1993, 04-26 Rezone App: ZE-18-933�O RAnI tau.l, 1—, -.1!
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PLANNING DEPARTMENT
ZOITE RECLASSIFICATION APPLICATION
PART I
GENERAL INFORMATION:
NAME OF APPLICANT/REPRESENTATIVE: ,G
cam., t 5�'A-`n
MAILING ADDRESS: V�05-�- AAA---� �NG
CITY: STATE: `aJ�A ZIP:
PHONE: 61a.`z�—g_ (work) (home)
IF APPLICANT IS NOT OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION
FOR APPLICANT TO SERVE AS REPRESENTATIVE.
LEGAL OWNER'S NAME:PFIONE: CA; �-
MAILING ADDRESS:
CITY: STATE: ZIP:
PROJECT/PROPOSAL SITE AREA (acres or sq, ft) C- E3 x 2_ C ,
ADJACENT AREA OWNED OR CONTROLLED (acres or sq. ft.)
ASSESSOR PARCEL #S OF PROJECT/PROPOSAL �3 - 3 �:� � z_?J 3¢G
ASSESSOR PARCEL #'S OF ADJACENT AREA OWNED OR CONTROLLED J
STREET ADDRESS OF PROPOSAL k-=;
EXISTING ZONE CLASSIFICATION(S) (
EXISTING USE OF PROPERTY5�
PROPOSED ZONING OR 9 .
COMPREHENSIVE PLAN CATEGORY
SCHOOL DISTRICT
FIRE DISTRICT �(
WATER,PURVEYOR
PROPOSED USE OF PROPERTY:
Single family dwellings(� Duplexes () Multifamily dwellings( )
Manufactured homes ( ) Business () Industrial i
Other( ) -Describe: ( ) Mixed Use ( )
LIST PREVIOUS PLANNING DEPARTMENT ACTIONS INVOLVING THIS PROPERTY:
LEGAUZONE RECLASS INFORMATION•
LOCATION OF PROPOSAL: \S --- Z c`
SECTION a 3 TOWNSHIP _,25 -At RANGE
NAME OF PUBLIC ROAD(S) PROVIDING ACCESS: "-,; >- 'j/' A ve-
WIDTH OF PROPERTY FRONTING ON PUBLIC ROAD;, d 1. G t
-114- A v e
DOES THE PROPOSAL HAVE ACCESS TO AN ARTERPLA
D ARTERIAL N YES () NO
NAME(S) OF ARTERIAL ROADS
ZONE RECLASSIFICATION APPLICATION
Page 2 of 4
LEGAL DESCRIPTION OF PROPERTY FOR EACH ZONE RECLASSIFICATION PROPOSED.
NESIN V' -V CE 202- \1(Qc�� (y- Q)R- E.4\`1 RASE
EXISTING ZONE(S) TO PROPOSED ZONE(S).QC�-j
FOR THE FOLLOWING DESCRIBED
PROPERTY. (ATTACH LEGAL DESCRIPTION STAMPED BY LAND SURVEYOR OR PROVIDE
BELOW.
IF YOU DO NOT HOLD TITLE TO THE PROPERTY, WHAT IS YOUR INTEREST IN IT?
WHAT ARE THE CHANGED CONDITIONS OF THE AREA WHICH YOU FEEL MAKE THIS
PROPOSAL WARRANTED? t> -C,
fl
c kC
cx
a' )cm-ja \6 C-1 r-,= � \ncwe
WHAT INTACT WILL THE PROPOSED ZONE RECLASSIFICATION HAVE ON THE ADJACENT
PROPERTIES? An C� wee6_t. -Cps y -V- cl,
WHAT FACTORS SUPPORT THE ZONE RECLASSIFICATION?
WHAT MEASURES DO YOU PROPOSE TO MITIGATE YOUR PROPOSAL'S IMPACT ON
SURROUNDING LAND USE? Q
0- ptccs�nA-
X %
ZONE RECLASSIFICATION APPLICATION
PART II
Page 3 of 4
THIS SECTION OF THE APPLICATION WILL PROVIDE THE PLANNING DEPARTMENT STAFF WITH
WRITTEN VERIFICATION THAT TIE APPLICANT HAS HAD PRELIMINARY CONSULTATION WITH THE
AGENCIES IDENTIFIED. RESULTS OF THE PRELIMINARY CONSULTATION SHALL BE INCORPORATED
IN THE PROPOSAL BEFORE FINAL SUBMITTAL TO THE PLANNING DEPARTMENT.
FIRE MARSHALL/FIRE DISTRICT
A. THIS PROPOSAL IS WITHIN FIRE PROTECTION DISTRICT NO.
B. ADEQUATE ARRANGEMENTS (HAVE) (HAVE NOT) BEEN MADE TO MEET OUR NEEDS
IN PROVIDING FOR AN ADEQUATE WATER SYSTEM AND FACILITIES FOR FIRE
PROTECTION PURPOSES.
C. RECOMMENDED FIRE FLOW: �'�,:OR UNABLE TO CALCULATE NOW
BECAUSE USE IS NOT DEFINITIVE AND WILL BE DETERMINED AT BUILDING PERMIT
APPLICATION TIME.
D . REQUIREMENTS INCLUDE:
FIRE DISTRICT SIGNA /TITLE4 A
WATER PURVEYOR
A. SATISFACTORY ARRANGEMENTS FOR DOMESTIC WATER AND FIRE FLOW
REQUIREMENTS (IME) (HAVE NOT) BEEN MADE.
B. REQUIREMENTS/COMMENTS:
WATER D
9_2Z
DATE
COUNTY ENGINEER
A PRELi1vIINARY DISCUSSION HAS TAI�.E11 PLACE ANU GENERAL REQUIREMENTS FOR ROADS
AND DRAINAGE HAVE BEEN DISCUSSED WITH THE APPLICANT.
A. COMMENTS:
SIGNATURE/TITLE DATE
COUNTY UTILITIES
A PRELIMINARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR
SUBMITTAL OF THIS PROPOSAL (HAVE) (HAVE NOT) BEEN SATISFIED. THE DESIGNATED
WATER PURVEYOR FOR THIS SITE IS
A. COMMENTS: UIA StWUnewr
d4 /-/ 11. 4
dZ-
SIGNATURE/TITLE DATE
HEALTH DISTRICT
A PRELIMINARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR
SUBMITTAL OF THIS PROPOSAL (HAVE NOT) BEEN SATISFIED.
A. COMMENTS:
q—lQA)—
SIGNAT'UR TLE DATE
SEWER PURVEYOR
A PRELIMINARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR THE
PROVISION OF PUBLIC SEWER ARE UNDERSTOOD BY THE APPLICANT.
A. COMMENTS:
A[2mz-&
OV
ZONE RECLASSIFICATION APPLICATION
`
PART III
• i. VERIFICATIq
A LICENSED LAND SURVEYOR i H4\
PART IV
Page 4 of 4
N
MPLETED THE INFORMATION
RIPTION.
DATE: z -
PHONE: �i'24 - % 2'4 0
ZIP: �l12d G'
(SIGNATURE OF PROPERTY OWNERS OR LETTER OF AUTHORIZATION)
I, THE UNDERSIGNED, SWEAR UNDER PENALTY OF PERJURY THAT THE ABOVE RESPONSES ARE
MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE.
I FURTHER SWEAR THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE
PREVIOUSLY IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS
WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF.
SIGNED: DATE: t'
ADDRESS: PHONE: O�
ZIP:�10j`�
SIGNATURE OF APPLICANT OR REPRESENTATIVE DATE
STATE OF WASHINGTON )
ss:
COUNTY OF SPOKANE }
SIGNED AND SWORN TO/AFFIRMED BEFORE ME ON THIS _
j ,
BY �
OT SEAL
ROTARY Notary Public in arh for S to of Wslri
PUBLIC p Residing at: -� c
�►
•9j� a-1.93 MY appointm,de xpifes:
wa5'�
PART V
(TO BE COMPLETED BY THE PLANNING DEPARTMENT)
DATE SUBMITTED:
DATE ACCEPTED• O BY:
TOTAL FEES: Qd RECEIPT #: D
DAY OF