1988, 07-15 On-Site Sewage Disposal . Spokane County
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Department of Building & Safety
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JAMES L.MANSON,DIRECTOR
ON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM
For Single Family Residences
TO Spokane County Environmental Health Division
FROM: Spokane County Department of Building and Safety
DATE : jiL 1 15 , 1988
RE On Site Sewage Disposal System
REF : Describe Proposal : S ($L , pyipE 14031 €
Property Owner __- , p,-r-- e1 A/{ ro/J
Road Name 2,JD Av
Parcel Number : __ _ - 7J!, AVEtreet Address • i. — _ N
Legal Description :
' PP}G%AG Si-PC-E7- ADD
SIGNED : Le 1/2 DP L.0 'L 5' ALL OR Lc-r3
f!U 5LceK I-7
Date :
Proposed Owner 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
hereinabove .
Yes /No/N .A
Dedicatory Language within Plat
Subject ,Property is Legally Divided OA
Certificate of Exemption Required
Use Authorized Under Zoning Ordinance
Setbacks Met in Zoning Ordinance
_ Shorelines Permit Required
Variance Required for Following Purposes :
Other :
Planning Department : Date :
On-Site Sewage System Review Form
Page 2 of 2
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 :
Maintained County Road Frontage
_ Approach Permit Required
Flood Zone
Variance Requirements
Other : 88_ �}
Il .�`r 21Q
Engineer ' s Office : S tl,U1JO`JS Date : /5/638
3 . The Spokane County Department of Building and Safety has advised
the property owner/ representative that at such time a structure or
building is to be placed/construct - . on the property , a building
permit will be required .
Building andSafety Department :, l/! i / / / Date : -7/5/89
NOTE: 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/rep-
resentative 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 the application for a building permit , the ow-
ner/ representative will be responsible for meeting such regulations
on the date of the application for the building permit .