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1993, 05-05 Permit App: 93003210 Residence s�,vi?„ OWLS A PCL-t--1 �. W �.c �R APROJECT NUMBER= 93003210 APPLICATION DATE= 05/05/9A PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2410 S VERCLER RD PARCEL#= 45272 .3221 ADDRESS= SPOKANE WA 99216 PERMIT USE= RESIDENCE GAS - FA L > - PLAT#= 000915 PLAT NAME= GAIL'S PARK ESTATES BLOCK= 10 LOT= 1 ZONE= UR-3.5 DIST#= F AREA= F/A= F WIDTH= 100 DEPTH= 80 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= PORTER, STANLEY PHONE= 509 924 2330 STREET= 12529 E 29TH AVE ADDRESS= SPOKANE WA 99216 CONTACT NAME= STANLEY PORTER PHONE NUMBER= 50') 924 2830 BUILDING SETBACKS: FRONT= 25 LEFT= 20 RIGHT= 29 REAR= 17 ****************************** REVIEW INFORMATION ************** E************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED 7' .-61 � COMMENTS: BUILDING SETBACK REVIEW REQUIRED APPROVAL: OK PER SITE PLAN DATE: 05/05/93 ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE APPROVAL: SYL. -93FNA315 DATE: 05/05/93 PLANNING INADEQUATE FRONT YARD SETBACK APPROVAL: OK JOHN NUNNERY DATE: 05/05/93 PLANNING INADEQUATE REAR YARD SETBACK APPROVAL: JOHN NUNNERY DATE: 05/05/93 UTILITIES W/IN PRIORITY SEWER AREA ,-) c Y ) COMMENTS: �� ";l i - f, Sly 4 t .k.' 5,-.3 PROJECT NUMBER= 93003210 APPLICATION DATE= 05/05/93 PAGE= 02 ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 20 STORIES= 1 BLDG W X D = 33 X 51 SQ FT= 1588 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 793 8723 . 00 DECK R-3 VN 232 1160 . 00 GARAGE M-1 VN 758 6064 . 00 RESIDENCE R-3 VN 1588 85752 . 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 646. 50 STATE SURCHARGE Y 4 . 50 RESIDENTIAL SURCHARGE Y 116. 37 RADON MONITOR 1 12 . 57 SALES TAX 1 1 . 01 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS WATER HEATER 1 10. 00 GAS HTG EQUIP<100, 000>BTU 1 12 . 00 GAS PIPING 4 4 . 00 VENTILATING FANS 4 40. 00 GAS LOG 1 10. 00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS 3 18 . 00 SINKS 3 18 . 00 SHOWERS 1 6. 00 BATH TUBS 2 12 . 00 KITCHEN SINKS 1 6. 00 DISH WASHERS 1 6. 00 CLOTHES WASHER 1 6. 00 UTILITY SINKS 1 6. 00 FLOOR DRAINS 1 6. 00 WATER SOFTNER 1 6. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING w PROJECT NUMBER= 93003210 APPLICATION DATE= 05/05/93 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 780 . 95 . 00 780. 95 MECHANICAL PRMT 76. 00 . 00 76. 00 PLUMBING PERMIT 90 . 00 . 00 90. 00 946. 95 . 00 946. 95 PROCESSED BY: BARRY HUSFLOEN PRINTED BY: BARRY HUSFLOEN ******************************** THANK YOU ********************* _************** Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675 INFORMATION WORKSHEET ,�rr PARCEL NUMBER: 95 Z 7 Z. , 3 2 2-/ a5-STREET ADDRESS: a 04/O f0 && 7� CITY/STATE/ZIP: J k' r"1.ti/ e, J t''�)4 . l fi �O SUBDIVISION: 6 C Pi'¢2 f ��S 7, res . BLOCK: / LOT: / ZONE: Ge,2-3, 5 j DISTRICT: LOT AREA: F/A: WIDTH: /OD I DEPTH: ?.D R/W: # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:_ OWNER: c57/9..4✓/ej Gf/ . leo i24 - jZ PHONE: Se,9 - Z'�_ 2- a MAILING ADDRESS: / 2 S 2_.? L .• 2- V CITY/STATE/ZIP: e �� w 4 . 9 92-/<' CONTACT: PHONE: SETBACKS: - FRONT: .5-3 LEST: 2 0 =HT: . 2 g REAR: / fi PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: ,Se L F PHONE: .So q - 9 - MAILING ADDRESS: / .. S I/ 4' ARCHITECT/ENGINEER: T-6 ,J I- a 2 7 PHONE: SO q - 9 - G ?JO MAILING ADDRESS: /ZS 2-4 bow, ,P 9. 42--01 NEW: I --REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: I OCCUPANT LOAD: 2, BUILDING HGT: STORIES: I iniiirieRVARMINSSICSaiffeENSIONS: 33 X 5/ 'd " (WIDTH X DEPTH) SQ. FT. : 5 � RRCATTRR(l PARKTNG: t` HANDICAP: SPRINKLERED: CRITICAL MATERIAL: PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT £- FORCED AIR GAS HEAT PUMP PROPANE OTHER: 6-11G %;e.Q ,) 4n C C FLAT CEILINGS Rq DOORS U . 3I WINDOWS_ II .AM��� C/^ Is ��v 'WELTED CEILINGS R J`C� ._- - ......-. �_''' b , ABOVE GRADE WALLS R Q GLAZING. AREA X. 2 5 3 sa F"77- % . BELOW GRADE WALLS R 19 TOTAL ,FLOOR AREA OF HEATED� SPACE: . FLOOR R 3 1 3 7 SLAB ON GRADE FURNACE EFFICIENCY RATING 9d t 70 i. PLEASE INDICATE ON YOUR PLANS: The location of the radon vent, and the location of the vent fan area. SQUARE FOOTAGE: MAIN FLOOR / 5 SECOND FLOOR • BASEMENT - FINISHED UNFINISHED 79 GARAGE 715.1r{CARPORT DECKS 2--3 . ADDITIONAL AREAS: 44i2 ******* *, *, ************************ **************************************** L,E7ER/BOND HOLDER: ,, w. ADDRESS • • PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: $ - Z `1 ( 0 ✓e 2 c/2A_ CITY/STATE/ZIP: 5.--Po) ^'c-/ w 4 9?2-IC PARCEL NUMBER: OWNER: . -2W N/€9 Gtr. / ' - -/ PHONE NUMBER: (5 °9) 9 Z--Yf-z S 3 0 MAILING ADDRESS: /z5 Z9' 4', 2- (Street) (City/State) (Zip) CONTRACTOR: 5 el f LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT TOILETS Z x 6.00 = z x6 .00 = SHOWERS x 6.00 = 2 x6 00 = KITCHEN SINKS x 6.00 = x6 t .00 = GARBAGE DISPOSAL x 6.00 - x6 ) .00 = UTILITY SINKS x 6.00 = :.:::::::::. ::.:.:;.;:.;:. :::::::::::::::::::::::::::::.... x 6.00 = :::::.::::::::.:..:::....:.....:::.::...:::...:....::...... ...... FLOOR DRAINS ) x 6.00 = x60 0 = BAR SINKS x 6.00 = x6 .00 = LAWN SPRINKLER- FOR EACH BACKFLOW DEVICE x 6.00 = .x 60 =0 �t*11�AGIE EJ ECT...R WATER SOFTENER / • x 6.00 = x6.00 = — DRINKING FOUNTAIN x 6.00 = SUBTOTAL PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = x 25.00 = GAS WATER HEATER / x 10.00 = 2. x 12.00 = GAS EQUIPMENT+100,000 BTU DUCTWORK) / x 15.00 = 1 x .00 = BOILER/REFRIG 1-100M BTU x 12.00 = x20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = x 35.00 = BOILER/REFRIG +1,750M BTU x 60.00 = x H 12. =FA':i<`�'11.1tttf' ��tl=t�''�t�l�t�`I?C��1�1�0-�;. ;Q ��: . ::: 00 HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = 2 x 5.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 = HEATI1MMINAtRlSMION gIl::::K.:::0::::M:::::::::::::::::: x 60.00 = VENTILATING FANS x 10.00 = x 10.00 0 0 = TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = nPE_I:I HOO ::::::...............:.................................................... . ....... x 10.00 = CLOTHES DRYER x 10.00 = x 10.00 = GAS LOG / x 10.00 = :Ml��.:.G.,�l.1;�►1��PP..��.APEPV4EI1'EL,S;t=.1l1FH..:,::.:. ;;;;:>::.;;;:.;: x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = x10 0.00= USED APPLIANCE<400,000 BTU x 50.00 = x100.0 0= AIR HANDLER<10,000 CFM x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 -7607 CIL VERCLER PLOT PLAN =20 I 1 0 i C i � 1. W 3 5O : VERCLER PLOT PLAN x _ 20 SPOKANE COUNTY PLANNING DEPARTMENT APPLICATION FOR ADMINISTRATIVE EXCEPTION (OTHER THAN LACK OF PUBLIC STREET FRONTAGE) FILE NO.: AE C - 541 -_J. h A. GENERAL INFORMATION b Name of applicant:5I-41,V/e-(// A)' P 6 7`.Uz, Agent: YS) 71-4 Mailing address: / 2-5- 2- 9 A----. Z" y City: 5. 0,e64,,✓L State: MI . ZIP Code: 9 Q .3=/& PHONE- Home: 92-' 8..- 0 Work: ,i >. If applicant is not owner of property, need written authorization for applicant to se`ve gas agent. t,:: .- Legal owner(s)' name: -.X-x` .._ Phone: . .x.• J f : :::4 Phone: Authorized agent(s)' name: E '' e �`' Parcel No(s).: I-452 7-?, 3g Z I Section: g 7 �.S Range:g : / •-• ° !�� �1 S I- .d S,)DD : Legal descri tion: i �'4 4e" , -.4 G'. '799_9a , , Current zoning: IV—3, 5 Comprehensive Plan: tikg4 A) Arterial Road Plan: A DG,,L . LCC C SS Current use of parcel: . %)-C -A)7-- Street Street Address of Subject Parcel: _ /`.D0.3 L' yer B. SPECIFIC INFORMATION Administrative exce•tion requested(describe in terms of standard from which seems t relief): 4D oTX CP 40 R-s?JAAA-4-t I I,70 _P./..442, ! - .ili -z,„5-: 1•'":"" : i - ; 711P k'i-'11' 7 , Applicable chapter/section of Code: )4,1/4.51)A. l)e.D (2) Ex.lain reason f•, request: _ ,, ,, -. f-.,. ,,:.,(1 attach site plan with proper dimensions and other supportive informa i on. , ,A)ZP2. Gel--7.94,—96 ':e. Page 1 of 2 I swear, under penalty of perjury,that: (1) I am the owner of record or authorized agent for the proposed site; (2)if not the owner,written permission from said owner authorizing 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. Name: 0-7`79-AJ / • (it, • pO/L 7�- j( � �� <! Signed: � . v State of Washington ) ) ss: County of Spokane ) On this day personally appeared before me T a_S? (,QI- J ey` to me known to be the individual(s)described in and who execu&l the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and p roses therein mentioned. ��� Q`yOCU• . y hand and official seal this /T T/� day a _Fl i/i, 199 Aof G°tea, • :II N&T Y LIt in and for the state of Washington,residing at 6, PUBLIC 2' My appointment expires S� 94 v h- DEPARTMENT P •NNEL ONLY File No: AE - ).5A 41 I G DEPARTME THIS "ADMINISTRATIVE EXCEPTION"FOR THE PROPERTY DESCRIBED ABOVE,PURSUANT TO THE ZONING CODE OF SPOKANE COUNTY,SEC:LIONS 14.506.000 AND 14.506.020 • . THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING CONDITIONS AND/OR STIPULATIONS: 1. The applicant shall comply with all requirements and regulations of the Zoning Code. 2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Department regarding wastewater disposal and on-site water or public water systems. 3. The applicant shall comply with the following additional conditions: THIS ADMINISTRATIVE EXCEPTION SHALL RUUNWITH THE LAND. DATED THIS /5 DAY OF i - Q a .7Z THIS CERTIFICATE MUST ACCOM'ANY YOUR B ILDING PERM APPLICATION IF APPLICABLE NOTE: THE APPLICANT OR AN INTERESTED PARTY MAY FILE AN APPEAL WITHIN 20 CALENDAR DAYS OF THE ABOVE DATE OF SIGNING. APPEAL MUST BE ACCOMPANIED BY A$100.00 FEE. APPEALS MAY BE FILED AT THE • SPOKANE COUNTY PLANNING DEPARTMENT,BROADWAY CENTRE BUILDING,NORTH 721 JEH-'ERSON STREET,. SPOKANE, WA 99260 (Section 14.41.2.041 of the Zoning Code of Spokane County) SPOKANE COUNTY PLANNING DEPARTMENT, 721 NORTH JEFFERSON, SPOKANE,WA 99260 (509) 456-2205 ' 1 ) RP-AE App. Rev.10/91 Page 2 of 2 • SPOKANE COUNTY PLANNING DEPARTMENT APPLICATION FOR ADMINISTRATIVE EXCEPTION (OTHER THAN LACK OF PUBLIC STREET FRONTAGE) FILE NO.: AE - )5", -✓� A. GENERAL INFORMATION t Name of applicant: J;r/9 A[' �'v Y ' /1-)c) K Agent: Y(/4) Mailing address: / ? S. 2 ct i. y ti City: (---)11) A-^" State: /Ali'. ZIP Code: '? •%( PHONE- Home: 2=y"% -3 d Work: If applicant is not owner of property, need written authorization for applicant to serve as agent. Legal owner(s)' name: SAM E Phone: t, Authorized agent(s)' name: Phone: Parcel No(s).: 5 2 7 Z 32 2) Section: Township: _ Rar ge: ` 1 Legal description: O o 1:LP t g-794-5211E" Current zoning: DE- Z, Comprehensive Plan: v ',g4-6 Arterial Road Plan: Al)t' Current use of parcel: \)V/rTA- ) -�- Street Address of Subject Parcel: - tiJbo E y�I , B. SPECIFIC INFORMATION Administrative exception requested (describe in terms of standard from which see ing r lief): Applicable chapter/section of Code: )9.,.514), big D CZ Explain reason for request: AA-wk.(' CR- AK Attach site plan with proper dimensions and other supportive information. Page 1 of 2 I swear,under penalty of perjury, that: (1)I am the owner of record or authorized agent for the proposed site; (2)if not the owner, written permission from said owner authorizing 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. Name: 5-7--,4 Ai / (,,-) . Po 2`/-- Signed: ,-�"L��r� i �f. / 'V/�e" -- State of Washington ) ) ss: _ County of Spokane ) On this day personally appeared before me C\\���-5 ,7 - /1 e-) to me known to be the individual(s)described in and w It 'executed the ithin and foregoing instrument,and g g acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and .. .. - .•rein mentioned. 4:4 o • I : hand and official seal this PS 4 _/ ( ---V, , 3a of /e `Pe, , , 199 4a�SS10N CetA/ i -......___„..7,:aryc NOU:'. I• n and for the state of Washington,residing at .��:� _ _ _ "N9 PUBLIC X02 My appointment expires /� S-1-93 . l `'p : h' G DEPARTMENT e ONNEL ONLY File No: AE - /5,7 -.9231 THE PLANNING DEPARTME 'APPROVES/••:• - THIS "ADMINISTRATIVE EXCEPTION"FOR THE PROPERTY DESCRIBED ABOVE,PURSU• • • •NING CODE OF SPOKANE COUNTY,SECI IONS 14.506.000 AND 14.506.020 4,7 . THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING CONDITIONS AND/OR STIPULATIONS: 1. The applicant shall comply with all requirements and regulations of the Zoning Code. 2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Department regarding wastewater disposal and on-site water or public water systems. 3. The applicant shall comply with the following additional conditions: THIS ADMINISTRATIVE EXCEPTION SHALL RUN WITH THE LAND. Q DATED THIS 1-5 DAY OF s�, , 1 -9 Z THIS CERTIFICATE MUST ACCOMPA Y YOUR BUILDING PERM APPLICATION IF APPLICABLE NOTE: THE APPLICANT OR AN INTERESTED PARTY MAY FILE AN APPEAL WITHIN 20 CALENDAR DAYS OF THE ABOVE DATE OF SIGNING. APPEAL MUST BE ACCOMPANIED BY A$100.00 FEE. APPEALS MAY BE FILED AT THE SPOKANE COUNTY PLANNING DEPARTMENT,BROADWAY CENTRE BUILDING,NORTH 721 JEFFERSON STREET, SPOKANE, WA 99260 (Section 14.412.041 of the Zoning Code of Spokane County) SPOKANE COUNTY PLANNING DEPARTMENT, 721 NORTH JEFFERSON, SPOKANE, WA 99260 (509) 456-2205 • )'9 RP-AE App. Rev.10/91 Page 2 of 2 � ry�� ;-, , . :.::,,.,,?, . .,__. . i ! _ APPLICATION FOR i.S. J l .;. y 11 ,,f' \- CERTIFICATE OF EXEMPTION g '114 °, iT, r$11 �,:e' APPLICATION FEE - $18.00 '17j�4$it ihI i cA� ,r?�'I '+tc. c n,fil�jt"71,11 l�t" 101 Ali.srKIa'F`: r(r4, ,I 1 Frf i".K-airi2 " APPLICATION NO. CE-794 -32'. SPOKANE COUNTY COURT MOUSE COMPANION FILE NO. Business Ph 1. Applicant's Name: .97"X?-,0PO,.!_1 Home Phon one: 2 Address: 12 5-.2_9 C,. 2 y" 71- Ai City: S,-'vim -£ State: zti,1— Zip: 9 92/Z 2. LEGAL DESCRIPTION of property for which this "Certificate of Exemption" is being applied: NOTE: if the property is being divided or changed- - -provide the NEW LEGAL DESCRIPTION below. Section _ 2 7 Township <2s Range V4-/ within Spokane County, Washington. Al-e--e t -c 3. Exiting tax parcel number(s) zf Y, .2.6-or`. continued on back 4. Tot existing acreage r e ! S. New p •.••-rty size: (sq.ft.or acres —J2 '� v v 6. Zoning: GC/e- - , . — 7. Comprehensive Plan Category: (..1_,-e- ---7•;'—' 8. 52,isliza or intended use of property: AV-e.._--S"/-,dc. -c--`--?-- . . continued on back 9. Existing road frontage name: ,�\ .. j/� 2 6/V2, 91 'G�/L ^' Feet of Frontage -� i v'/ / --/" (O,¢ 'al/) NOTE: Minimum Road Frontage must extend into or be adjacent to the property as required per ZONING. f access is C U by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR RECORDING NUMBER entered as "Existing road frontage name" above. 10. I, c// /q27'�v'L (print name), swear under penalty of perjury that the above responses are made truthfully and to the best of my knowledge. I also agree to furnish any further documentation that may be required by the Planning Department. I also understand tha , should there be any willful misrepresentation or willful lack of full disclosure on my part, Spokane County may withdraw any approval that it might issue in reliance on this application. I also have provided written permission from both property owners, if this application is for a "minor lot line adjustment." SIGNED: c:::e ,t>� / _.7.9 / -^ -> • 9 /Applicant Date STAFF ONLY THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICA 11. OF EXEMPTION" AS INDICATED BELOW FOR THE PROPERTY DESCRIBED ABOVE, PURSUANT TO SPOKANE COUNTY SUBDIVISION ORDINANCE, SECTION 2, 3, a . THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR FINDINGS: 1. The applicant shall comply with all requirements and regulations of the ZONING CODE of Spokane County. 2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Division regarding wastewater disposal and on-site water or public water systems. 3. If above legal is new,the applicant shall file SEGREGATION APPLICATION with the County Assessor immediately after this application is approved. Not required when denied. 4. The applicant shall comply with the following additional conditions: .continued on back 5. THIS CERTIFICAlb OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL BE APPLICABLE TO THE APPLICANT, OWNER, HEIRS, SUCCESSORS OR ASSIGNS. APPROVED I-ISFNlPRI. THIS 7 DAY OF .�/J2fi� , 19fiL I, iir.,A. _.., d ./A -A/A 14,..t. RECEIPT NUMBER S.okane Co Plannin: De.artm: t THIS CERTIFICAI'li OF EXEMPTION ISSUED BY SPOKANE COUNTY,WASHING ON SPOKANE COUNTY PLANNING DEPT., 721 N.JEH-'bRSON, SPOKANE, WA 99260 (509)456-2205 MIS CERTIFICATE MUST ACCOMPANY YOUR IsUII DING pmgm r APPIFUCATf[ON CERTIFICATE OF EXEMPTION APPLICATION NUMBER: Gc--796 -9, /1 TAX PARCEL NUMBER: �} 5.7 73, /764'5 This CERTIFICA f t OF EXEMPTION is an official document and shall run with the land and be applicable to the applicant, owner,heirs,successors or assigns. See front page. 2. LEGAL DESCRIPTION-continued Commencing at the Northwest corner of said Lot 5 ; thence S 88°46 ' 48"E , along North line of said Lot , 40 . 00 feet to the point of beginning; thence continuing S 88°46 ' 48 ' E, 30 . 00 feet to the Northeasterly corner of said Lot ; thence S 1°08100"W, 100 . 00 feet ; thence N 88° 46 ' 48 'W, 10 . 00 feet ; thence N 1°08 ' 00"E, 60 . 00 feet ; thence N 25°24 ' 52"W, 44 . 75 feet to the point of beginning. Containing 1417 square feet . The remaining portion of said Lot 5 contains 12 , 825 square feet . 8. ADDITIONAL COMMENTS -continued CONDITIONS AND FINDINGS -continued SPOKANE COUNTY PLANNING DEPARTMENT Pt.Cmr.Applications/Penns:CE APP MS"IR(mw):acv 7,92 • i , `A 1 .7 C` ` `-�^ APPLICATION FOR r I' ,r ' �;`._��ii CERTIFICATE OF EXEMPTION v. �.�„�.� it ; —rKgym' --s 0.A.11.11!'21;.e : ' ri;iii IG�� il}i it r 114 APPLICATION FEE - $18.00 .t r i I;' til' 4,i11 IBil;1 i4 s`n� ri ..• t' : `4' rum', APPLICATION NO. CP--79(-9;, (4) SPOHANE COUNTY COURT HOUSE COMPANION FILE NO. Business Phone: 1. Applicant's Name: S't7 /'d" —/2'7Z Home Phone: 543 / —245. Q Address: b.2 S ,Z 9 6:7-, 2 Y-' rfr c_ City: 3—rd,C €- State: L(/,, Zip: i'2/-! 2. LEGAL DESCRIPTION of property for which this "Certificate of Exemption"is being applied: NOTE: if the property is being divided or changed- - -provide the NEW LEGAL DESCRIPTION below. Section - ,2'? Township 2 5— Range VC{ within Spokane County,Washington. /1S2e &cJ( 3. Existing tax parcel number(s) -- a 2. j 1 � IEWilcont:nuea on ick AFZI y 4. Total existing acreage 7008 ,f-9, y- , . 5. New prope size: (sq.ft.or acres) 8.51 7.� --cp — 6. Zoning: Ll/Z 3.r 7. Comprehensive Plan Category: u. - / ti 8. Existing or intended use of property: x�>S,"a .ct. t _ ., • . continued on back 9. Existing road frontage name: (rte C L C.-,i _-Feet of Frontage _____./a D$�t' NOTE: Minimum Road Frontage must extend into or be adjacint to de property as required per ZONIN . if access is • by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR RECORDING NUMBER entered as "Existing road frontage name" above. 10. I, S'7-79") /3/2_.7z.12 (print name), swear under penalty of perjury that the above responses are made truthfully and to the best of my knowledge. I also agree to furnish any further documentation that may be required by the Planning Depaitnient. I also understand that, should there be any willful misrepresentation or willful lack of full disclosure on my part, Spokane County may withdraw any approval that it might i,;.sue in reliance on this application. I also have provided written permission from both property owners, if this application is for a "minor lot line adjustment." SIGNED: C� , /Z ? - ?G, Applicant Date STAFF ONLY THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICA LE OF EXEMPTION" AS INDICATED BELOW FOR THE PROPERTY DESCRIBED ABOVE, PURSUANT TO SPOKANE COUNTY SUBDIVISION ORDINANCE, SECTION 3. 3, ..b. THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR FINDINGS: 1. The applicant shall comply with all requirements and regulations of the ZONING CODE of Spokane County. 2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Division regarding wastewater disposal and on-site water or public water systems. 3. If above legal is new,the applicant shall file SEGREGATION APPLICATION with the County Assesscr immediately after this application is approved. Not required when denied. 4. The applicant shall comply with the following additional conditions: « Esmss- �G" A'� .continued on back 5. THIS CERTIFICALE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL BE APPLICABLE TO THE APPLICANT, OWNER, HEIRS, SUCCESSORS OR ASSIGNS. Q • PPROVED -- •�_-- THIS r DAY OF �- , 19.92- 74-9 ,,.0 RECEIPT NUMBER S.•k ne sun Plannin. Des. ent THIS CERTIFICATE OF EXEMPTION ISS D BY SPOKANE COUNTY,WASH. GTON SPOKANE COUNTY PLANNING DEPT., 721 N.JEF sRSON, SPOKANE, WA 99260 (509)456-2205 THIS CERTIFICATE MUST ACCOMPANY YOUR ►:,ITII DING PIEIRMIT APPLICATION CERTIFICATE OF EXEMPTION APPLICATION NUMBER: C&- -796 9X.213 TAX PARCEL NUMBER: 11-5 2 7,2 , -5Z2 / This CERTIFICATE OF EXEMPTION is an official document and shall run with the land and be applicable to the applicant, owner,heirs,successors or assigns. See front page. 2. LEGAL DESCRIPTION-continued r-,.. ,. .__.._.-... _.. EIHr HL A portion of Lot 5 , Block 3 of the Plat of Hillcrest Acres , Sixth Addition, as recorded in Book 10 of Plats , Page 67 , in Spokane County, Washington and being more particularity described as follows : Commencing at the Northwest corner of said Lot 5 ; thence S 88°46 ' 48"E , along North line of said Lot , 40 .00 feet to the point of beginning; thence continuing S 88°46 ' 48 ' E , 30 . 00 feet to the Northeasterly corner of said Lot ; thence S 1°08 ' 00"W, 100 .00 feet ; thence N 88° 46148 'W, 10 . 00 feet ; thence N 1°08 ' 00"E, 60 .00 feet ; thence N 25°24 ' 52"W, 44 . 75 feet to the point of beginning. Containing 1417 square feet . 8. ADDITIONAL COMMENTS-continued CONDITIONS AND FINDINGS -continued SPOKANE COUNTY PLANNING DEPARTMENT PtQ tr:Appliritim+/Fams.CE APP MSTRtncw):.v 7,92 • — .