIM
A,pplication No. 2E' 8-7
$
APPlicant
.
I would like to be on reCOrd in (Check one).
47 FAVOR
~ r OPPOSITION
~ r_.MMMUL _
Do you wish to TESTIFY at this Hearing?
(Check one)
/-7 YES
NO
Name (Please Print), p.~r~`~~`~~'►'~
.
Addre a s LO ' ~ ~ ~7J co h , c~ !.a
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SPOKANE COt.TUTY pLANNING DE2A8TMENT
Zone Reclassification Checklist
AnDlicant's Name Address- Telephone Ng,6, Apulicant's #
a~✓i~P~3 ~~y~.~s
7/ 7
, TIVTTTAT.S
PRE-APPLICATION FEE, ($10.00) RECEIPT NUMBER 0~~5^~ , l/// ii~s✓
(date)
APPLICATION APPOINTMENT
(date) (time)
PART I
ENGINEER' S SECTION MAP,
ASSESSOR'S SECTION MAP, (Legal Description, 400 foot boundary outside ownership)
ZONE CHANGE APPLICATION.
i
,
ZONING WORKSHEET,
. ,
! ENVIRONMENTAL CHECKLIST.
U
-'~PLOT PLANS (5 blackline) -(setbacks, road frontage, square footage, open space).
PLOT PLAN TO GRAPHICS
(date)
PHOTOS (8 x 10 and description)
SIGNS (4' x 4' )
1 APPLICATION FILING FEE (s) RECEIPT NUMBER ~~►5-l 1-7- ~ "
~
(date)
TITLE REPORT OF PROPERTY OWNERS PART II
NOTICE OF HEARING FORM (AGENDA) TYPES, ORIGINAL GIVEN APPLICANT
(date)
STAFF REVIEW Or ENVIRONMENTAL CHECKLIST
• FINDINGS PREPARED
(da te)
POST SURROUNDING AREA
(date)
AFFIDAVIT OF MAILING SIGNED
(da te)
MAIL AGENDA TO CONCERNED AGENCIES
(date)
FINDINGS MAILED TO APPLICANT
(date)
PART IU-
HEARING EXAMINER COMMiTTEE'S ACTION: APPROVED
DENIED
CONTINUED
~ MINUTES MAILED TO APPLICANT
(date)
SEPA's Notice of. Acti=
TO sPOxA-NE COUNTY pL~NNzNc nozaPD PIERCE INSURANCE INCo
SPOY.ANE COUNTY P O BOX 5190 PHONE• 328-3342
W. 1116 B ROAD[n]AY
SPOKANE r E~71~? . SPOKANE, WASHINGTON 99205
REGARDING CEIIAR BUILDERS, INC. 'DATE 4-10-79
PLrASF FIND iiERET.^lITH PERFORMATvCE BOND FOR TIIE CAPTIONED IIVSURED ,
COVERIDTG LANDSCAPING AT CED,AP. CREST, SOUTH 402 EASTERIq, SPOKMIE,
tn1A1. I N THE ANiOUN'r OF $1, 006
THAItX YOU
PIERCE INSURANCE, IIVC
~
1PAN
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Af'R
SPOKqNE COUN i Y
PLANN1NG DEPARTNI
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REPLY
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WdsonJones 1177
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MIDLAND INSURANCE COMPANY
6320 N. RUCKER RD.
E-3 INDIANAPOLIS, INDIANA 46220
PERFORMANCE AND PAYMENT BOND
Bond No. CM-5683 I
HIVOW ALL MEN BY THESE PRESENTS: That we Cedar Builders, Inc.
of, Spokane, Aashington (hereinafter
called the Principsl), as Principal, and the MIDLAND INSURANCE C0. as Surety,
are held and firmly bound to Spokane County PlanninT Board, Spokane County, 17ashi ngton
(hereinafter called the Owner), as Owner, in the sum of
# * # # * One Thousand Dollars * * * # * * # # * * #(Dollars 1000.00 for the pay-
ment whereof said Principe.l and Surety bind themselves firmly by these presents.
WHEREAS) The Principel has entered into e written contract dated ,
19 , with the Owner, for certein work as follows:
Landscaping Cedar Crest, South 402 'v'astern, Spokane, Wa. shington
, a copy of which contract is or may be hereto annexed.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall
faithfully perform the work contracted to be performed under said contract, and shall pay or
cause to be paid, in full the claims of all persons performing labor upon or furnishing material -cm
to be used in such work, then this obligation shall be void; otherwise to remain in full force
and effect, sub,ject, however, to the following conditions:
FIRST: This bond shall inure to the benefit of any person performing labor upon or
furnishing materials to be used in such work to the ex.tent, and only to the extent, that any sucr
person hes perfected a valid lien therefore, in accordance with the terms and provisions of the
laws of the State of 17ashington , PROVIDED HOWEVER, that no suit, action or proceeding to re-
cover on this bond by any such person who has perfected such a valid lien shall be sustained un-
less the same be commenced within six months from the date on which such lien was filed.
SECOND: That if the Principal shall default in the performance of said contract, the
surety shall be given immediate notice thereof in writing by the Owner, and the Surety shall hav
and be accorded by the Owner the right, at the Surety's option, to proceed or procure others to
proceed with the performance of such contract, and all reserves, deferred payments and other
mwaeys provided by said contract to be paid to the Principal shall be paid to the Surety at the
*ame times and under the same conditions as by the terms of said contract such moneys would have
been psid to the Principal had the contract been performed by the Principal, and the Surety shal
be entitled thereto in preference to any assignee of the Principal or any adverse claimant; but
if the Owner shall complete or re-let said contract, all reserves, deferred payments or other
aoaneys remaining after payment for such completion shall be paid to the Surety or applied as it
mey direct to the settlement of any obligations incurred hereunder.
THIRD: That the Surety shall not be liable for any guarantees of the efficiency or
wearing qualitiea of any work done or materials furnished under said contre.ct, or the maintenanc
tbereof, or for any repairs thereto or reconstruction thereof after completion, nor shall this
bond obligate the Surety to furnish any bond, policy or obligation other the¢i this instrument.
FOURTH: That no suit, action or proceeding by the Owner to recover on this bond shall
be sustained unleas the same be comnenced within twelve months from completion of said structure
or vork of improvement.
FIFTH: The tot al amount of the Surety's liability under this bond to the Owner and to
laborers and materialmen shall in no event exceed the penalty hereof.
SIGNED AND SEALED this 10th• day of APril , 19 ?g •
Cedar Builders, Inc.
President
Principal
MIDLAND INSURANCE C0.
~ . 5 Ellt.. :
~ - .
By
Attorne~~1h.=Fact
L R
MIDLAND INSURANCE ~ IPANY ~ CM 5683
180 WATER STREET, NEW YORK. NEW D38
❑ POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That this Power-of-Attorney is not valid unless attached to the bond which it authorizes executed. It tpec- -0 _
ifies the LIMIT OF THE AGENTS AUTHORITY AND THE LIABILITY OF THE COMPANY, HEREIN,
THE AUTHORITY OF THE ATTORNEY-IN-FACTand THE LIABILITY OF THE COMPANY 2 v~
n ~
SHALL NOT EXCEED ---'r~'Y~FIVE THOUSAND AND N01100 dollars ($25.000.00)^^~-
~ m
o M
m 0
USE OF MORE THAN ONE POWER VOIDS THE BOND D Z
MIDLAND INSURANCE CO., a New York corporation, having its principal office in New York City, State of New York, does hereby make,conatitute m Z
and appoint: ---K _ T.adcl Kaf f 1 Pn nr W-i 1 1 i am _ Ka 1 pn---- m{
in the City of S,1p.kai1p , County of SpQkd11L' , State of Washineton m m
m
its true and lawful attorney-in-fact, at ~H.2]P , in the State of Washington m C
to make, execute, seal and deliver for and on its behalf, and as its act and deed, bonds, and undertakings in behalf of court fiduciaries, who under the Z m
jurisdiction of a court, administer property held in trust; public official bonds; license and permit bonds; tax, lien, and miscellaneous bonds; required by ~ O
Federal, State, County, Municipal Authority, or other obligees, provided that the liability of the company as surety on any such bond executed under this Z
authority shall not in any event exceed the sum shown above. ~
THIS POWER VOID IF ALTERED OR ERASED m
y
This power not valid unless used before December 31, 1979 ~
D
The acknowledgement and execution of any such document by the said Attorney-In-Fact shall be as binding upon the Company as if such bond had "i
been executed and acknowledged by the regularly elected officers of this Company. m
0
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following resolution adopted by the Board n
of Directors of MIDLAND INSURANCE COMPANY at a meeting duly called and held on the 11th day of May, 1977.
"RESOLVED, that the President or any Vice President or any Secretary may appoint Resident Vice Presidents, Resident Assistant Secretaries and
Attorneys-in-Fact in any State, Territory or Federal District to represent this Company and to act on its behalf within the scope of the authority granted
to them in writing, which auihority may include the power to make, execute, seal and deliver on behalf of this Company as surety, and as its act and deed
any and all bonds and undertakings of suretyship and other documents that the ordinary course of surety business may require, including authority to
appoint agents for the service of process in any jurisdiction, State or Federal and authority to attest to the signature of the President or any Vice President
or any Secretary and to verify any affidavit or other statement relating to the foregoing, and to certify to a copy of any of the By-Laws of the Company
and to any resolutions adopted by its Board of Directors or Executive Committee and any such Resident Vice President, Resident Assistant Secretary
or Attorney-i n- Fact may be removed and the authority granted him revoked by the President or any Vice President or any Secretary or by the Board of
Directors or Executive Committee:"
All authority hereby conferred shall continue until revoked by said Board of Directors or by the Executive Committee thereof.
IN W TNESSyv HEREOF, the Comp y has caused this Power of Attorney to be signed and its corporate seal ta be affixed this day
of IL ,sZg .
MIDLAND INSURANCE COMPANY pMC~ p
ATTEST:
co):QO
SECRE RY
PRESIDENT
THIS POWER DOES NOT AUTHORIZE
THE EXECUTION OF BONDS FOR LOAN GUARANTEES lx0~ ~r
!hl
STATE OF NEW YORK/
COUNTY OF NEW~YORK SS' L
On this-,Ip ~ day of~/~~ , 190 before me a Notary Public, personally appeared J. Powel and M.S. Chenault
who being by me duly sworn, acknowledged that they signed the above Power of torney as Secretary & President of the said MIDLAND INSURANCE
CO. and acknowledged said instrument to be the voluntary act and deed of said Co oration.
Notary Public, New York County, New York.
My Commission Expires: March 30, 1980.
" Notary Public
MARGARET D'ANIERI
tsry Pubiic, Stata of New York
No 24-59 1 50 75
Ouslifiad in Kinpt County
Cert. tiled in New Vork COUnty
Term Expirp Matth 30, 1980
1. ONLY ONE POWER OF ATTORNEY MAY BE ATTACHED TO A BOND.
2. POWER OF ATTORNEY MUST NOT BE RETURNED TO ATTORNEY IN FACT, BUT SHOULD REMAIN A PERMANENT PART OF THE
OBLIGEE'S RECORDS.
3. THIS POWER DOES NOT AUTHORIZE EXECUTION OF BONDS OF NE EXEAT OR ANY GUARANTEE FOR FAILUFiE TO PROVIDE
PAYMENTS OF ALIMONY SUPPORT OR WAGE LAW CLAIMS, OR BONDS FOR CRIMINAL APPEARANCE.
BON 43 (3/79) 5M
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„ SP'Oi(~t~~ wA ~NE '6A 99206
SU~l~IARY DArA: INPUT CAR!~S PAR~E~.S PRIl~`f LIN~S
~4 2 ~4 8 t~
~~~c~~ ~~~~E ca~ fR~T A~I ~
~~~~A~~~ 0~ S
W. 70~ ~ERST A~~~JI~~
SPQKANE WA ~~2Q4 ~ 45b-055a
~ _ ' P~, ViS~C?i'~ A~ D1 ~UB
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.~L . r r~iRESHOLD OETERMINATION
,.,...t::....::_...o~.. d d
DECLARATION OF
proposed/f,nai)
/lJ ~ ~ ° CL°.
igni cartce/nor~si~nificance)
1. Oescription of Proposai : ~~O ~~~f 1 Iq~~l'J ~11~~ ~d ~ 1
.~QwG r ~ m ~ 1'~ .
2. ~rnponent•
° w~~~~
3. Contac~ Person: ~ ~hone: ~~o~ ~
s. County Action (s) Requested: ~ Zone Change: ?reiiminary ?~a-
Approval: final Plat Ap~rovai; Chanq~ of .~nai~~cn
Other:
_o~z~;a~ ~r ~rODOSdI: ~.l~U. Larrv~.~ r~-~ ~:~e~rr~)
_~ad .+cercv: :rOY.ANE ~OUN'Y, ',rASN:"~GTON
~his r eosai has been determined to /1~ have a slonificant 3aver;e ~rrx~ac: ~n -ne 3nvir~nr+pn*. ~r .
~required under RC~1 43.21C.0~ ! tc . This .ecision was made aiter rev~=w ..,~nr; ~.,n-
p~eced environmental _heck?~cL g~Q `t,`1P!' ~^.T•;r~rt~3*_'9n )~1 r'~o wt~h 'hP '?d7 ?Q?fl(:'/.
7. Rzsp~nsible Official:
?rooosed ~eciarar~n: =~r,ai ~ec:ar~c.on:
:ame ~rC~ L , Name ~
~
Signature Sianature ~ ~
Title ~ Title r I~
~V~iV G'
DePar~nent~ . ~ iAwrv~ ~ Q ~eoartn~nt I ~/.~i G~~
/ ~ ~ ~ ~ ~
~ate ~ Oate
8. For Declaratians of Significance Oniy:
/ / Oate of Ex¢etted Oraft EIS AvaiTabil=ty (determined by Qesponsibie Official)
/ / Oate of Issuance
TO 8E +.OMPLFtE~ 3Y RESPONSIBLE OFFICIAI:
3rief descri~tlon artd listinq of 'hose ~,,;,,.-n^^~~n~~~i -n~,ac~~ ~=ac~`^c ucr "~=',r~'-="on:
'_r-ef ?xaianaticn ~r .vnat r~asures. 'r any, _ouia ~e .aken ~y :ne ~~°~~e^~ ~ -
environmentai ?r,mact of -he ~rooosai to ~uch 3n ~xt2nt :rat `!~e ~:l~r . ~ -
.:1"^~r'~3: v'. a .:~~~~:..I.~ i`oci.:~ '.Lr.~:r~,~'~n , ,~r;^ni~~r~nr_
,ile No ZE-8-78
~
~
SPOKANE COUNTY
HEARING EXAMINER COMMITTEE
FIfVDINGS AND ORDER
A INTRODUCTION
This matter having come before the Examiner Committee on January 18, 1979,
and the members of the Committee present being Eldon Thomas, Chairman, Jane
Myers, and Ted McCoury and there being the following persons present who
wish to request approval of ?one Change, Fritz Wolff and Denny Christensen
for a zone change, Agricultural to Multiple Family Suburban for the purpose of
apartments/duplex
B FINDINGS OF FACT
1 That the existing land use in the area is apartments, single family
residences, drive-in theater, stables, and racquet club
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
Agricultural
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 or intent of adopted policies
7 That the land in this area is suitable for the proposed use, or uses within
the proposed Zone Classification
1
~
~
ile No ZE-8-78
8 That the proposed use is compatible with existing uses in the area
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 Alvin J Wolff, Jr for a Zone Change, Agricultural to Multiple
Family Suburban as described in the application should be approved
Special conditions or contingencies applied to motion
a Compliance with ail requests stated under Reviewing Agency Comments
above
b The applicant shall develop subject property generaliy 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 ailowable 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
shall be maintained
2
ile No ZE-8-78
c A landscape pian showing specific detail and accompanied by a performance
bond shall be approved by the County Zoning Administrator prior to
building permit issuance
d That the provisions of SEPA's Notice of Action pursuant to 43 21c 080 RCW
and the Board of County Commissioner's Resolution #77-1392 be accomplished
by the applicant within thirty (30) days of formal action by the Hearing
Examiner Committee as instructed by the Planning Department staff
e Interior driveways and parking areas shall be paved
f That the Hearing Examiner Committee after hearing all testimony and a
review of the staff analysis adopts the proposed declaration of
non-significance and directs the chairman of the committee to sign the final
declaration of non-significance
g If at all possible, the applicant should connect to the City of Spokane
sewer, only if they cannot, will an on-sight system be permitted as an
alternate method of sewage treatment
Motion by Mrs Myers Seconded by Mr McCoury
Vote Unanimous
3
ile No ZE-8-78
v
HEARING EXAMIiVER COMMITTEE
Chairman
,
ATT EST
FRED L DAYHARSH
Planning Director
B Y
~
4
/9 4_~ `7-
~~p • ~-i~-~~
ALENGY 1tE51'()NSE hU1tM
DA 1 L `7 ~
TO Ce , ll--21q k! K;
FltOM Name o E'
`11 t 1 e_ 2- t/
Agency L_,_~c ~enl,,e E c:: o /o c/
~ r
SUBJECT l.edd Abenc,y O/ 4 17 ~ ~ ~J f 7 / ir
Ap(ll il.d[lt
r r ojec c -~'~~~~n~x~•
l -
I NAVE 1tEV 1EWE,D 1 HE AND
E ' RW, dgto -Final-GUW uf 5ignif or UEiS - hLtS
WAIE.tt QUALITY
A Review ~ur ApNroval Reyuired
1. 5eptlc tank W/17,500 G P D or 50 or mure 5ervic.e5
2 Mectidnical system or lagoon W/3500 G P,A ur lU or more 5CrviLL5
.i CoMmLrcial or industrial facillty
4 NYUES t'ermit required
! S State Permit requirad
K L I S l'r`Ndiation KecjuLbted
C C W I 1'c eNdrdt ion ltequESted
U LnvlrunmLutdl ( t►eck115t KequeSted
E WatLr 12ud11t,y SCandard5 Modificdtiun 1teyuireJ
ApNliLa►1t l0 1Se Notit ied
E No G0uuuenl. -QW-- - - -
G No ObjeLLtun lu
H Uetatled (.umnie11t5 AtLJLr►ed
AIR QUALIIY (ln (,uunties uf Jurisdic.tion)
A Nut 1 LL 01(,ut►5 t ruct tun kteyuired
tS l3urn inb I'e t utI t Keyu treJ
Dz[a11ed ( ununent5 AltJL-liLd
5UI L SUUR('L (Ll'A 11e!~1bnaCl.un)
A k'rujLct Witl►in Ayuifer (KeLhdrge Lone)
t3 h!'A KLv tLw Appear5 NUr c.5sary
C t'rojeLt Wlttiln SLredmf luw Lone
1'ItE.I'ARED
~
IITLh.
Y
~
~
5PO~Alqt VALLtQ FiRt DtPARTINItNT ~
-
~ EAST 10319 SPRAGUE AVE o SPOKANE, WASHINGTON 99Z06 o TELEPHONE (509) 928-1700
7~0%w/ ~
,
, January 9, 1979
~
Mr Fred Dayharsh, Planning Director
Spokane County P1 anni ng Commi ss ion
I Second Floor Broadway Centre Building
' Spokane, Washington 99260
Dear h9r Dayharsh ~
~
' The following Zone Change ay ~ e reviewed for fire protection
~
ZE-103-78 Hoadley
~ ZE-179-78 Red Lion M o Inn t
,
ZE-182- 78 Rudy
ZE-191-78 Able Bilfdi ~ CQ'ntrac ors, Lnc. o
` `
ZE-196-78 Acho d
,
&A ZE- 8- 78 Al~rinOL~ f
r c
V
ZE-160- 78 r F - y
~ ' „ a ..r 3 YS2 ~1- ,~/~y ~
The abov e in and~hydrantsfrt44 be }in~stAll 9n this area
Access 1 n f ref~~ght~ingf~~,quap~ne'nt;aroun~ tF~e ~4u \11ding shall
be apo e p or to i~'rmiy~ issu nc~ ~9jZE- 7~C1co y aantsill n~eeded in
th rea. F ebyd~~r~trs~.sh#l=1; be ~~nstai ~1 so\al 1 tra~ e s are
' ` ` ar 1 a 's, fa~fi ref~ htin
w t ti n 500 ~f a f~.yd~a~t ex~Access ~p n~ ~g g
,eq ipment a;ound thir6uildjnglsha7l~bc~,approved pro`r to b i ding
/p~rm it is.s ua cE
. ° ~ b ~ ~ 4, ~ '
, J ~ 1 ° ` ~ c G
j / ~,r ~ ~ f ~ i ~ 4...~ " r ~ a _r~.,.•- ...d.~,... ~ `
~ -A1 Cook r
: Lt of Inspectors ~ ~ ~
~
AC sn J11N 111919
SPOKAIVE COUNly
PWNING DEPARTMEN
~~NT FIRES SAVE Ld VES
STAFF ANALYSIS JANUARY 18, 1979
.
ZE-8-78, AGRICULTURAL TO MULTIPLE FAMILY SUBURBAN ALVIN J WOLF
I FINDINGS OF FACT
a Zone Classification
1 North Commercial, established, 1953
2 West Agricultulral, established, 1955
3 South Multiple Family Suburban, established, 197$
4 East Multiple Family Suburban, established, 1971
b Land Use
1 Site Stables and mobile home
2 North Sprague Drive Inn Theater
3 West Central Park Raquet Club
4 South Vacaat
5 East Apartments and Siagle Family Residences
c Development Plan
Property area 51,313 sq ft./1 18 acres
Proposed building area 12,552 sq ft /25% coverage
Existing duplex building area 2,000 sq ft
Parking area (Spaces) Required - 47 Actual - 47
d R~ional Comprehensive Plaa - 1968
The Plaa Map has designated this area appropriate for Residential
development
e Compliaace with SEPA )
~
The Planning Department staff has circulated a proposed declaration of
non-significance and received no comments from Ageacies of Expertise,
therefore, a recommendation that a fanal declaration of non-significance
be issued
II REVIEWING AGENCY COMMENTS
a County Engineer's Offace
The County Engineer's Office has requested the following be considered if
the rezoae is approved
NOTE All req*ired improvements shall be built to meet or exceed
minimum County coastruction standards
1 Applicant shall dedicate 30 feet on Eastern Road for right-of-way
and slope easemeats as aecessary
(continued)
STAFF ANALYSIS JANUARY 18, 1979
ZE-8-78, AGRICULTURAL TO MULTIPLE FAMILY SUBURBAN ALVIAI J WOLF
2 Applicant shall construct cement concrete curb sidewalk aad pave to
existing pavement on Eastern
3 Applicant shall obtain approval for oa and off-site draiaage and
access plans before issuance of building permits
b Spokane Couaty Health District
The applicant shall comply with rules and regulations of the Health
District in providing for adequate sewage disposal All aecessary Health
District permits shall be obtained prior to building permit issuance
c County Fire Marshal's Office Fire District #1
Mains and hydrants to be installed, in accordinace with the Spokaae
County Fire Marshal's requiremeats
Access and circulation plans for emergeacy vehicles to be approved prior
to building permit issuance
d Water Purveyor East Spokane Water District #1
We are able to supply this proposal with adequate water
III CONDITIONS
If the Planning Commission approves this request, the following conditions
should be coasidered
a Compliance with all requests stated under Reviewing Agency Comments
above
b The applicant shall develop subject property generally in accordance
within the coacept presented to the Hearing Examiaer Committee Minor
variations when approved by the Zoniag Administrator will be permitted,
iacludYng, but aot limited to the followiag changes Buildiag location,
building materials, laadscape plans, aad general allowable uses of the
permitted zone All variations must conform to regulations set forth in
the Spokane County Zoning Ordiaance The original iatent of the
development plans shall be maintained
c A landscape plan showing specific detail aad accompanied by a performance
boad shall be approved by the Couaty Zoning Administrator prior to
building permit issuance
d That the provisions of SEPA's Notice of Action pursuant to 43 21c 080 RCW
and the Board of County Commissioner's Resolution #77-1392 be
accomplished by the applicant within thirty (30) days of formal actaon by
the Board, as instructed by the Planning Department staff
e Iaterior driveways and parking areas shall be paved
_DNE CHANGES POSTED O1V ZC JG MAPS
Application No. zF -9-7Y A°;O°V Res No. Re s. Date
Fr om d lck I i cA'l v0t T o ~ c- FA wt it S tA. Ip u, (b x4 rJ
Posted By 46 Date Posted tla lt-79
Acre s Sec ~q Two. ~ S Range V,3
EAST
(Wall Map) Building Codes Department Scale 1" - 1000'
(Wall Map) Front Office Scale 1" - 1000'
(Wall Map) Middle Office Scale 1" - 1000'
(Section Maps) Front Office Scale l" - 400'
(File Map) Tracing #34 (Valley Zoning Map) Scale 1" - 1000'
y1~~ (File Map) Metro *11 (Director's Offfce) Scale 1- 2000'
(File Map) County - Front Office Scale 1" - 1 mile
iv (File Map) County (Map Room) Scale 1" - 2 miles
(Score Card) Middle Office
SOUTH EAST
_ (Wall Map) Building Codes Department Scale 1" - 1000'
tWa! 1 Map) Front )ffice Scale 1- 1000'
VA311 Map) Midd1P Jffice Scale 1" - 1000'
_ (Section Maps) Front Office Scale 1"- 400'
_ (FilA Map) Tracino 434 (SoL'-h East Zoning Maps) Scale - 1000"
_ (File Map) Metrc :*11 (Directors Office) Scale 1" - 2 000'
(F. +e Map) Countti - Front Office Scale 1" - 1 mile
_ (File Map) Countti !'1/Iap Room) Scale 1" - 2 miles
(Score Cards) Middle Office
~
AGENDA, jANUARY 18, 1979 TELEPHONE NO. 456-2205
SPOKANE COUNTY ZONING HEARING EXAMINER COMMITTEE
Time° Thursday, january 18, 1979, 8 30 A, M,
Place: Broadway Centre Building, Second Floor
North 721 jefferson Street, Spokane
ZQNE RECLASSIFICATION
3, ZE-8-78, Agricultural to , Multinle Familv Suburban
a, Location Section 24, Township Z 5 N., Range 43 , E, W. M.
Lots 3- 7 and Lots 18 - 24, Block 1, Central
Park Addition, including all vacatzd Sth Avenue
south of and contiguous to above-described lots.
be Vicinity Location• South side of Fourth Avenue, west of Eastern.
c. Applicant Alvin J. Wolff, Jr,
South 717 Pines Road
Spokane, WA 99206
d. Site Sfze Appcoximately 1.5 Acres
e, Fxf s tinq Zoning • Agricul tural , e s tabli s hed june 28, 1955
f e Proposed Zoning• Multiple Family Suburban
g, Proposed Use of Property• Apartments/Duplex
h. Application of Zoning Provision Chapter 4, 21, Section 4 21.040
i o Environmental Impact A topic of discussion at this hearinq may be
whether or not this proposal will have a siqnificant adverse envfronmental impact
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APPZ,ICATION FOR SPOKAIVE COUNTY PLANNITJG CCHMISSION
ZONING HEARING Public Works Building, N 811 Jefferson
` Spokane, Washington 99201
Date Jaiiuaxy 25a 197$ Application No : ZE-8-78 ,
Name of Applicant. Alvln J. Wolff. Jr.
Street Address So. 717 Pines Rde ~
City. U121o„P State. WA Telephone Noo928-4220
Existing Zoning Classification. Agricultural ,
Date Existing Zone Classification Established 6-28-55
Proposed Zone Classification. MultiDle Familv Suburban
Proposed Bse of Property. ADartments/DuAlex _
Legal Description of Property. Lots 3-7 and lots 18-24, Block 1, Central
Park Addition to the Countv of Sookane, includinQ all vacated 5th Avenue south
of and contiquous to above described 1_ots ,
Site Size.
Section. 24 Township• 25 _ Range 43
Street Address of Property S. 402 Eastern Rd. . ,
Who Holds Title to the Property Estate of Harold McCullom ,
If you do not hold title to the property affected by this application, what
is your interest in it' Contract purchaser
Furnish a letter from a Title Inoirance Company, showing the property owners
of record, their address, within 400 feet of the exterior boundaries of
subject propertyo
ALL OF THE FOLLOWING QUESTIONS MUST BE ANSMMT
1o What are the changed conditions which are alledged to warrant other
or additional zoning? Over 20 years have passed since present class-
ification was made Surrounding uses are commercial and multi-familY
~
0
t4t ~
, 2, What fact austify the propoSed zone reclassification based on the
advancement of the public health9 safety, and general welfare?
I I
E'g tW°e11 tb
e r c i a, .,S@c,-„ t~. ;~F i~ lpa.f..~ g.L, -
7
I f a m i CI
supP~°'/-- .
~o What effect will the proposed zone reclasslfication have on the value
and character of adjacent property?
m, - a s- the propaK-t.. n t4 _ soutl,~,,,~e,ra vhe va&a a nd.Qn the nar th -s _a1ro ady
e ith " --9 ~ nar{ ~nd~/n r ha i nn orl fn rnmma rr i a_l _ nr mti 1 t~£~m_.i__1_~ '
r
uses
4 Can a reasonable return from a reasonable use of the property in
~ question be secured under the existing zone classlflcation?
A plot plan or sketch must be attached contalning the followl.ng informatlon
(a) Scale of the drawing d
(b) North Pointo ~
(c) All dimensions of property, existing bulldx.ngs, and proposed
buildingso
(cl) Locata.on of all existing and proposed buildings, or additions, ~I
with dimensions to the nearest property lineo
(e) Off-street parking areao
(f) Defined points of access and egresso
, (g) Date of the drawing THE NECESSARY FEE MUST ACCOMPANY THIS APPLICATIONn
The recommendation of the Planning Commission ln this matter wi.ll be presented ~
tv the Board of County CvmmisslonLrs for final actaono Any person desiring
to contESt the recommendation of the Planning Commission must request, ln
writing, a hearing before the Board of County Commissioners no later than ~
(10) days following the date of the public hearing held by the Planning
Commissiono
~ .
uu6igned)
i
w
- OffICE OF TNE ~
SPOKANE COUNTY PLANNING DEPARTMENT
uate I.?1,20 11 P 1197?
To a
Frorn e
sub;ect_~
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PLANNING DEPARTMENT ~
~BROA.DWAY CE1VZZE BUILLING N. 721 JEFFFjRIGON STREET
PHONE 456-2205
- • ' .
1,-
~ ' 0 i _
SPOKANE, WASHINGTON 00260
5...nE ..J~nr..ar.,:5c
MEMORANDUM
ms~o.Go. ~ T~ P o~s~s c~~ •vt~+, ~E ~~a
To : ~N. ~ ~J~t qe,44~
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31~{ 1~ p (f ey. 04 t) C~r~a hop c. 9x0 D °st
AAM Z00 6 °~6"k
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FROM: Spokane County Planning Department ~
North 721 Jefferson
Spokane, WA. 99260
14s,"
(509) 456-2274
Attention:
~
REFERENCE: Lead Agency Destination, Threshold Determination, Sta¢f
Review, Environmental Checklist, map; all or some of which
are attached.
Pursuant to WAC 197-10-203 (3), the Spokane County Planning Department, a
division of Spokane County, has determined that the County, 3s an ACTINC
AGENCY, i s the LEAO AGEPdCY for the foI 1 owi ng project:
~ tJ G%4 Ai2AV+0heW+ I°~lvto Wot
This determination was made in accordance with wAC 197-10-220.
Information on file concerning this proposed action indicates your agency to be
an AGENCY WITN JURISDICTIO"J (WAC 197-10-040 (4) ) or an AGENCY WITH EXPERTISE
(WAC 197-10-040 (3)
Accordingiy, if you wish to exercise your option to review and comment as pro-
vided in WAC 197-1 340 (5), a proposed Oeclaration of Nonsignificance was
issued on 1 t ~ . Please resPond, if aPProPriate, at Your
earliest 4ppg ~tunity, but no later than the publ ic hearing scheduled fcr
~ ~ -19
The subject proposal or action (IS, 111~) LOCATED WITHIN iHE SPOKANE
VA!i.EY SOLE SOURCE AQUIFER OR ANOTNER AREA OF POTENTIAL IMPACT TO THE
AQUIFER. Piease advise us as soon as possible as to whether you feei
an cnvironmental Impact Statement (EIS) or a Ground Water Impact Eval-
uation (GWIE), pursuant to the Environmental Protection Agency's Soje
:,ource Designation or regulations partaining to this designation, should
be prepared.
Enclosures
Z E- 8-~ ~
_ - . ' ~ Z~F • 2.1' • 4 3
CC) ~y
PLANNING DEPARTMENT
BROA.DWAY CEiVTRE BUILLING N. 721 Jal MSON SZ'RE,~,'T
PHONE 456-2205
.s ' SPOKANE, WASHINGTON Q0-260
MEMORANDUM
p o. Co. N~ p f~ ~t f. TSR I Crt . 04) C~ 10F.6teg-ag.)
P
To: lAt{w; -t-om tAs4 us a# 11: Rh aay
y
ED HUD ((C)t 044) CD S+o►s+ Sf°. N,o v sf.'l
At4Nl &b Go~LOsA
FROM: Spokane County Planning Department
North 721 Jefferson
Spokane, WA. 99260
(509) 456-227 0
Attention:
REFEP,ENCE: Lead agency Destination, Threshold Oetermination, Staff
Review, Environmental Checkl ist, map; al l or some of which
are attached.
Pursuant to WAC 197-10-203 (3), the Spokane County Planning Department, a
division of Spokane County, has determined that the County, as an ACTING
AGENCY, i s the LEAD AGENCY for the fol l owi ng project:
r C&w i i Aly° w Wol
This determination was made in accordance with WAC 197-10-220.
Information on file concerning this proposed action indicates your agency to be
an AGENCY WITH JURISDICTION (WAC 197-10-040 (4) ) or an AGENCY WITN EXPERTISE
(WAC 197-10-040 (3)
Accordingly, if you wish to exercise your option to review and comment as pro-
vided in WAC 197-10-340 5) a proposed Declaration of Nonsignificance was
issued on a . Please respond, if appropriate, at your
earliest opp rt4nity, but no la ter than the public hearing scheduled for
~
~
The subject proposal or action (IS, NOW) LOCATED WITHIN THE SPOKANE
VALLEY SOLE SOURCE AQUIFER OR ANOTHER AREa OF POTENTIAL IMPACT TO THE
AQUIFER. Please advise us as soon as possible as to whether you feel
an Environmental Impact Statement (EIS) or a Ground Water Impact Eval-
uation (GWIE), pursuant to the Enviranmental Protection Agency's Soie
Source Designation or regulations pertaining to this designation, should
be prepared.
Enclosures
, • i
FILE
s~_ ~ • ,
,y ( ~ t • • ! . i . _ .
STAFF REVIEw_OF ENVIRONMENTAL CHECKLIST
a - - -
..SPOKAnc Counrr couRr Housc
I, In accordance with the Spokane County Environmental Ordinance 'and WAC 197-10,
an Environmental Checklist has been submitted by the applicant or his agent.
This checklist and any additional pertinent data has subsequently been reviewed
by the I
The following data briefly describes the proposal:
A. Action (s) Reques ted: X Zone Change; Preliminary Pla t _
Approval: Final Plat Approval; C?iange of Condition
Other:
B. Description of Proposal:
a
~
C. Location of Proposal: S~ f 12 ra c Y QJ 4o6asACrn 12odwl
y~
II. Review of Checkli s t:
A. Slight adverse impacts are noted under the 14o1lowing questions:
(1) X Earth (8) Land Use (15) Energy
(2) Air (9) Natural (16) Utilities
Resources
(3) ~ Water (10) Risk of (17) Human
Upset Health
(4) Flora (11) Population (18) Aesthetics
(5) Fauna (12) Housing (19) Rec.
(6) Noise (13) 4- Trans,/ (20) Arch./
Circ. Hist.
(7) Light & (14) Public (21) O Cher
Glare Services
,
' . E
B. PotentiaZly significant adverse impacts 'are noted under the foilowing
questions: " cl rcig 5 oUG r u. kC
. • / -
t-11 • C.asay r.O k-
. ~ .
s~ r~ ~ • Qr
/ • .
C, Discussion of impacts identified above:
r
I
III. Conclusions and Recomm--:~ndations:
BaseC on this staff rzview of tne environm~ntal checklist, Lhe sra*f:
A. ~ Concludes IL-hat there are no potentially signiiicant adverse ►.mpacts
ar:d recommends; iwm~s a proposed dPr,Iaral[ion of ncnsiqnificance.
B. ~oncludzs that there are no potentially signi€icar_t .:..dverSe ll:lpaCrs
and, because of the nature of the proposal, recomm?ntisj icsues a
iinal declaration of nonsignfficance.
C. Conciudes that potentially significant adverse impacts do exist and
recotnmends/issues a declaration cf signiricance.
IV. StaTf inember( s) revi ewi ng checki is~
~uq~~
~ 3 ' ~ • f~
3~ 1
y Y ~
~
a.J . :
,
- '
SPOwANL COUMT♦ LOYRT MOUSC
ENVIRONMENTAL CHECKLIST
Introduction The State Environmental Policy Act of 1971, Chapter 43 21C, RCVV,
requires all state and local governmental agencres to consider environmental values
both for their own actions and when licensing prlvate proposals The Act also requires
that an Environmental Impact Statement be prepared for all major actions significantly
r- (and "adversely", as per WAC 197-10) affecting the quality of the environment The
purpose of this checklist is to help the agencies involved determine whether or not a
proposal fs such a major action.
Please answer the following questions as completely as you can v►nth the information
presently availaUle to you. Please answer questions as "yes" or "maybe" if, in your
opinion, even only slight impacts will result The reviewers of the checklist will be
aware of and concern themselves with the deQree of impact, asking you for more informa-
tion, if necessary Where explanations of your answers are required, or where you
believe an explanation would be helpful to government decision-makers, include your
explanation in the space provided, or use additional paqes, if necessary You should
include references to any reports or studies of which you are aware and which are
relevant to the answers you provide Complete answers to these questions now will
help all agencies involved with your proposal to undertake the required environmental
review without unnecessary delay.
The following questions apply to your total proposal, not just to the license for which
you are currently applying or the proposal for which approval is sought Your answers
should include the fmpacts which will be caused by your proposal when it is completed,
even though completion may not occur until sometime in the future This will allow all
of the agencies which will be involved to complete their environmental review now,
v+nthout duplicating paperwork in the future
No application shall be processed until the checklist has been completed and returned
to the appropriate County department State law requires exfllanations for every "yes"
and "maybe" answer on the checklist The person completing the form may be required
to provide explanations for "no" answers, and in some cases, more detailed information
to aid in a threshold determination
NOTE This is a standard form being used by all state and local agencies in the State
of Washington for vanous types of proposals. Many of the questions may not
apply to your proposal. If a question does not apply, just answer it "no" and
continue on to the next question.
ENVIRONMENTAL CHECKLIST FORM
I. BACKGROUND
1. Name of Proponent alv,s~ ~ W ol E~~ Tr
2. Address and Phone Number of Proponent Sok~ 'I~~ p~npS RoQd ~ SpoPc4v►e;
(rUasLi i r+ q}'o r► Pko ne 428 -'a ZZo
3. Date Checklist Submitted
4. Agency Requiring Checklist Svokane County, Wa e
5. Name of Proposal, if Applicable
no
-1-
~
(IF SPACE FOR FXPLANATION IS INADEQUATE, PLEASE ATTACH ADDITIONAL PAGES )
6 Nature and Brief Description of the Proposal (including but not limited to its size,
general design elements, and other factors that wxll give an accurate under-
s tanding of i t s s cope and na ture)
A 5ar-Ae,r, co u.r°t' a~a of~ r o.^are ilia h 3& uUft&t'S .
Fv'arne. ~ cedotr v ce4a,#-fy9e std►v%J Recreaf%;^ -Nvc, (.-hiS Atl S-et
w t tL, ex i's~► ~q ~ee ~e re o►`~" a I 1 ,e S~s ~bl ~
J 1
7. Location of Proposal (describe the physical setting of [he proposal, as well as the
extent of the land area affected by any environmental impacts, including any other
information needed to give an accurate understanding of the environmental settinq
of the proposal)
At i1nP- Sm UllAwesf' Co r n 2,r o~ yn' 't eAsXrv+ (ZO acP )w I++t [.k i S A bo &k-r
pHe- blct,lc P Jooki^q dowr► oo&D ¢W r-50 fi•ccwa~ ov1:&Pus1
J
ove„ Snr-acive. Avt --te. i tu& irA.st~ ~~~~~AL hr►vt• Iv% 1_6ea fire La h d o^
fwo wed fw S u w,c pv r G oS F• 1.4 4"D W'f't, aGl Co Mme rC 'a 1
f4 1 (Y Gfv~l ay ~t StS . ,
L ~
8. Estimated Date for Completion of the Proposal
TarKG•i 19~1 C4+ tatcst- ,
9. List of all Permits, Licenses or Government Approvals Required for the Proposal
(federal, state and local - including rezones)
.
rov ••4'1 PlaA v~, ^ 4 6tt 7, Id►~~ De.,~'+ Nea1-1l,~. PGrd+•,:tz (S4A 41 ,•,eP~,►s -ar1
✓ .
SQl1.n'}'~ .Z 44',, v►14.
l0a o Do You, or the owner in the event you do not own the sub j ect land, have any
plans for future additions, expanslon, or further activity related to or con-
nected with this proposal If yes, explain
No.
lOb o Do you own or have options on land nearby or adiacent to this proposal's
location7 If yes, explain
No
11, Do you know of any plans by others including the owner which may affect the
property covered by your proposal or land adjacent or nearby7 If yes, explain
yeA tV~e_ 14v%1 4-oiS ~~~A 4y. a ~
p~iw,e A12. Attach any other application form that has been completed regard.ing the proposal,
if none has been completed, but is expected to be filed at some future date,
describe the nature of such application form
~}~}1C ~1 e~ l~ Zo ne c~n~ q L ~.a.- a p~pl , ca'f`i a~► ~ k5r co.,,. ~l e~p ,e~
J . ~
II e Er'VIRONMENTAL IMPACTS ~
(Ecplanations of all "yes" and "maybe" answers are required)
-Yes Maybe No
d _
1, Earth. Will the proposal result in
(a) Unstable earth conditions or in changes in geologic -
s tructures ? , . . . . . . . . . o . a , . . , x
(b) Disruptions, displacements, compaction or overcoverinq
of the soil? . . , . . , . , , . , , , . , , . ~ ~
- 2 -
. ~
J
v
(IF SPACE FOR FXPLANATION IS INADEQUATE, PLEASE ATTACH ADDITIONAL PAGES ~
- - - ^ ~`r ^ ^ ^ ~ ~ Yes Maybe No
(c) Change in topography or ground surface relief features? Y-L
_ (d) The destruction, covering or modification of any,unique
- geologic or physical features ? . , . . . . . . . . 2L
(e) Any increase in wind or water erosion of soils, either
on or off the site ? . . . . . . . . . . . . X.
(f) Changes in deposition or erosion of beach sands, or
changes in siltation, deposition or erosion which may
modify the channel of a river or stream or the bed of
the ocean or any bay, lnlet or lake 9 . -.A-
Explanation c1deemm, r M,e.!1~46 W- S ea ~ ~s &'.J < < ~
~
Yes maybe Ng
2. Air. Will the proposal result in
(a) Air emissions or deterioration of ambient air quality7.
(b) The creation of obiectionable odors ? , . . . . . . ~
(c) Alteration of air movement, moisture or temperature,
or any change in climate, either locally or regionally*?
Explana tion 70%A.V ~ c'ro-V.a sJ r La le
~ •
r~,~ d s''~'r t
.
%4
_Y-6 t, 64f.
~
3 Water Will the proposal result in Yes Maybe No
(a) Change in currents, or the course or direction of
water movements, in either marine or fresh waters ~
(b) Changes in absorption rates, drainaqe patterns, or ~
the rate and amount of surface water runoff? . ~
(c) Alterations to the course or flow of flood waters ) ~
(d) Change in the amount of surface water in any water x
body 9 . . . . . . e . . .
(e) Discharge into surface waters, or in any alteration
of surface water quality, including but not limited
[o temperature, dissolved oxyqen or turbidity7 x
(f) Alteration of the direction or rate of flow of ground n
wa ters 7 . . . . . . . e e . . . . . . . .
(g) Change in the quantity of ground waters, either through
direct additions or withdrawals, or throuqh interception
of an aquifer by cuts or excavations ? , , . . . . . . ~
(h) Deterioration in ground water quality, either thmugh
direct iniection, or through the seepaqe of leachate,
phospates, detergents, waterborne virus or bacteria,
or other substances into the ground waters? ~
(i) Reduction in the amount of water otherwise availaals ~
for public water supplies ? . o , . o a . . . . . . . -
Explana tion &J 92 W76,2:P. 17'ia-e e- co, '2'& e
c~ile (s i-- rIC ~N q
lar v
CL ~ e ca.s~ ¢~~~47 92
~
. .
p J-.0,0 0s.=7~ o / ~
~ 1
~ -3-
~
.
(IF SPACE FOR E){PLANATION IS INADEQUATZ PLEASE ATTACH ADDITIONAL PAGES )
Yes Nivbe No
4, Flora. Will the proposal result in
(a) Change fn the diversity of species, or numbers of
any specie s of flora (including trees, shrubs, gra s s,
crops, microflora and aquatic plants)? . . . . . ;K
(b) Redu.;tion of the numbers of any uniqve, rare or
enda*igered species of flora? . . . . . . . . . . ~
(c) Introduction of new species of flora into an area,
~
o* in a bamer to the normal replenishment of
existing species ? . . , . . . , . , . . . ~
(d) Reduction in acreage of any agricultural crop ?
Explanation
r
Yes Maybe No
5. Fauna. Will the proposal result in
(a) Changes in the diversity of species, or numbers of
any species of fauna (birds, land animals including
reptiles, fish and shellfish, benthic organisms,
insects or mfcrofauna) ? . . . . . . . ~
(b) Reduction of the numbers of any unique, rare, or
endangered species of fauna? . . . . "X
(c) Introduction of new species of fauna fnto an are3, or
result in a bamer to the migration or movement of fauna 7. ~
(d) Detenoration of existing fish or wildlife habitat7 . _ X
Exvlana Fion
Yes M 3ybe ~NCo
6. Noise. Will the proposal increase existing noise levels ? ~
Explanation 1he G(oSe. FY"AArn.y ~ Cv1kkf^e."..te►1 LtSeS alreAe(y
~ .
Yes Maybe No
7 o Lictht and Glare Will the proposal produce new light or glare ) k
Explanation
Yes Maybe No
8. Land Use. Will the proposal result in the alteration of the
present or planned land use of an area ? . . ,
Explanation A&ml Qt&k-ei-Ju;W (P codml•
-4-
t
(IF SPACE FOR EXPLANATION IS INADEQUATE, PLEASE ATTACH ADDITIONAL PAGES )
- ~ ~ - Yes Mavbe No
9. Natural Resources. Will the proposal result in
(a) Increase in the rate of use of any natural resources ? . IL _
(b) Depletion of any nonrenewable natural resource? . . 9-
Explana tf on ~ a ~ 1~s~* 8ASe m VJVJ4
•
Yes Maybe N:)
10. Risk of t7nset, Does the proposal involve a risk of an
explosion or the release of hazardous substances (including,
but not limited to, oil, pesticides, chemicals, or radiation)
in the event of an accident or upset conditions ? . . . ~
Explana tion
Yes Maybe No
11. Pooulation. Will the proposal alter the location,
distnbution, density, or growth rate of the human
population of an area ? . . . . . . . . __X ~
Explanation ~ 0 v
~ ~
%Oki a~~~ +4%jAL
Vi
12 HousinQ Will the proposal affect existing housing, or
create a demand for additional housinq ?
o
Explanation "oll AM ~(§WfvC~ V&CAL ~ df-6RObA 9t 1m CA) bi°etn ce
Yes Maybe No
13. Transportation/Ctrculation Will the proposal result in
(a) Generation of additional vehicular movement . . . ,
~
_ (b) Effects on existing parking facilities, or demand for ~
new parking ? . . . . . . . . . . . .
(c) Impact upon existing transportation systems? . . . .
(d) Alterations to present patterns of circulation or
movement of people and/or goods 7 . . . . . . . . . ~
(el Alterations to waterborne, rail or air traffic? ~
(fl Increase in traffic hazards to motor vehicles,
bicyclists or pedestrians?. . . a . e% . . . . . . X ~~pZ~
Exnlanation e CWJL mCed Fwv
ctk
-i-r a f-Al C. ZcJ ~ ll
~
~Qtl~er
- 5 -
0
t
a ~
(IF SPACE FOR EXPLANATION IS INADEQUATE, PLEASE ATTACH ADDITIONAL PAGES.)
Yes Mavbe No
14 o Public Services Will the proposal have an effect upon,
or result in a need for new or altered governmental services
in any of the following areas ?
~ (a) Fire protection? . . . . e e . . . . o .
~
(b) Police protection 7 . . . . , . , . . . . . . _X
(c) Schools ? . . . . . a e 0 • 0 • 9 • a . • ~
(d) Parks or other recreational facilities ? . . . . . . . ~
(e) Maintenance of public facilities, including roads? ~
(fl Other governmental services? o , . . . . . . . ~
£xvlanation 36 1,109A tr t,j c c.
Yes Maybe No
15. Energy. Will the proposal result in
(a) Use of substantial amounts of fuel or energy? ~
-
(b) Demand upon existing sources of energy, or require ~
the development of new sources of energy?
Explanation
Yes Maybe No
~roposal 16 Utilities Will the result in a need for new
systems, or alterations to the following utilities
(a) Power or natural gas ? . . . . . . e . . . . . ~
(b) Communication systems ~ , . . , e , . o . e e ~
(c) Water? e . e . . a . . . . e e . o . . . . ~
(d) Sewer or septic tanks ? . . . . . e . . . • . • ~
(e) Storm water drainage? . . . . . e . . . . a . •x~
c
(fl Solid waste and disposal? . . . . . . . . . . . ~ -
Explanation S~~ ~&%~s "11 ~ vAtAed ° koL 0 f~ "WOVA °
ALill, V~2 C~iG ~ ,~~a ~ ~ ~i ~oJ~4. ~ l ~ ts- Aawe-r 01',sa.S
{e- CA4 &<:S e '.S.Avs$ e
Ag,V e S.O-&j uJ~e
~
Yes Maybe No
17. Human Health Will the proposal result in the creation of
any health hazard or potential health r azard (excluding ~
mental health) ) . . . . . . • • • • • • •
Explanation
-6-
v
.
(IF 'UOOPACE FOR EXPLANATION IS INADEQUATE, P:..EASE ATTACH ADDITIONAL PAGES.)
^ Yes Maybe No
18. Aesthetics Will the proposal result in the obstruction of
any scenic vista or vfew open to the public, or will the pro-
posal result in the creation of an aesthetically offensive site
open to public view ? . . . . , )e ~
Explana tion
Yes Maybe No
19 Recreatfon, Will the proposal result in an impact upon the
" quality or quantity of existing recreational opportunities
Explanation %Aj 'J L e
.
Yes Maybe No
20. ArcheoloQical/Historical WLll the proposal result in an
alteration of a significant archeological or historical site,
structure, object or building ? . . . . . 'K
Explanation
~
III. SIGNATURE
I, the undersigned, swear under the penalty of perjury that the above responses are
made truthfully and to the best of my knowledge. I also understand that, should there be
any willful misrepresentation or willful lack o f full disclosure on my part, Spokane County
may withdraw any declaration of nonsignificance that it might issue in rellance upon this
checklt st o
T
Date Proponent
(Please Prlnt or Type)
.
Proponent ~~VBm~ ~~a~¢ ~
.
Address SO• 11~ P~~~~ R44 •
Phone W 421-0
Alve~a Person completing form• W@'%&V_1LrJ
Phone
Date 34)
Dept. or Office of County Reviewing Checklist
~ o
70~
Staff Member(s) Reviewinq Checklist +
11717T
i
,
'r"ORM G
ZC3NING WQRKSHEET
Applicat ion ~_2E.-1r-,2r
This document will provide the Pianning Department Staff with written verfffcativn
that;
1. The sfte's ].egal descrfption has been revievved by the Engineering and
Planning Departments who zgree that the Iegal description is acceptable o
24 That the propc►sed development can meet the requirements af the County
Hea3'th T]istrict, the County Engir~eer's, thz County Utiltties L7egartment,
County FLre Marshal and Water Purveyor.
3. That adequate pravisians fvr the pcopQSed develaPment can be rovided for:
residentia]., eorrimercfal, Industrial and mining uses a
An applicant is requlred to present a evpy of the proposed DEVELOPIVIENT PLAN
uvith this wflrksliieet to each of the Ilsted agencles fror thefr revtew and determfnatton
as tv whether the prvpasal can meet mLnirnum State, Coun*y and I3ealth I7istrict
requlremertts a(Note: Applicant shQUld coantact indicated ageneies in sequenca dtsted
belcw.)
PART I- Tv be completed by Cc►untv Er_qineer
' A prellmfnariy consultation meeting has been held with the Spokane Coursty Engineer's
Offfce and the praposed development has been revtevrred,
I, State DC7T Review required; ye s no ~
Access to be ].imited to:
20 '
ti
~ 38 . Access petznit !s required¢
49 . Ler3icatton fvr right-of w3y fs required. feet oz Rd, Street,
Ave nue.)
50 ~~^d Dra±nage Plan Is required.
on-site
i Oft~-s f te
5. Pa~riZg pernnit Is te~quired. feefi c~n ~:~'-~'ti.-•.-- Roa.d')
7~ Curb is reqa~ired, t alon+g - - - Raad, Street, -,re.~
S 4 Sldewalk is raquired. (a3ong Rvad, Street, Avenue,)
9. Radius fcot} is requtr~~~ (01 n -and r;d, S4r,,
Aver.ue)
1a o 51ape easement is required alang I~. AppILcant must be willing tc► partfcinate in fut*are L.IaL,%:R.iD.
12Q Lega1 dc-scrfgttan is acceptable as reviawed, Farcel Noa .
Comlri etlts: J= - -.Aiv
j.-
~ ~ . ~ - ~ . - - . , _ ~-~f, • •
~ ~
~ 1YA .r.~F ~1~ /~~~~_.~~•r+C~.~'~!!'~- ~ ~ 1L?~~~- •
SI'j t'lf'd _ D3te
I
~
.
i
~
Zc~ning Worksheet {Continued}
PART II - To be cvmpleted by SAokan,e County Uttlities Department
A preliminary consultation meeting has be+en held wtth the Spokane {County Utilities
Department and the propased cievelopment plans have been reviewed4
10 The gmposed development ggis nvt located !n a public sewer service area
operated and maintained by Sgnkane Cauntyo
2, A stvrm-dratnage plan isj!IIIIIIIII~ required f4r the propasal.
Camments:
~2
ned Date
PART II[ - To be c2rn leted b Water Purve or
A_ Wattar- Riinnlv
~
4
EA►ST SPUKANE WATER DlSTR1CT NQ. 1
5O. 704 COLEMAN RD. ~
PHONE WA 6-6072 December 1977 SPOKANE. ►NN, 9920+8
,
Tv Wham It May Cancernt
East 5p4kaneW'atsr District No. 1 a,grees ta grov►ide water ta
pcroperty located at S. 402 Eastern, aand legally described as:
Lots 2~4, 59 6t 7r and I.otB 1$9 199 20p 21p 22t 23~ 24t
Block 1, Central Park Addition including all of vacateci 5th .
Avenue unita of area contiguvus tp abave described luts, County
of Spcaka.ne. 5tate of Washington.
T'he water grovided shall ba aufficiQnt to Support needs af
forty unit apartment building. The water shall be prvvided to
the groperty line of above deecribed prope:0ty and at that goint
became the awners responsibility*
The hook-up rate shall tre cost of install,atian, and water charges
xill be at the current rats of the District.
Sincerly your p -
~
°
I~Z eII Gro38
Water Superintentient
East Spokane WatarDietrict No. 1
AC/s ' .
Z oninq Warksheet (Cantinued)
PART IV - To be campleted by Fire Marshal
1. Prop4sal is located In Fire Distrlct #2, ~ Access and clrculatton fQr emergency vehicles is required,
)
3. L- Fire flow !ls no dequate far propvsed development a f L s nt~t
required,
4. ~ Main(s) need to be insta],ledo
5. Hydta.nt (s) need ta be installed.
6, Water Supply Cistern shall be instal.led (of gallons)
7. Nearest fire hydrant i s feet,
8. Driving distance ta nearest fire station ?
Comments:
1
S t d Date
i PART iT - To be completed bv Health District
A preliaminary cvnsultatlan meeting has been held with the Health District and the
propased development plans have been reviewed.
The proposed prvvision af sevvage treatment and df spvsal appears ta be feasible
and des irable at this time by the fvllawln ~ns:s ptic zk; Iagovn;
treatment plant; other, ~
Other methods cansidered were; ~
, 2. Air quality Is/ts not a concern wtth thls propasal.
3. Gmund water quality is/is not a concern wi.th this proposalo
4. Nofse isf Ls not a cvncern with this propvsala
5. Light is/is not a concem with this pmpasalo
6. Fraposa}. is subject ta revfew and approval af final plans 4
- ~
C4t71I11E?II,tS:
.
~
'z
~ . .
S ig ned Date
-3-
2Z2--
VERIFICATION OF
AFFIDAVIT OF PQSTING
S7'ATE OF' 'vJA.SEIINGT0I1 )
) SSa
COUNTY OF SPOKANE )
• , Bcing first duly sworn, deposes and says:
That t all imes mentioned herein he was, and now is, a citizen of The United
States, a resident of Spokane Cour,ty, Washington, and ovQr the age of twenty-one
years o
That on 19N , hc personally posted three (3) true
and correct copies of the hereto attaclied NOTICE OF PUBLIC HEARING at the
ir~ 9r.,0kan~, Count,y, to-v.-it:
c.
3.
r
•
Subscribed and sworn to mo
- l ' 19
~ . -
NOTARY PU LIC AND FOR SPOKANE COUNTY, WASHIIvi;`.'0 1
Residing at Spokane, Washingtor_
gw ~
AFFIDAVIT OF MaILING
STATE OF WASHINGTON )
) ss.
COUNTY OF SPOKANE )
' ~ ~ ~ • ~o-»-~ a-~ , bein first dul
, 9 Y
sworn on oath, deposes and says:
That I am a citizen of The United States of America and a
res fdent of the S ta te of Washington over the age of 18 years.
That on the day of , 19
I personally deposited in the United States mail t with sufficenala
ient pos tage prepaid, a
true an correct copy of the NOTICE OF HEARING, a copy of which is attached
hereto and incorporated herein by reference, to the recorded real property
owners and/or taxpayers, a s shown on the Spokane County Trea surer' s record s
as of the -.L2 "E~- day of , 19nwho have been
found to own property within a four hundred (400) foot periphery of the applicanc' S,
controlled property. The notices were addressed to those individuals and sent
those addresses as indicated on the attachment attached hereto and incorporated
herein by reference.
f
DATED this day of 1 9 - - ~--ti-~ .
SUBSCRIBED and SWORN to before me this ' dav of
, 19 ~7~ .
;
Notary Public in a d for :he ~ ta i=
of Washington, residing at Spolcane.
n:PPI.i('?`,TInN Nn,
AGENDA, jANUARY 18, 19iy TELEPHONE NO.: 456-2205
SPOKANE COUNTY ZONING HEARING EXAMINER COMMITTEE
Time: Thursday, January 18, 1979, 8:30 A, M,
Place: Broadway Centre Building, Second Floor
North 721 Jefferson Street, Spokane
8:30 ArMI Paqe
A , ZONE RECLASSIFICATIONS I
1. ZE-160-78 M-ultiple Family Suburban to Restricted Industrial ~
FORD . . . . . . . . . . . . . . . . 1
nff;
2. ZN-159-78 Multiple F. 1
CommerciC::
U LJl 1J ~ L ~i ~J l V 1: : 1 r.L / 1 1 b\ o . . n - ,
4 3. ZE- 8-78 Agricultural to Multiple Family Subur:_
ALVIN J. WOLFF, Jr. . . . . . , , , , , 3 4. ZE- 39-78 Agricultural and Restricted Industrial to Residential
Mobile Home
CROSBY ENTERPRISES . . . . . . . . . . 4
5. ZE-181-78 Agricultural to Residential Mobile Home
P UGH . . . . . . . . . . . . . . . . S
i
12:00 NOON LUNC~ (Place to be announced at the Hearing.)
J~L30 P.M.
A. 70NE REGISASSIFIGATIONS
6. ZE-103-78 Agricultural and Local Business to Residential Office
and Commercial
HOADLEY . . . . . . . . . . . . . . . 6
7, ZE-179-78 Two-Family Residential to Residential Office RED LION MOTOR INN . . . . . . . . . 7
8. ZE-182-78 Agricultural Suburban to Local Business
RUDY . . . . . . . . . . . . . . . . 8
9. ZE-191-78 Agricultural Suburban to Restcicted Industrial
ABLE BUILDING CONTRACTORS, INC. 9
10. ZE-196-78 Agricultural to Multiple Family Suburban and
Residential Office
ACHORD (Silas J. Bates, Agent) 10
5?00 P'M, ADjOURNMENT
v A
11t said time and place any interested person may appear for, or against, the granting of
thi s appl ica tion .
AGENDA, jANUARY 18, 1979 TELEPHONE NO.: 456-2205
SPOKANE COUNTY ZONING H EARING EXAMINER CO M MITTEE
Time: Thursday, January 18, 1979, 8:30 A.M.
Place: Broadway Centre Building, Second Floor
North 721 Jefferson Street, Spokane
ZONE RECLASSIFICATION
3. ZE-$-78. AcricultLral to -sltiple Family Suburban
a. Location: Section 24 , Township 25 N., Range 43 , E.W , M.
Lots 3- 7 and Lots 18 - 24, Block 1, Central I
Park Addition, including all vacatad 5th Avenue
south of and contiguous to above-described lots.
b. Vicinity Location: South side of Fourth Avenue, west of Eastern.
c. Applicant: Alvin J. Wolff, Jr.
South 717 Pines Road
Spokane, WA 99206
d. Site Size: Approximately 1.5 Acres
e. Existing Zoning : Agricultural, established j u ne 2 8, 1955
f. Proposed Zoning: Multiple Family Suburb-in
g, Proposed Use of Property: Apartments/Duplex
h. Application of Zoning Provision: Chapter 4.21, Sectiori 4.21 .040
i. Environmental Impact: A topic of discussion at this hearing may be
whether or not this propns<-il iAril] have a siqnificant adverse environmental imp.jct.
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