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1992, 06-08 On-Site Sewage Disposal Review Form S P O K A N E %.71,•' ' �T•''re:T4°; "'i— C O U Ni- T Y DEPARTMENT OF BUILDINGS JAMES L.MANSON,C.B.O.,DIRECTOR ON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM Date: 6 - �` '�`, The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health District for the installation of an on-site sewage disposal system is not to be considered as a vesting of a right by the owner/representative to obtain a building permit for the property. At the time that a building permit is applied for, the subject property must comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a permit for the septic tank/drain field on-site sewage disposal system by the Spokane County Health District, pursuant to this form. Accordingly, although as of the date of this document the subject property may meet certain federal, state or local laws, ordinances or regulations, in the event such items change between the date of this document and application for a building permit, the owner/representative will be responsible for meeting such regulations on the date of the application for the building permit. • -� REF: Street Address : _ ___ ` C_ -(- 15 �? . Parcel Number -L S C ` ' 41.7„ Legal Description : t_04 L Q- BLè Zp (` I L& 4 Property Owner v . 5,_.3e0,__ 012-60ta_pi , 1 11/22Describe Proposal : 4C < C LQ Signed:/ (x�.._,z...A �cck ok'' Date: C— 05---"?7.--- Proposed 5-'-'2— Proposed Owner or Authorized Representative CODE ENFORCEMENT!'DIVISION WEST 1303'BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675 PAY rcno%dcA.A7n1 1. An initial review of the above-referenced property has been conducted by the Spokane County Planning Department and the following items are noted. An in-depth review of the property will again be made at the time a building permit is applied for. Requirements reviewed for property as of the date set forth herein above. Yes/No/N.A Dedicatory Language within Plat Subject Property is Legally Divided Certificate of Exemption Required Use Authorized Under Zoning Ordinance Setbacks Met in Zoning Ordinance i Shorelines Permit Required I Variance Required for Following Purposes : : 'lb Other: VL/Q. 414111 Planning Department Date: 2 . An initial review of the subject property has been conducted by the Spokane County Engineer's Office and the following items are noted. An in-depth final review of the property will again be made at the time the building permit is applied for. SPECIAL REQUIREMENTS: Maintained County Road Frontage Approach Permit Required Flood Zone A- Variance Requirements / Other: / _ Engineer's Office: ��,/ Date: (38JJ q2, 3 . The Spokane County Department of Buildings has advised the property owner/representative at at such time a structure or building is to be placed/co structed on the property, a building permit will be required. , Department of Buildings: 1/,741. , r „„ (/ ///// Date: OML./