1998, 05-05 On-site Sewage Disposal Ltr' On-site Sewage Disposaf'System Informational Review
NOTICE
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 construed as a vesting of a right by the owner /
representative to obtain a building pennit for this property. At the lime 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
pennit for the 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 state or local laws, ordinances or regulations, in the event such items
change between the date of this document and application for a building pennit, the owner
�'�/�represen�tative will be responsible for
meeting such regulations in effect on the date of the application for the buildingQpennit. C om, ` 55 - Ia,,-3. -O /
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Street Address: F F.1�G.1^Z_lrC, is,-) 1 U 3 1 -- c1S '� t OC.e'frl:
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Parcel Number: 65O)c ,1-9-etDOB
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Legal Description: 11? A,j� sr'11- /O B P ucoAD 2 rt t.G 4 91/2150034
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Property Owner: rel.... Pt Phone: qZ9-'4444 ID-�
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Mailing Address: E 5.1�1rrts.$ t4 C rcfSrJAC.RGS ON 9901 L
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Signature: Date: C7. )i3
PLANNING DEPARTMENT11
4 V Dedicatory language within plat
YQ$ Subject property is legally divided v ie
Certificate of exemption required se - 2v3 -9/ 4-
5Use authorized under the Zoning Code
, 0 Setbacks meet Zoning Codes requirements
W _ Shorelines permit required
it)—Variance required for the following reason:
Otherr.'
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Reviewed by: Pi r Date: 6/ Y
111
DIVISION OF ENGINEERING
Ivo Site drainage review required
YMaintained county road
Approach permit required
¢S Flood zone 3% 3 C.
14) Variance requirements
Ak Other:
Reviewed by: �Ka-Nod-A-12,0-0,,5- _ c' Date: !
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DIVISION OF BUILDINGS TRANSACTION #: I lS" -755
The Division of Buildings has advised the property owner / representative that an in depth review may be necessary when a formal
building pen, . r r
Reviewer t�, �.S��O����.�'/�,!__
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Date: S-5 C
RECEIPT SUMMARY
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TRANSACTION NUMBER: T9800755
APPLICANT: RIC BERG
ADDRESS: 17311 E RIVERWAY AVE
GREENACRES WA 99016
DATE: 05/05/98
PHONE= 509 885 2994
CONTACT NAME: RIC BERG PHONE= 509 885 2994
TRANSACTION: ON-SITE SEPTIC REVIEW
DOCUMENT ID: 1) 2)
4) 5)
FEE & PAYMENT SUMMARY
ITEM DESCRIPTION
SEPTIC REVIEW FORM
PAYMENT DATE
05/05/98
3)
6)
QUANTITY FEE AMOUNT
1 45.00
TOTAL DUE = 45.00
TOTAL PAID= 45.00
BALANCE OWING= .00
RECEIPT# CHECK# PAYMENT AMOUNT
00004506 CREDIT 45.00
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: WENDEL, GLORIA
••****************************** THANK YOU******♦**************•r*************
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