SPE-30-87 . . .
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SPOKANE COUNTY PLANNING DEPARTMENT
APPLICATIONS BEFORE THE ZONING ADJUSTOR/BOARD OF ADJUSTMENT
Certi fi cate of Exempti on No. : Appl i cati on No.
Name of Appl icant: " Cilarles K. Barb~,
Street Address : L. 12420 Indiana Avenue Spokane, tip Home:
City: State: ~~1A Code: 99216 Phone: Work:928-9000
• Agent: 838-6131
Name of Property Owner(s): Cizarles F:. Barbo Stanley P.. Schultz
REQUESTED ACTION(S) (Circle appropriate action):
Variance(s)' Conditional Use Permit Nonconforming Lot/Use
Waiver of Violation Tempar,7,ry UseiStruCture Other:
* FOR STAFF USE ONLY Code: Ordinance: *
*
*
. *
* Cite Regulation Section(s) : Oroperty ViolatiorV *
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* Section: Township: Range: Size: Enforcement: Y N
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* Existing Zoning: Comp. P1an Designation:
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# LEGAL *
* PSSA: Y N UTA: Y N ASA: Y N FIRE DIST.: CHECKED BY: *
* Hearing Date: Personnel Taking in Application: *
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txisting Use of Property: Describe Intended Proposal in Terms of REQUESTED ACTIONS above:
Street Address of Property: L. 12420 Indiana Avenue
Legal Description of Property (include easement, if applicable):
j>>esterlli 25 feet of Tract 16, pssessor' s Fla-L ►Io .r)
Parcel No(s).: 10543-0252 Source of Legal : Ticor Title Co .
Total amount of adjoining land controlled by this owner/sponsor: Tracts 17, 13 & 19
What interest do you hold in the property? Owner and Operator of existin ;
self-stora;e mini-warehouse
Please list previous Planning Department actions involving this property: S ee
. attached letter of 11/3/87 from Zoninh Administrator, page 2
. ' • I SWEAR, UNOER PENALTY OF PERJURY, THAT: (1) I AM THE OWNER OF RECORD OR AUTHORIZED AGENT
FOR TNE PROPOSED SITE; (2) IF NOT THE OWNER, WRITTEN PERMISSION FROM SAID OWNER AUTHORI-
ZING MY ACTIONS ON HIS/HER BEHALF IS ATTACHED: AND (3) ALL OF THE ABOVE RESPONSES AND
THOSE ON SUPPORTING DOCUMENTS ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE.
Si gned: - -
Address:
Phone No.: Date:
NOTARY SEAL: Notary: •
Date: Page 1 of 4 (over) Revised: 10/87
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A~ WRDEN OF PROOF .
It is necessary for the applicant or his/her representative to establish the reasons
why the REQUESTED ACTION should be approved and to literally put forth the basic
case. Accordingly, you should have been given a form for your requested action
(variance, conditional use, etc.) designed to help you. present your case in a way
which addresses the criteria which the Zoning Adjustor must consider. Please fill
the form out and return it with your application. If you did not get a form, ask
the Planning Department personnel for advice on how to proceed.
B. SIGN-oFF BY CO!1NTY DEPAP.TMEENITS
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l~ COu11TY I-i=r !_TE; D1 STf;ICT
a) Proposed method of water supply:
b) Proposed method of sewage disposal:
A preliminary consultation has been held to discuss the proposal. The applicant
has been informed of requirements and standards.
(Signature) CDate F (Sion-off Waived)
COUPJTY ENGINEER'S DEPARTMENT
A preliminary consultation has been held to discuss the proposal. The applicant
has been informed of requirements and standards.
c
- =Si g ature (Date yn-oil' Wai ved )
XZ:hUNTY UTILITIES DEPARTMENT (waive if outside WMAB)
A preliminary consultation has been held to discuss the proposal. The
applicant ha bee informed of requirements and standards.
1. ~,1 • z -L3'~~
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~Signature) (DateF (Sign-off Waived)
The applicant is required to discuss the proposal with
to become informed of sewage disposal require-
ments and standards.
X/ The applicant is required to discuss the proposal with
N to become informed of water system requirements
and standards.
4. WATER PURVEYOR (waive if outside CWSSA) NAME:
a) The proposal is/is not located within the boundary of our future service
area.
b) The proposal is/is not located vrithin the boundary of our current district.
c) We are/are not able to serve this site with adequate water.
d) Satisfactory arrangements have/have not been made to serve this proposal.
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(Signature) (Date) ~gnL f aived)
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5. SEWERAGE PURUEYOR NAME: I~ ~ f (If other than Spbkane County)
r
A preliminary consultation has been held to discuss the proposal. The
applicant has been informed of requirements and standards.
- (Signature) CDateF -o Wal ved)
Pa§q 2 of 4' Revised: 10/87
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