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SP-78-28 7' r•_~ . 1 Final Snort Plat 73-023 _ AUG'1b=18 0 0 2 23 :.°~'11Ctd~ `t'~~ ►r.'~ RECEIVED FOR RECORD, tbis date, the above instrument, numbered in order of ' reception. VENIVON W. OiiLAND County Audit.or Spokane County, Wushington FOAM 1 •A(JDITdR Transarneri Tr'insamerica ~ Tilip InstaranGC~ Ccar~~p7r►y T~tle Insurance S~rvtces North 720 Argonne Road SpokanQ, Washinyton 99206 ' • - ' (509) 822-2222 „ , . _ . - - - - - - - - - - - - - - - _ _a - ; - - CERTIFICATE TO PLAT ~P ~~"~yt ~Y ri 0 1 ?',r,#7i,1 + Order No. 90976-M Certificate far FilinQ Proposed Plat of SHORT PLAT NO. 78-028 Spokane County Planning Commission N. 811 Jefferson Spokane, Washington Gentlemen: In the matter of the plat submitted for your approval, this Company has examined the records of the County Auditor and County Clerk of Spokane County, Washington, and the records of the Clerk of the Uni-ted States Courts holdinq terms in said County, and from such examination hereby certifies that the title to the following described land situate in Spokane County, to-wit: The East one-half of the North 175.30 feet of Tract 110 and the East one-half of the South 307.70 feet of Tract 105 of Plat No. 4 of WEST FARMS IRRIGATED TRACTS, as per pla t thereof recorded in Volume "O" of Plats, page 51, in the office of the County Auditor; Situate in the County of Spokane, State of Washington. VESTED IN: PAUL DELMONICA and EVA K. DELMONICA, husband and wife. EXCEPTIONS: 1. General taxes for the last half of 1978 in the amount of $120.15. (Parcel No. 34644-0603). Affects a portion of said land. General taxes for the last half of 1978 in the amount of $19.64. (Parcel No. 34644-0102). Affects a portion of said land. 2. Assessments for the last half of 1978 in the amount of $22.69 to Trentwood Irrigation District No. 3. Affects a portion of said land. (Parcel No. 34644-0603). Assessnyents for the last half of 1978 in the amount of $18.56 to Trentwood Irrigation District No. 3. Affects a portion of said land. (Parcel No. 34644-0102). . ~ Page 2 Order No. 90476-M 3. Liabilitv to future assessments by Vera Irrigation District No. 15. 4. Agreement between Trentwood Irrigation District and T. C. Hendley and others, dated October 10, 1919, and recorded in Book "U" of Miscellaneous Records, paqe 108, and a land and water deed between the Spokane Valley Land and Water Company, a corporation, dated August 16, 1912, and recorded in Book 301 of Deeds, page 625, relating to water and electric service on said property, providing for lien for unpaid charges for such service and Droviding for rights of way for ditches, pipe lines, etc. Reference is made to the record of said agreement and deed for fiill particulars. Records examined to July 17, 1978 at 8:00 A.M. TRANSAMERICA, TITLE,INS NCE COMPANY ~ gy ; Robert Myler ~ cc: Paul Delmonica Jw i . ~ 1 ? 4 : ~ • ~ ~ t % ~ ~ ~ v • " ~ f _ ~ ~ J ~ ' ~ • • ' ' ' i ~ v~ k + . ~ _ ~ - - • - ~ i ~ . 1 ' ~ v! f . i ~ ti ( ~ ~ . 0 ! ~ • L~, , •Ja i 57~ ' z - _ _ ~ ~ , ~ . ~ ' - - ~ . e . • ~ ! ~ ~ ~ ~ . . ~ ~ l ~ ti~ , . ~ ~ -0 1 ~ ~'•1 ~ ~ rt ~ $At,•, A tti`( Ir~~J, t~ : tJZ~P' N 7 4-0 AP_.Cr:r1f ROAD i `dJA. 49205 l~~( • ~ ~~'j • ~ ~ ~ ~ ~ +•1 ~ - 1 1 r . Y, . ~ . . ~ ~~~r I~ r1ADE SOLELY ' ~'rlIS ~.KI., _ ~ K, j~ ~,1 ~ ► OK T1tF FURPQSE C~F ASSISSj t~ ~ ~ - - I N LOCK;IiaG SAID, PR~~~S LI;.BILIT~ 1•}IE COrt~'AV'~ ASSU►1L'S Y IN DIr1ENSIO~lS Ahn 1~OR Vr~l'~ZATIONS. IF , ~N BY ACTUAL SL~RVL~i . ~ . I. ~ ;~OCATZON ASCEI~TAYN , BEFOkE T1ir SPOKANE LOUN.fY SHORT PIAT AD'NIINSTRATOR IN IHE MATTER OF SHQRT ) PIAT NO.~-~ FINDINGS OF FACT, ) CONCLUSION AND DECISION TH1S MATTER, an application for the approval of a short plat, pursuant to Spokane County Resolution No. 78-291, came befure the Spokane County Short Plat Adminisfirator on the 11 It day of , 1978. Havi,i4 reviewed the records and files in this matter, the Spokane County Short Plat Administrator makes the fol.lowing: FINDINGS OF FACT AND CONCLUSION I That appropriati-~ provisions have been made for sewage disposal, water supply, storm water control, circulation, fire protection, and other necessary public facili-ie:. -ind uiili-ies. II That The uses and der.si*.y proposed by the plat sponsor appear to be com- patible with existing development in the immediate area as well as being compatible with the Spokane County Comprehensive Plan. III That no :;igriificant adverse environmental impact will likely result from the aps,roval of this prop, sal. Therefore, the Spokane County Short Plat Administrator hereby issues this DECISION Shurt. f'lat Appl ication as submitted by the applicant is hereby approved subject to conditions which shall be complied with by the applicant and/or sponsor prior to fiilal izc-itian nf the short plat. DATED this /li -4 day of uW ,1978 . ~ . ~ Spokane County Short Plat Administrator I3EFUkE THF SPOKANE COUN'1'Y SHORT PIAT ADViINSTRATOR 1N I'HE MATTER 4I' SHQRT ) PLAT NU.,~-~ FINDINGS OF FACT~ECISION ) CO NCLUSION AND Tti1S MATTEK, an application for the approval of a short plat, pursuant to Spokane County Resolution No. 78-291, came befvre the Spokane County Short Plat Admir►istratnr on the Ot day of , 1978. Havi,ig reviewed the records and files in this matter, the Spokane County Short Plat Administrator makes the following: FINDINGS OF FACT AND LONCLUSIOIV I That appropriate provisions have been made for sewage disposal, water supply, sinrm water control, circulation, fire protection, and other necessary public facili•ie:; ind utlli-ies. II Thac rhe uses and densir.y proposed by the plat sponsor appear to be com- p3tible with existing development in the immediate area as well as beinq compatible with the Spokane County Comprehensive Plan. III That no :;igniffcant adverse environmental impact will likely result from the apr,roval of this proE). sal. Therefore, the Spol-ane County Short Plat Administrator hereby issues this DECISION Short E'lat Appl ication as submitted by the applicant is hereby approved subject to conditions which shall de complied wfth by the applfcant and/or sponsor prior tU firialization of the short plat. DATED thls Y/o -4 day of ,1978. . . Spokane County Short Plat Administrator ~ i... Conditions of Approval for Short Plat QZ8 AW4, * SM buiYo.uicA NOTE: Those checked are applicable A. Conditions S1 That the plat be designed as indicated on the preliminary plat of record and/or attached sheets as noted. ~ That a statement be placed in the det'-tica[ion to the effect that no more than one dwelling stnicture be placed on any one lot, nor shall any lot be further subdivided for the purposes of creatinq additional lots or building sites without filing a replat. S3 That the plat provide for cight of way width for streecs as indicated on the preliminacy plat of record. , S4 That appropriate provision be made that the following described property be held in trust until the continuation of the streets be dedicated or deeded: A 1' strip at the ends or edges of all streets that terminate or border the plat boundary. (Temporary cul de sacs are required when streets terminate at the plat boundaries.) SS That appropriate stceet names be indicated. S6 That appropriate utility easements be indicated on copies of the approved preliminary plat for distribution on the Planning Department and the utility companies. Written approval of the easements by the utility company must be received prior to the submittal of the final plat. S7 That a certificate of title be furnished the Planninq Dapartment prior to the filing of the final plat. S8 That an avigakion easement satisfactocy to the Spokane Airport Board be provided for the benefit of Fairchild Air Force Base and Spokane Inter- national Airport. S9 That conditional approval of the plat is gtven subject to the dedication of right of way to the public and apprn!.•al of the coad system in the plat by the County Engineer. S10 That plans, pcofiles, and cross sections showing proposed street center- line and cucb grades be submitted to the County Engineer for approval prior to construction and the filing of a final plat. S11 That drainage plans and desiqn calculations showing the grades and aliqnment of dcainaqe facilities be submitted to the County Engineer for approval prior to construction and the filinq of a final plat. S12 Constcvction within the proposed public streets and easements shall be performed under the direct supervision of a licensed land surveyor, who shall be responsible foc perpetuating all evldence of the location of suvey monuments which may be disturbed during construction and who shall furnish the County Enqineer with "As Built" plans and a certificate in wciting that all improvements were installed to the lines and grades shown on the approved consttvction plans and that all disturbed monuments have been replaced. S13 No construction work is to be performed with the Public Riqht of Way until a permit has been issued by the County Enqineer. All work is su biect to inspection and approval by the County Engineer. S14 All construction within the Public Right of Way is to be completed prior to filing the final plat or a bond in the amount estimated by the County • ~ Engineer to cover the cost of construction of improvements, construction certification, "As Built" plans, and rnonumenting the street centerlines, shall be filed with the County Engineer. S15 No direct acess from lots to Stub Road connections until such roads are constructed to County Standards and established as County Roads. S16 No direct access from lots to 1/2 right of ways until such time as additional right of ways are dedicated and roads are established as County Roads. S17 Road design, construction, and dcainage control for 1/2 rights of ways and Stub Road connections are the responsibility of the developer. S18 That the sponsor shall prepare and submit to the County Engineer a design proposal acceptable to the State Hiqhway Department of the proposed State Highway-County Road lntersection. State Hlqhway Department approval of the proposed design must be received prior to the filing of the final plat. Improvernents to the State Hiqhway are to be the responsi- bility of the sponsor and may either be constructed or a bond to cover the cost of such improvements furnished to the County Engineer in the amount as determined by the County Engineer and the State Highway Department. :lo . Existing county roads providing direct access to lots of the plat shall be paved and/ft curbed to the standards of the County Engineer. 520 That the followinq statement be placed in the plat dedication: WARNING: Spokane County has no responsibility to build, itnprove, maintain, oc otherwise service the private roads contained within or providing secvice to the property described in this plat. By acceptinq this plat or subsequently by allowing a buildinq permit to be issued on prperty on a private road, Spokane County assumes no obliqation for said private road and the owners hereby acknowledge tha[ the County has no obliqation of any kind or nature whatsoever to establish, examine, survey, construct, alter, repair, improve, maintain, provide dr-31nage or snow removal on a private road. This requirement is and shall run with the land and shall be binding upon the owner, their heirs, succes sors or assiqns including the obligation to participate in the maintenance af the priva te road a s provid ed herein. 21 That each lot be authorized for the use of individual on-site sewage disposal systems. S22 The dedicatory language of the plat will state the sponsor will assume no responsibility for pcovision of domestic water. S23 That conditional approval be given subject to pcovisions in the plat for a public sewer system. Approval of the design of said systems must be given by County and State Health authorities and the County Utilities Department prior to filinq of the final plat. A suitable guarantee will be required to cover the cos t of providing said sys tem in the amount a s determined by the Public Works Dzpartment. S24 That a statement be placed in the dedication to the effect that a public sewer system will be made available for the plat and individual service will be provided to each lot prior to sale. (%~2Prior to filing of the final plat, the sponsor shall present evidence that the plat lies within the recorded service area of the proposed water dis trict . S26 That an on-site sewage management system be created and approved by [he Spokane County Health Dfstr' y~ orior to :"linq of the ]Final plat. . S27 That a plan fvr water facilities adquate for fire protection be approved by the water supplier and fire protection district. Said water plan must also have been approved by the appropriate health authorities. The health authorities, water supplier (purveyor) , and fire protection distcict will certify, prioc to the filing of the final plat, on the face of said water plan that the plan is in conformance with their requirements and will adequately satisfy their respective needs. Said water plan and certification will be drafteci on a transparency suitable for reproduction. (F2~8) The purveyor will also certify prior to the filing of the final plat on a copy of said water plan that appropriate contractual arranqemQnts have been made with the plat sponsor for construction of tha water system, in accordance with the approved plan, and in accordance with a time schedule. The time schedule will provide, in any case, for aompletion of the water system and inspection by the appropriate heaith authorities pcior to application for building permits within the plat. The contractual arrangements will include a provision holding Spokane County and the purveyor harmless from claims by any lot puchaser refused a buildinq pec- mit due to the failure of the,plat sponsor to satisfactorily complete the approved water systetn. S29 The plat dedication will contain a statement to the effect that the public water system as approved by County and State Health authoclties and the local fire district and purveyoc will be installed within this plat, and the subdivider will provide for individual domestic water service as well as fire protection to each lot prior to sale of each lot. S30 That the provisions of SEPA's NOTICE OF ACTION pusuant to 43.21C OSO RCW and the Board of County Commissioners; Resolution No. 77-1392 be accomplished by the project applicant within thirty (30) days of formal action by the Short Plat Adminsitrator or before the filing of the final plat; as instructed by the Planning Department. S31 That the preliminary plat be given conditional approval to•W vLq . S32 Roadway Improvement Required: ~ public road standacds private road standards 3 That a survey be requir+ed prior to the filing of a final plat. Q33 ~ Other: C-1) '~►'~i+~r ~E o ~tl,~,? Yis 64AUfft's A►Vb '4ssi 64j Awtsa 7a )PAor► s ~ftsV . M) AVd ~bT OPrasN et 7+o ergff NMsb ag eJW*&J rAl CM& QAO • 7f S'rt+1*6E#MA1 Aa stha t4!'l' .syvrm isi L e. "Ly d4rQU~~ I.P ~!r ~eim ~gd _Ar I" L-14# u lr-t Av7*0ntach in+ ?)/Af ?AdZ' EVtOWi6S &,47M-iV ~ r Approved this ~ 14day of • 1978. . . .rod 44 ra ONO or a mnscaor cc: Health District Engineer , Utilities Applicant cuYVf-Blyc'. :a • ~..e . -i i; ~~p~E CpGg . SPOKANE COUNTY HEALTH,DISTRICT Inter-Offi ce "Communi cati on Date: June 1, 1978 T0: Plannin,; Commissio _ FROM: Scott Aink, R.S,, Etlgeae P~ather, tt.S. - S.C.H.D. SUBJECT: short P1at 78-028 Field survey by Sc4 t t Fink done Maq 17, 1978, showed a f la t f ie1.d cJith adjacent open ground and one older home. No exfsting wells were lorated on or adjacent to the property. Soils are Garrison gravel.ly loam and are listed as having slight lfmitations for sewage disposal iaith possible contamination of groundoyater. ~ The Trentwood Irrigation District has indic ' ated that they are able to provide water to the plat, ho«ever; satisfactory arrangements have not heen made for service as of May S, 1978. 'The plat sponsor has proposed five lots on 4.21 acres. An on-site sewage management spstem will be required if the number of dcfelling units authorized in the plat exceeds 15. cc: Paul 3nd Eva Delmonica 5203 North Evergreen , ~ ~ ~ I I R~CN JUN v 1 s,POKaNE cau'larY PLANNIN6 DEPART'MENT SCHD-ADM-11,8 _ i I • l ~ ~ ~ ~ ~ ~ B ~ ~ RECEIVED MAY 3 ? 1518 * - SP0K1aE COUtM ~ o ' a ~Y P`p~1NING DEPAMEIU . / - ~ Aoco. ~ ~ - - , - _ - - - _ - ~ - - ~ 00 ~ ; _ - i ~ . _ - _ . - - - - - - 40 i _ - lotopoli ~ 016- - ~ ~ - - " -Z OP4 i 0 - - - - - - - - - - _ - - ~ L - ~ - ~ • - ~ ' -s - ~ - _ _ _ ~ _ j= - - ~ - ~ ~ - - - - ~ - s - ~ - - ~ ~ - . _ - - ♦ - oe.~~'~ - - - - - !a _ - - - - _ - • - _ - - - - - - - - - - - - ~ ~i~~%r - - - e- _ _ . ~ . ~ ~ - - - - - - - • ~ - - - - • e~'!~ ~ - - - - - - -n`i~=~? ~""n - ' - - - ~ - _ _ - . - _ } - - - _ s _ , _ x.~ , - - - - ,_+.~7~ . - • - - - - - - - ~ 4000 I • L-/--y ~~r~_- _ ~ . ~ ~ - - , - - - ` - - t _ _ _ ~ _ _ , _ ~~`-r•c _ _ _ _ _ - - - - ~ ~ ~ , _ , 00 , - . - - - ~ - ~ = t ~ - 0~-ac_ - - - - - - - - 00" ~ - , • . • 1- - _ _ _ - - - _ , _ ~ - ,,1 . OP, ~ . , - ~ - - - ~ ~ - ~ - - - - - - - - - - - - - er---- . I • ' ~ ao _ j ~ . ♦ , ' ' ~ ~ • ` '~%~~~~~~~I . • ~ • ' • ~ I - ~44 I ~ 4 00 ~ ♦ - i~ ~ . ~Q jo • ~ _ - ~ Z ) .~d ~ , . _ ~ . • ~ _ , , ~ r ~ `r ' • E-C E V E AF'FTDAVIT 0F 16AIL1NG iiiAY 2 3 7978 STAlE oF 6YASHINGlold G ('LANNING SPOKANE COUidTiY ss DEPARTMENI C'O'UNTY OF SPUKP-DTE ) CA '_,.j be inG f or,&t duly sworn on oa th, ~ - depo9e s and says.: lhat I am a citizen of tne Unitad Statss of Americ'a and a re'sident of the State of Washir.gtob over the 6ga of 18 years. Zhat on the a1 3.n4,day oi" 111_ , I9__.7 Sr', I person- ~ ~ ally ae.posited in the United 5tates ruail at .3`~_~ ,7i/ 4 ~ '46 wi th suf f i c ier- tpo's tage pre pai d, a trua and corre'c t c_o,py of the Idotice of Short Plat Apblication, a capy oi" which is attached hereto and.i3icorpor.ated heroin by rQ#'ere"rice, ooth tha taxpayers and ths recorcled real property owners, als srown on the 5pokane Couilty Tre$sur.e,r's racords as Of the 23,-,~,day of ^I ~2%~IiiL~ . tvho "red a comien bouiidary line (a s`trePt, road, ar highway is considered a comr~~on b'our_dary line ) witN the propz'rtg vihich i,s the su.b;'ect of ACTICiV. The riotices va3re addresserl to those inaividugls aizd sent to trose addresses as indicated on the attach-r.ient _&-tt-ac:n~'d heretv ar_d incorporate'd h3rzin by ref erar-ce . DA3' ;D this *W,~/day of 414 - - ~ 19 7j", a,tZ"; DD 6'/&' . ~ . ~ . SUBSCRIBiM A1VD,SVIOHi3 to b,ef ora me this 4da7 of ,1~1~. ~ No.tary Fublic~ r~ and "or the State of uu~as?~ingt o r,"res id ing at Spokane OFF~'rt~ ~F C'OU ITX ENGINFER yrOKAwi~ e~j ~~IY`a WA~MaAGTON Date M Atl n28 M~N Al InQar-offite Corumunicotion E c E v E Q Ta PL►MING CQMSS IbN pLANNYNG b'tRAFFIC DIVISLaN BNGINBER%WL • I,°~~°~ ~ j°~',`u f~ Gl1itY KLNNALy . z 9 i fl0 OO~tY2~IQN E9~ q~ i.~ ~ ~ S o o„~~ r CoI { y i "I ~r8~rt ' *QONDITYONS CIRCLEU APPLY TO PLAT UNUER CANSIDERATIOH PLA N I~~ C D rP~►~tTM E`IT ° Ao s s~ s p~VAT~ R o~ ~~a - ' P ~ ~ t.~ ` R• o T O A~ O R A~ 11 ~ l SS i_ that eonditional appraval of the plat is givsn subjecC to dadication oF R4ght of tilay and appcoval of the road systea ia the plat by the County P.o,ginso . 2- ehac pisns, pro.Eilee, and cro9s 9ectioa9 shoving propo9ed stroeet centerlioe and eurb grades be aubmitited to the County Engineer for approval prior to con.sts-uctiom and the filiag af a fioal plat; , - 3- that draimage plgas and desiga calculatioas shoving the gradas and aligmasat of draiffi-- 8ge iacilitie9 ba submitted to the County Engineer for approval prior to coast-ruCtian and Che filfng of a fiosl plat; . ;4-cons truetion wf thin the proposed public s treets and easemsat9 shall be perforr.zed undor t4te dLrect eupstvi9ion oE a licensed land su=veyor. aho ehall be xeeponsible for perpetuatiag all evidence of ths locatian of 9urvey monmeats ahich way be di3turbad duriag con9truction and who ahall furnish thz County Bqgineer with "As Jauilt" pYaas and a certificate in Writing that all improvementa vare iastalle8 to the line9 and grades ahnvn on the approved construction plans and that 41l diSturbed momumant9 hava beea replacad; : 5- no constructfon wosk is to be pertormed Withie the Public Right o! Way uotil s permit hes oeen issued by the County cngineer. All Work ia sub ject to ia9pactioa and approval by the County Engineer; ? 6-8ll construction Within tha publfc Right oF Way i9 to be campleted prior to filing the f+na1 plat os a bond in the araount es timated by the Couaty Eqgiacer to cover the cost of COII3tl'UCCLOt1 of improvzments, constcuctioa certification, "As Built" plaas, and r.-.onu.nsntiag the etreeC centerlines shall be filed with the County Engieaer. ~ 7-no ditrect accee• from lot9 to 1/2 right of weys until such time es edditionel right of veye ere dediceted and roeds ere estebllehed ea County Roede. : S-no dieecE access from lots to Stub Road connectiona until such roede ere conetructad to County Standards and esteblished ae Counry Roeds. : 9-road desLgn, NNW ~ conetruction, and dreinege control for 112 righte of weye and Stub Road connections are the responeibility af the Developer. :,'IO-thet the Sponeor ehell prepare and submit to the County EngineeT e design peoposal eccept- . able to the State Highway Depertment of the proposed State Nighway-County Qtoad inter- eectfon. State Highvey Deper[ment epprovel of the propoeed design muet be received psriar to the filing of the finel ptat. Improvemente to the Stace HighWey ere to be the reepoea- sibflitq of the Sponeor and mey either be conetructed or e bond [o cover the cost of such fmprovements furniehed to the County Engineer in the emount ae deEetmined by the County Engineet and the Stste Highvey Oepertment. ~ i">aWft"1M Existing County roads providing direct access to lot9 of the plat ahel e peved and*w curbed to the standards of the County Engj.neer. ~ t2 PtioPo~~D Prtt uAtC RJ0A0 (S) s&rA.v 1WG lro'r't WtTrl : w/o Ex7W5ro#J po~st4~; E1(7aprso'o.►I rb aatuF $ aIL COss c.ors r=vrv~LM ftevc ~i~+4T e ~ w ~ ~T. ~e13 - T04^T PILWAT9 UA►O(t) 8F 1MA0Wvl0 Tb STi4*+0400 *DOATE0 $V 7PAE filAgg) oF COv IAt'Y L-.t4 TJ**T Ttt-F ow&JEq,, 41S GrL4vj Teie s 00 Aga rAN, PAOL'CLC.4 Pr4tS ~~o mor oAOose ~c om rnsr 4,✓ ~QlD o ~•1 ~v ~R~~L ~E~► ~2o ao . ~ ► . 'PA1 - I 'J ` OF2'IGE AF a COUNTY ENGINEER , ROBERT S. TURNER COUNTY ENGINEER Sposa.~-M OW~Mcuvt~ro:v s~ s~~ 4) i SPari#NQ ,i,cldba?~r „5uRT lIOLsE Date T0: Zoning Administrator Spokane County Planning Dept. FROM: County Engfneer's Office Utilities Department RE: 4LI ,%~~'-45. . S . P . 7 k9 r 0 The shortdplat referenced above has been reviewed by our staff for its - fmp8ct oa the storm drainage system. It was found that: No additional storm drainage construction is required. The following action is necessary: Sincerely, William R. Dobratz, P.E. Asst. Cotmty Engfneer By a, ames A. Legat P.E. JAL/tw tilities Engr. cc: Gary Rennaly Files ~ ~ _ , ' ` . . . bg I ~ - , ~ ~ ~ . 1 Auplication for Short Subdivision Approval FART ONE = G, (To be completed by applicant) , A. AAplicant's Name: - - • - . Address • ~ . ~ Leg~. Owners Name : ~ Address: - _ , ~ B. Phone number where applicant can ba reached: - _ ~ C. Total Acreage of proposal D. Number of Lots E. Typical lot size F. Lan.d IIse Proposed b9 applicant : . G. Metnod of Water Supply: Inriividual Wells O. Public Systar Private Community System ~ Other ( (Describe) - . . H. t4ethod of Sewage Disposal: Septic Tank and I)rainfieid Lagoon , Treatment Plsnt Other, or combinations (Describe) I I . ~ ~ ~ist IItiliiy Companies and/o^ D=st: ictv expected to provide sertrice to this I ~ i proposal: ' . f Electricity Gas Water Phone . = . :1...3 3 ~ J. Do you, or _ the owner }n the event you do not own the subject lard. h.ave a,ny ~ plans for future additions, expansion, or further ctivit .,relatzd :,rith this proporal.? I f yes, explain: ~ . K. Do you or the owner, own or have options on laad nearby or ad,;acent to tnis ~ proposal. ls location? ?'f yes, expl.ai.n: -0f.4~ . . L. SignatTlre I, the undersigned, swear under penalty of perjury that the abcve resioonses are made truthfully and to the best of my knowledge. I also understand that, should there be any willful misrepreseatation or willful lack o-Af fu_i..~.. 3isc? o- sure on my part, Spokane County may withdraw any approvai it might issue in reliance upon thi-s application. DaLe. Proponen . Date O-winer ~ • Date .5- kiotary ReEiding at ;I ~ PART TWO . (To be com.ple ted by surro►eyor.) I, the uadersigned, a licensed land surveyor, ha,ve completed the information requested, aad the Preli.m3.nary Plat has beea prepared by me under my supervision in accardaace with the re ui.remeats og the Spokauae County Short Plat Ordinance and the laws of the State of ~t z H.r. (Sigaed) Dat@: / c• / 7~ f ( ~ (Address) Dt~ ~ Plzone : -o ~ ~12605 Zig: PART T'I~EE (To be completed by Watsr Purveyor) A. This ' sion (is(is not) situated within our service area. B. We ar (alale) (not able) and willing to supply this subdivision w- th adec~uate wazer for: o~estic) (fire) (industrial) (commercial) uses. C. Satisfactory arrangemeats(have) (have not) been made to serve thia proposa].. D. Signature (only when items A, 8& C are true and coaapleted) 6nam purveyors signature and ti, e date • PART FOi3R (To be comgleted by Fire District) A. Thi s subdivision ~ i C is ot ) situated wi thi3n our servi ce area. B. Adequate arrangements ave~ have not) been made to meet our needs ia providir~g for an adeauate water sy m and facj.lities for fire protection purposes. C. SiWture o4y whe;iteme A,B an,d C/are true and completed) #VA TO Gol.s +tie Distr-ct signature and dats 1 ♦ART FM (To be completed by Health District) A. Health District reQuirements for short plats have (have not) been satisfied. B. Signature signature aad title date PART SIX (To be completed by Planning Dept.) Date Submitted: Checked by: School District: ~&f Fi.le Number: Existi.ng Zoning: Aj j (..It Date Establ-shed: . r ~ 2 ~ • • ■ ' ~ A/. !.?Die olleWt-A tAo A` ~ ° . . r~ PREcrMIvaRYssoxT LAT,coNFEREvcE CHEG'I{LIST FOR- , SWAPwCa _ - 3~= u-+4 - TSE' FOLLOWING DOCUMMTS SAALL BE~ SDBMITTED PRIQR TO ACCEpTAN ~ CE By THE Pti1~1VTV~RIG DEPA;F~TMIIVT, !FOR REVIEW BY,TF~ , SHQRT PLAT ADMIPlISTRATOR': ~ 1. ; SHORT :PL-AT A'PPLICATION 2-. LECA;L DESCRIPTION 3,: IIdGLNEERS 'SECTION MAPS ( 2), 4. ASSESSORS SE,CTION MAP (1) 5. PREGl n RY SHQRT PI;AT, MAPS (6,)' 6. AFF'IDAVIT QF MAILING p2►g~ i 7. 8. ~CaIltNTS : 2'his docucnent must be,returned tQ the Short Plat Adainistrator 4t the time apglicat'ion i`s made. ~ ?~-D~ =Z 1 Shdrt Plat, inistrs~tok~- S'4*t XA & * • .0 - , Current Plann ir'g Adm'inistrator - ~ - ~ ~6 ~2