1985, 05-17 Permit: CE-181-85 Short Plat Ord •
APPLICATION FOR CERTIFICATE OF EXirtION %� � , / S
APPLICATION FEE—S10.00
APPLICATION NO.L//���_.�-,
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PLEASE PRINT OR TYPE
1. Applicant's Name: f JTIJTC rI),-, 1=. /s .,/7 Phone - Res: ya y-14!.1' Bus:
Address: . /2.2 tic/ kn City: f i'c ne- State: r+'P ZIP: % 9-'0J,
2. Legal Description of property for which this"Certificate of Exemption' Is being applied for:
> Section /f Township . r Range hikcs
�+ 9
S '"r)j S r) r iii ! f�' {cc 1- r,I "l�r l.�j�' �T /JR4 r7)4" ��lE 1`-a�LT ,23,4-- -P
.,-3+ . r9,1 III )141-+ r f- jr-I[' t=-Air i f a/-I r i K 119 f ) i y rt -6r/ J P'
i n4,1 r t,A)Pd 4 ,1#-n,1/
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KZ f1J/ L.if' r l)af-( r,-C -7" .1-
-ai'r" = - <'-r- r�� f c. .l ��� c-f 7 - IaJt IpLf'
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I,c,t lidc4: c"1yyr_L„.47 sPe),4,,,. l r;nf? � ��/µlJ,:��t•v
3. Parcel Number(From Tax Statement or Assessor's Office): it / if 1.T —/90`'
4. Size of said property: Square Feet: G 7..ro Or Acres: r 2
5. Intended use of said property:
6. Zoning of said property: / '`t ✓t2
7. For which of the following reason(s)do you believe you qualify for a"Certificate of Exemption"?:
(For each box checked, lease submit the listed documentation required to substantiate your exemption. In addition, please
submit a assessor'sma a of wnership micro run your property,both obtainable from the Tax Assessor's Office,with
your application).
A. Division of land ten(10)acres or larger
DOCUMENTS NEEDED: (1)Assessor's map and ownership micro run as requested above.
B. Minor boundary or lot line adjustments •
DOCUMENTS NEEDED: (1)Adjusted legal description;2)Copy of sales/contract agreement.
C. The reconveyance of old lots,tracts,or parcels of land which were separate and distinct when purchased, although the
purchase thereof makes the divisions contiguous.
DOCUMENTS NEEDED:(1)Copy of tax statement;2)Copy of deed or dated copy of sales/contract agreement.
D. Division of land created prior to March 13, 1978
DOCUMENTS NEEDED: (1)Copy of deed or dated copy of sales/contract agreement.
E. OTHER:
8. Additional comments which may substantiate your qualification for an exemption:
I,the undersigned,swear under the penalty of perjury,that theabove responses are made truthfully and to the best of my know-
ledge. I also agree to furnish any further documentation that may be required by the Short Plat Administrator. I also understand
that, should there be any willful misrepresentation or willful lack of full disclosure on my part, Spokane County may withdraw
,a1y approval that it might issue in reliance of this application.
SIG 'ED: 'ClG1t �CJir� C��P DATE: �� / /7 / rf
SSION E DATE: —J—/
NOTARY V^ (f)
OA el�j 1��1 ti��c- DATE RECEIVED:
. 0 '
APPLICATION NO. � �� i -� ) ,,,
SPOKANE COUNTY SHORT PLAT SUBDIVISION ORDINANCE 41'
NOTICE OF ACTION ON CERTIFICATE OF EXEMPTION APPLICATION
Whereas, the Board of County Commissioners did, after public hearing on March 9, 1978, adopt the Spokane County Short Plat
Subdivision Ordinance,and
Whereas, the Board of County Commissioners, in adopting this Ordinance, did provide for certain activities to be exempt from j
short platting activities,and
Whereas, the Board of County Commissioners did further provide for these certain activities to receive a "Certificate of Exemp-
tion"from the Short Plat Administrator prior to the release of a building permit,and
Whereas,the Short Plat Administrator has received a request for a "Certificate of Exemption" for certain property located in the
unincorporated territory of the County of Spokane,and
Whereas,the Short Plat Administrator has reviewed the evidence presented by the applicant and all other Information available, 1
the Short Plat Administrator hereby takes the following action on this "Certificate of Exemption" application, pursuant to the i
Spokane County Short Plat Subdivision Ordinance.
APPROVAL 1 DENIAL
—Certificate of Exemption— —Certificate of Exemption—
The Short Plat Administrator finds that a "Certificate The Short Plat Administrator finds that a "Certificate
of Exemption" should be and hereby is issued for said of Exemption" should not and herby Is not issued for ;
property, as described on the reverse side, pursuant \said property as described on the reverse side, pur-
to Spokane Coupty Short la ubdivision Ordinance suant to Spokane County Short Plat Subdivision Ordin-
Section ace Section
Approval of said "Certificate of Exemption" and is- for the following reasons: 1
suance of building permits, shall be subject to the fol- I
lowing conditions: 1. ,
i
he applicant shall comply with all requirements 1/
and regulations of the Spokane County Zoning
Ordinance. /
he applicant shall comply with all requirements of
the Spokane County Health District regarding the /
placement of on-site water and/or sewage systems.
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3. /-
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II
According to the Spok ne County Short Plat Sub-
division Ordinance, the vision of land that you pro-
pose to developis define as a Short Plat and you will
be required to'comply wit the requirements of said
Ordinance prior to issuance Q\f building permits.
This "Certificate of Exemption" is and shall run with t
the land and shall be applicable to the applicant,owner,
their heirs, successors, or assigns. I/ ‘
1
APPROVED THIS// DAY OF( t t--i' 19 /5- DENIE THIS_ DAY OF �, , 19 .
/
/S ort •lot Ad ihistrator •
I Short Plat Adm istrator
SPOKANE CO ' TY SPOKANE COUNTY
PLANNING DEPARTMENT PLANNING DEPARTMENT
i
i
THIS CERTIFICATE MUST ACCOMPANY
1 OUR BUILDING PERMIT APPLICATION