2003, 05-29 Permit App: BD03-552 Residence City of
SPOKANE VALLEY
PERMIT # 6 003•.s.--,5- ,,
BUILDING PERMIT APPLICATION
Box 1 OWNERI-/f)950/ C'17$7 MG. JOB LOCATION 9PQ y 6 1474
OWNER'S ADDRESS p 126CITYS nt1ONE 879 3 9
-30752.
DESCRIBE JOB GO 11 c7 ICT S t#J 6 L g phm 1 L`/ AeS 11v13Y)c ,
THIS PROPERTY IS OWNED BY: SINGL
/MARRIED
PARTNERSHIP CORP. l/
BOX 2 CONTRACTOR'S NAME 14&)O5e -1 CONST. 1k.1C. PHONEg'7 9 3 4 ZO
CONTRACTOR'S ADDRESS PO g e1( 3 0 7 9'a- CITY 5P103-n E.
CONTRACTOR'S REG.# C.1 IJ OSG ) 0 (Q Q/jf/ U(,EXPIRATION DATE ,4U(, 0 "3
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT 6)2e6 ST1 J PHONE g 79' 3 y _..
ADDRESS PO 190% 30792 CITY cPaigtne ZIP 9 ?
BOX 4 SEWER AVAILABILITYC frf 0P S/Op, nts WATER AVAILABILITY C4 T'-f op SieIGti -
BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARAT: iir H Ht RIPTION) i
CENSUS NUMBER
LOT NUMBERmu=q �y g���
BOX 7 BUILDING SQUARE FOOTAGE (Existing/propose 1 L O
'u' .� t� 2ND FLOOR /
3RD FLOOR / OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHEDC/71, / DECK / GARAGE% /
CARPORT / TOTAL /9/p2-/ HEIGHT TO PEAK OF BUILDING / Z FT.
BOX 8 (✓) SINGLE FAMILY ( try NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE /5(0( ! SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) ' MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size (if known) / 11 Also see BOX 4
BOX 11 Septic Tank—Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a" Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PE% M T E WORK FOR WHICH_�H�APPLICATION IS MADE.
i ciuC
OWNER/AGENT ` J 1, DATE 51*, (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard —__ Expiration Date
Print the name of the Holder Signature
•
OFFICE USE ONLY- PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE. . REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT'�APPROVAL DISAPPROVAL DATE
REMARKS
•
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
L
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
• SMv<r 11707 East Sprague Avenue, Suite 106 509-688-0036- Phone
pokane Spokane Valley, WA 99206 - 509-688-0037- Fax
.Valley For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECTPERMIT
41./ADDRESS: 6,- i 7 USE:
OWNER:Lin osa, S T /l,�. PHONE(Daytime Contact): g ?ti
MAILING ADDRESS:
P" fbo1. 30)qz S ovegne- coo ci9zz 3
(street) (city/state) (ZIP)
CONT$4ILC 07: ,/rJ ki n rS LICENSE 8:
MAILING{lADDRESS: PHONE p:
opo iy- 9 3Y/i�N 9 Li
VeraA li1a gao -7
(street) (city/state) (ZIP) •
PLUMBING FIXTURES
DESCRIPTION DETAILS 1 OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS L. X $6 -
2 URINALS X $6 -
3 TUBS .42-4.
X 56 -
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 -
5 SINKS LA VS/BASINS,BAR,FLOOR,KITCHEN,
LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6
RAY,FOOD,PREP/CULINARY/MEAT
6 DISHWASHER I X $6 -
7 CLOTHES WASHER I X $6 -
8 GARBAGE DISPOSAL I X $6 -
9 WATER SOFTENER X $6 -
10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 -
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE ) X $6 -
12 FOUNTAINS,DRINKING X $6 -
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
W AS TT.,VENT,PLUMBING REVERSALS X $6 -
REVERSAL
14 SEWAGE EJECTOR GRINDER,SUMP PUMPX $6 -
-
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER,PROOFER,CARBONATOR X $6 -
SWAMP COOLER
16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $b -
R.P.B.P.D.FOR:VATS,TANKS,BOILERS
17 SPRINKLER SYSTEM X $25 -
18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL
HOLDING TANK X
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 •
20 MISC PLUMBING FIXTURE X $6 -
SUBTOTAL: L,
METHOD OF PAYMENT '>
WM 'NZ-3 -y-..; PLUS PROCESSING FEE: $35.00
❑ CASH ❑ CHECK ❑ =NM
El :_.. .....
.`•-'` _
TOTAL PERMIT FEE DUE:
D.,..T E EXPIRES:
B.A'NKCARD NUMBER.
:1UTHORIZED SIGNATURE.
Spokane 11707 East Sprague Avenue, Suite 106 509-688-0036 -Phone
Spokane Valley, WA 99206 509-688-0037- Fax
,,Valley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT PERMIT
ADDRESS: PHONE V 6/05 6 / CL
U 7 7 USE:
OWNER:�n 05eQwf. n�,/Sr m C PHONE(Daytime Contact):
MAILING ADDRESS: le 29 y2.4
PGr/3OX 3o27 SpoLan, l.UQ C 9Zz3
(street) (city/state)
(ZIP)
CONTRACTOR:
LICENSE n:
MAILING ADDRESS:
PHONE It:
(street) (city/state)
(ZIP)
DESCRIPTION OF WORK I OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE •OR<100,000 I
2 FUEL BURNING APPLIANCE X $15 •
>1�'000X $19
3 UNLISTED APPLIANCE(ADDITIONAL FEE) •OR<400,000 -
X 550 •
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000
5 USED APPLIANCE(WSEC min.AFUE ratio X $100 •
8) •or<gt3p,0pp X $50 -
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000
7 BOILER/REFRIGERATION X $1 •
l-]OOM BTU X 5155
8 BOILER/REFRIGERATION 101-500M BTU -
9 BOILER/REFRIGERATION X $28 •
501•1,000M BTU X $39
10 BOILER/REFRIGERATION 1001-1,750M BTU •
11 BOILER/REFRIGERATION X $57 •
+1750M BTU X 595s •
12 GAS LOC,GAS INSERT,GAS FIREPLACE
X
13 RANCE •
- X $10 10
14 DRYER - •
15 FUEL BURNING WATER HEATER I X $10 •
16 MISC FUEL BURNING APPL. - X 510 •
•
17 GAS PIPING(ea.Outlet) --
- X S10
18 DUCT SYSTEMS , X S]
19 VENTILATING FANS - - X- $10
•
20 AIR HANDLER(DOES NOT include d _ X $10
ducting) •OR<10,000CFM X $12
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM -
22 EVAPORATIVE COOLERS - - X 5X $19
23 TYPE I HOOD _ 10 •
24 TYPE 11 HOOD X $50
•
25 HEAT PUMP/AIR CONDITIONER 0.3 TON _ X X $10
512 -
26 AIR CONDITIONER }15 TON •
•
27 AIR CONDITIONER X 20
15 $
30 TON X $25
28 AIR CONDITIONER 30-50 TON •
•
29 AIR CONDI770NER _ X 535
+50 TON _ X SO0 •
30 LPG STORAGE TANK - -
31 WOOD OR PELLET STOVE/INSERT - X $X _ $70 •
$10 •
32 WOOD STOVE•FREE STANDING
- X $25 •
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: �5
I = $35.00
VISA t ,r:
TOTAL PERMIT FEE DUE:
❑ CASH ❑ CHECK ❑ =NM ❑ ._-.-.:1.?? _
DATE: EXPIRES:
BANKCARD NUMBER:
'\UTHORJZED SIGNATURE:
City of SPOKANE VALLEY
Building, Fire and Public Works Fees Receipt
Applicant/Business C 0100s - -frit) Permit No. b 'S2�
Project Name
Site Address ZS E � Date �'- �cJ
4.010s— I
Please Receipt the Following:
Check Number . (f (7 Receipt Number �`
Payer's Name �� 5
Address �' �- ��� �
p •,__ 46.... City zip 9'1.2:z3
BUILDING DEPARTMENT
001.059.322.10.01 Building Permit $
•
-001.059.322.10.02 Plumbing Permit $
001:059.322.10.03 Grading Permit $
001.059.3�iQ,Q4 .Mechanical Permit $
001:059.322:10:06 Demolition Permit $
001.059.322.90.01 Misc. Permits and Fees $
001.059.345.83.01 Plans Check Fee $ 3Ca., /gS(.95� 173. SS 1 �.�• —
: 001.059.345.83.03 Energy plans check fee $
001.059.342.40.02 SPECIAL Inspections $
001.059.237.10.98 Bonds / Deposits $
•
001.059.237.10.02 WSBCC Surcharge * $
FIRE DEPARTMENT # • _s*
001.059.322.10.07 Plans check fee
001.059.322.10.08 Sprinkler plans check S.
$
001.059.322.10.09 F. A. Plans check
$ •
001.059.322.10.10 Misc. plans check
001.059.322.10.11 Fire Alarm inspections $
$
001.4.59.32.2.10.12 sprinkler inspeetions
001.059.322.10.13 Misc. Inspections $
001.059.321.30.00 FireWorks Permit $
001.059.342.40.01 UFC permit fees $
001.059.237.10.99 Bonds / Deposit ** $
OTHER: •
•
PUBLIC WORKS
001.059.322.40.00 Right of Way $
•
. 001.059.342.40.03 Special Inspections $
001.059.237.10.99 Bonds/Deposits (cash)** $
TOTAL AMOUNT DUE $
* To be sent to Wash. State Building Code Council quarterly.
# 65% of figure to be sent to the Fire Department Quarterly, except bonds etc.
** Liability Insurance verification may also be required.
•
s-Keept •
00"..\11%, Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
Spokane
.....*Valley DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW p 3--2i2
APPROACH PERMIT
APPLICATION �,�,�
Location of property ((qv c i- I if
(Adress/Parcel #, if available)
Applicant Name Lip,4 c S �`'•
7
Address ePO Q (307'(2 Phone 17c) - 34 20
Contractor's Name
Address Phone
Contractor's Reg# Expires
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway Commercial/Industrial Driveway
Existing Curb & Gutter Rural Road Section
Culvert Installation Sidewalk Repair/Construction
Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $ Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Expiration Date
Name of Holder Signature
Fees Paid$ .D Date S Y0A InitG -�
Excerpts from Spokane Valley Standards (3.24, and details A8 and A-8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way,sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles,traffic regulating
devices,fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10%within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
iz
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01,
CITY OF SPOKANE VALLEY DIVISION OF PLANNING
ADMINISTRATIVE VARIANCE
A. GENERAL INFORMATION File No: AV (06 -a .3
Tax parcel no(s): 33 , / SO 9 Section: L Z Township:€$ Range: Y3
Legal description: U00rezd .nd, kg,/ /DeI /S a/ee,
/v oci ed ai/toy SocoLL ' card acj a e.,e
Applicant: N6 r /'Om L7110_, Agent? Yes)( No
Mailing address: 5 J.3 41 •574e, l IP)
City: 3 po eCa.np, State: /,04- Zip:9q,„R__/5"--
Phone: (home) (work)
Current zoning: Comprehensive plan: I-
Current use of parcel: e.c (Alto /`ir
B. SPECIFIC INFORMATION
Administrative variance requested: (describe in terms of the standardfrom which you are seeking relief)
&;to_ cvaiL -Pho .>4o39 44
Applicable chapter/section of code: /4/, LAD qc 090
Explain reason for request: �, 5 i�Q/�/ G�i
I am the owner of record or authorized agent for the proposed site. All of the above responses and those
on the supporting documents ar ruthfully and to the best of my knowledge.
es
Signed: Date: /(,.fj t O M
THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
NOTE: The applicant or an interested party may file an appeal within 14 calendar days of the above date of signing. The
appeal must be accompanied by the proper fee. Appeals may be filed at the City of Spokane Valley Division of Planning,
11707 E Sprague, Suite 106, Spokane Valley,WA 99206 (Section 14.412.041 of the City of Spokane Valley Zoning Code).
FOR STAFF USE ONLY:
File No: AV £g -V
City of Spokane Valley Division of Planning finds that the information provided by the applicant along
the required compliance with the City of Spokane Valley Zoning Code and all other development
regulations, described in 2)below, doe does no' dverse affect on the adjacent properties nor the
public's general health, safety and wel - • ••.- ents (if applicable):
The City of Spokane Valley Division of Planning approves /denies this "administrative variance"for
the property described above,pursuant to the Zoning Code of the City of Spokane Valley, Section
14.404.090.
This administrative variance is subject to the following conditions and/or stipulations:
1) The applicant and property owner shall comply with all requirements and regulations of the Zoning
Code.
2) The applicant and property owner shall comply with all City of Spokane Valley development
regulations, such as but not limited to water, sewage, stormwater, grading, critical areas, access, approach
permits and others.
3) The applicant and property owner shall comply with the following additional conditions:
This administrative exception shall run with the land.
Dated this day of V LLdL ' , 20 693
Division of Planning Signature
Application #: �e._ fr3-� _��
CERTIFICATE OF EXEMPTION
C of E August , 2002 "I"
Spokane County Division of Planning
1026 W. Broadway,.Ave.
Spokane,WA. 99260
Existing "parent"tax parcel number(s) 35233.1509 - 35.233.1 508.. .. - -
Site address or frontage road name
14th Ave
Public road ixJ Private road ❑ Private driveway" Cl•Auditors recording#:
Legal description - Section 23 Township 25N Range 43 E.W.M.
Block 15, Woodland Terrace Addition, Volume "I" P.1-6
Lot 8 and W 4.1 feet of Lot 7
continued on back
Total existing acreage New property size ?0,44$=
Current zoning u3 S Comprehensive Plan category LL• .
(work) 370-5893
Name of applicant Mike Shuler Phone Number (home)
•
Mailing address P. 0. Box 1207
.
Davenport State WA Zip 99122
City _ .,
I certify that I as owner or authorized agent have examined this document and state that the information contained in
it and submitted by me or my agent to compile said document is true and correct,and authorize Spokane County to
proceed with processing. in addition, I have read and understand the provisions contained herein and agree to
comply with them. I understand that the issuance of this exemption is not intended to verity that.adequate
provisions have been made for drainage ways,potable water supplies, roads and sanitary wastes. Any subsequent
approval based on this exempt shall not be construed to give authority to violate or cancel-the provisions of any
state or local law.
_ / ry
Applicant Date d ZY Z
Staff Use Only
This Certificate of Exemption issued pursuant to section IZ.01/W ke of the Subdivision
Ordinance for Spokane County and RCW 58,17. The Certificate of Exemption is intended to
indicate if the property as described is exempt from the State and Local Subdivision laws which
regulate the sale, lease or transfer of ownership of property and is subject,to the following
conditions and/or findings:
1. NOTICE TO PURCHASER-This piece of property may not have appropriate provisions for potable water
supplies(drinking water),sanitary wastes(septic tank or sewer), drainage ways,streets or road,alleys or
other public ways. Spokane County is not responsible for making provisions for the above-stated items. If
this property is served by a private road,Spokane County is not responsible for improving or maintaining
said private road.
2. For property created via this exemption,the applicant shall file a Segregation Application with the County
Assessor prior to the issuance of a building permit. .. ...
3, This Certificate of Exemption is for and shall run with the land,and shall be applicable to the applicant,
owner,heirs,successors or assigns.
4. The use of this property must conform to the Zoning Code
5. The following conditions shall also apply continued on back
The required information has been submitted to the County Engineer.
By Date
Division of Engineering
APPROVED ❑ DENIED By
Date
vision of Pia'
g . ' ....V.W ._
RELATED FILES: ... .
Receipt#: ()WV
W_
14TH & CARNAHAN, SPOKANE, WASHINGTON
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Proposed Plot Plan
4904 East 14th Ave.
Spokane Valley, Wash.
Parcel "G" of Spokane County Certificate of Exemption# CE-283-02
Block 15, Woodland Terrace Add. Vol. "I" of plats, p. 16, L. 8 plus W. 4.1 ft of L 7
SCALE 1:20 I SEWER AND WATER PROVIDED BY CITY OF SPOKANE
CITY COPY
54
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490q E 14th Ave, Spokane Valley
Spokane County, Washington
Parcel I of CE 283-02
Block 15, Woodland Terrace Addition, Volume I of Plats, Page 16
A portion of lots 7 &8
Public Water I Scale 1:20 I Public Sewer
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AMY CONSTRUCTION, II
0.0. BOX 30792
"'WANE, WA 99223
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NSI UR-7 ZONE REZONE MINING & UR-3.5 TO UR-7 FOR , 'r n
- � .... 129' WOODLAND TERRACE y.y ,` No. DATE
- - AND VICINITY _� '
LOCATED IN SEC 23 T. 25 N., R. 43 E., W.M. ,.•�� t r-s,
`94 I� SPOKANE COUNTY, WASHINGTON -�?y�INEIF 'm"Ll'43--- : ,
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EXISTING DRAINAGE CHANNEL '� 1 i__F-•4 -_
2'
12TH AVENUE 27a'
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60• SITE DATA: i �! Z2 I
N w EXISTING ZONE PROPOSED ZONE S.F. (ACRES) rw ea
J MINING & UR-3.5 UR-7 1,673,143 S.F (38.4 AC) laid Z
- 1 UR-3.5 ZONE n W ^ 1 BUILDING COVERAGE LESS THAN 557,
I-- N`> a-CC=-C.—
O In `i-- 7 C ! BUILDING USF(S) SINGLE FAMILY HOMES/DUP_ExES I-+Y-►,en_`-w-z W -;
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OPEN SPACE N/R s
' _ BUILDING SETBACKS:.
1�_.'-_-) 1
Y'1 239• 13TH AVENUE i FRONT 25'
• SIDE 5• PER STORY
C I REAR 15'
,,I_ 1� F- 4-.1 I BUILDING HEIGHT LESS THAN 35'
N,- -= c' v: 60* t+ UR-3.5 ZONE • w w 1 PROPOSED UNITS 200 MAXIMUM
W �� p / u) PROPOSED DENSITY 6 UNITS/ACRE (MAXIMii) Z
mL.---;-- -- ---ua ------- _ ��" .�� rn WATER CITY OF SPOKANE
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I I I I I I 1 1 I I I ; t�' • ..(:-C)
E •- a SCHOOL DISTRICT SPOKANE PUBLIC SCHOCL GISTRICT 81
1 ! 1 1 1 1 1 1 1 I I I I CG'S e et �n�i -, z Z
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UR-3.$2064E / 0 Z
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14TH AVENUE t $ Z w
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• 0"' I I i OWNERS 0
I IHI _ O
I y 6< I T- I SNULER FAMILY TRUST 0 0
1 3�-'-I I 1 X.
ROCKY TOP, LLC.
-J �: I tom, �Fj I / AND OTHERS CL
T-, c I r '. C 1(' 5613 E/ O 4TH AVENUEMOS ,SUITE 202
I ! 1 A'Y J SPOKANE, WA 99212 -
I I b i ,il\1 (5• (509) 462-3027
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15TH AVENUE 1 m g �iJ
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GRAPHIC SCALE •i` AGENT_
.L y T I ,v-' I " UR-3.5 ZONE T U AUG ENGINEERING DATE /O1
., - 11 So -0 1
44 'm —1 ¢ , S ORH
' ' I _ L22 E 02 20
N M NRO
JAN
(IN FE104 �,- ( 09) 242-1000
I inch'• 100 N. i - CHECKED JIC
1 I J i SCALE AS SHO WTI
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o r_-- 16T`� AVENUE 6'2' R f ro so- r--- 02-173
PROJECT
NUMBER
° BENCHMARK ji , 1 DRAWING NC.
UR-3.$2064E I 1 1 "� 1
1 OF 1
CALL BEFORE YOU DIG 456-8000 REZONE
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