1994, 01-14 Sewage Disposal Review `As
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S P O K A N E 7.ac :4:L!' +1. s" ti}aitA C O U N T -Y-
DEPARTMENT
DEPARTMENT OF BUILDINGS JAMES L.MANSON,C.B.O.,DIRECTOR
ON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM
Date: ///e///4 ,
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.S
REF: Street Address I`/���` USS/q
Parcel Number ` / fS3 • l G Oa
Legal Description : S (,dcJ't'C( ( R dot 11lG
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Property Owner 4.--- _
Describe Proposal : / d k/e-5 ' f 5&p 'C _57S c
Signed:
�� Date////9y/
Proposed wner or Authorized Representative
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
-f' Dedicatory Language within Plat<A24 LVW d19-(4,041.- �L'�7 )
�,� Subject Property is Legally Divided
No Certificate of Exemption Required
14a„c Use Authorized Under Zoning Ordinance
4411, Setbacks Met in Zoning Ordinance
f\j/.) Shorelines Permit Required
N!7 Variance Required for Following Purposes:
Other:
Planning Department_0441404j, (a&W 0
Date: /1 it"--/(31-t
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:
3 Maintained County Road Frontage
V. Approach Permit Required
I
, Flood Zone
litVariance Requirements
Other:
Engineer' s Office: `,,/ ► IF-
i Date: /►, , t qej V
/ / ' /
3 . The Spokane County Department of Buildings has advised the
property owner/representative that at such time a structure or
building is to be placed/constructed on the property, a building
permit will be required. frilpijc_j_if �/ (�/�Department of Buildings: (' Date: 1 / I