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Trent E 11511 Add-on to Retail Store (THIS IS NOT A PERMIT) ~ ' 6UILDING PERMIT APPLICATION WORKSHEET PLEASE PFiINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND . COMPLETE IN INK (Please return thie original and your Duitding plans to the Department of Bullding and Salety) IL SHAOED AREAS ARE FOR DEPARTMENTAL USE pMIM Number 7 Ownvr 8 Neme IL LAST F I RST M I E:7Ro)ect Add►ese (5treet Name 8 Numtrer) ~ Zip a7 ' I I u nvpircani Adaress 13 E~ CitY state Zio Ptiang 8u9iness Pho~ 4 1 ) Wniractorf Aeent ~ Addrasy ' 50 T ~ Ctfy State Zip phone 72-LI - 1-7eW ~ntam Lloenae Number (Requlred) BUSlness Phone AtahitectlEnQ(neer qi}dres9 T ~'~~-"'+f ■ 1-. S E7, C1fy State Zip P+one -5`~,,,, tJ.. L0 P- 0 oontecr eusr►iess vhorte / FLUI&D L ~ ~ ) LerFdet Addresa ' ~ alY Stata ' ZJp P1ione I J ~~r w1~w l ~w~ s I COWM 3n PM ftovwliisr _ ~ la 09 44191 Jpq 30 .'wr ~ erock lPas Hunow camp Plan CeMaTlroos PrAMOMFft NWrtbero ZorZOMM1% ~ K~0f ftelling, Mft LT uwmwY/~ F~ t ~ d ' l I S " o ~ •1~w seam* ~ • A/W WldtA ~QdM~ond hNbma~toei ■ ` I ~f ( 4 Y F . ~ - y ' _ ~ 0 ~ ♦ ~.f ~ 1 c - ' Qc r u~ ~ C w ~ S ~ 7 } ♦ ~ L r • 0 IL ~ . .r ■ i ~ z ~ ' _ ~ ~ ~ ~ ~ • t a~ m NRftw 0l90mOfYla Bodtnp Toahnfb+ ' uece ` . • erwD Type , .,.~v ~ (Y\ ? "4""$ & . . p , Z . . . . . . .1v d r~ s I r DEPARTMENTAL REVIEW , Approved ApproYeHoid ~ Envtronmenta! Health ADPltcatlon f , - W.1101 College Room 200 ' Pianning/Zoning ~ N 721 Jefferson ~ ~ ~ 'tyl t~ Eneineere •y~ Y51 N 811 Jefferson ' 17- , if 41,91l r ~ UUIIUes N. 811 Jeiferson L -AX , ~ Plan Rsview/Ftre PreheMton ~ N. 8t1 Jefferson OUter (SEPA/CrItkal Meterhdleba.) ❑ 7 1 ~ Feat Tnck/Speetallnspeatton Inbrmetlon Prolect Repr+esentative ~ Phone _ s Add►ess ~ I certify that I have examined thle appllcatton and atate lhat the InbrmaNon oontatned, In It and submttted by me Cm, ent to co Ile safd plicatlon !s true and cotrect. A Signat Dat8 . , . , . . . . ~ Contact Pecson Name Business Name Addcese t Acidress Phone ~a(n - 3 Phone County Contact Pecaon ~ E o~ Fhnne No. 456- ' 3600 Da te - - COtIlHERCtAL BUILDING PE&4tT REVIBW This building permit review is intended to appraise you oE tlte improvements (roadway, side- walk, curb, s[ocmwa[eco etc.) whlch must be constructed in associatioa with your building permit. Thie checklist will be filled out by the Engineer'R staEf and a copy will be re- turned [o you at the time that the pecmit is initialed by [he Engineering Department. A11 requirements shall be completed prior to issuaiice of [he building permit. All unchecked boxea require addi[ional reseacch or information [o make a detercninatioa. 1. Stormwater Oraina e Considerations A. Per gueMneor "Stormwater Management 1981" both on and of f si[e. 1. 208 Coasiderations* W Yes q No 2. Flood hazard zone considerations** Li Yes ~ No 3. Storm Dceinage Plan 81 Yes p No II. Planning Action 4I AG~~ 1 Pla~ short plat, cezone. Condi ional Use or Variance n Yes No ~ oa propecty. Planning Number ~ 3 2. Are requiremente of planning action incorparated a Yes /No into site plan III. Right of Way 1. Does permi[ necessitate R.O.W. dedicatton ti Yes No LV/ 2. Did zone chaage require R.O.W. dedicatioa Li Yes 3. Radius at corner ~ Yes rNo IV. County Road ImQrovemen[s 1. Roads need to be improved. Now wide a Yes V 2. Curb ~ Yes 3. CRP/R10 agreement (Copy of deed, conCract, or ~ Yes rN ti tle repo rt requ t red 4. Plaas for improvemen[s provided a Yes 5. Sideaalk p Yes 6,/Nio V. Parking Plan b Approach Location 1. Review and sign off by Traffic ~ Yes No 2. ApProech Permi t f rom Engi nee c's Of f i ce Li Yes o 3. State or Ci ty sign of f Li Yes /Ko 4. Is this road o0 6 Year P1aa Li Yes ~ No YI. ULID Agreement: Yes ~ No 19 VII. Field Review: Prelitninary Comments ~ All land within the Aquifer Sensi[ive Area, whece deemed feasible by the County Engi- neer, shell incorporate stormwatec treatment to mItigate the po[en[ial foc groundwatec degradation. (See Cuidelines for Stormwater Matiagement 19819 Spokane Board of County Commissioner's Resolution No. 80-1592, as amended.) The purpose of flood hazard zane ceview is to minimiTe tosses d ue to floodlng in spe- ciEic ereas designated by Flood Naaard Bounclary maps oa f ile at the Cotinty Engineer's Of fice. (See Spokane Board of County Commissione r's Resolutlon No. 81-0726. as amended.) 8/22/85 ' • ~ 1 a. * . m r,~~ ~i133 ~ 8103040238 Q V o nq~~c. ; 0ctz9 ~ 4 S No. 5 8 L~ Xe~~ NOTI(:E TO THE PUBLIGv'~'°~F. ~ Pnc~ 1384 KNOW ALL MEN 8Y THESE PRESENTS, That eert E. Perkine and Janet Per VOL. kina . (H&W) being the owners of the following described lands in consideration of mutual benefits to be hereafter derived do for themselves, their heirs, qrantees and assiqns, hereby agree: To authorize the County to place their name(s) on a oetition for the fornation of a ULID by petition method pursuant to RCW 36.94 which the petition includes the Owners property and further not to object by the signinq of a protest petition against the formation af a ULID by resolution method pursuant to RCW Chapter 36.94, which includes the Owner(s) property. PROVIDED, this condition shal l not prohi bi t the Owner(s ) or Successor(s ) from objection to any assess- ment(s) on the property as a result of improvernents called for in conJunction with the formation of a ULID by either petition or resolution method under RCW Chapter 36.94. This statement involves the following described property: 04545 - 0929 - 0930 04544 - 0927 - 0928 Lots 16 and 17, Bloak 6, GRMVIEW ACRES, as per plat recorded in Vol ume "K" of Plsts, Page 13, in Spokane County, Washington. In Seo 4, Twp 25 Tdorth, Range 44 E. W. M. 11LEMOR'R'~..11 " REa ~`~T ~~P Caunty .F.ngineer MAR 4 4 wILuAA DITOa DONAIiUE ~ - - - ISPOKAN DEPUTYyl- wAgH. ` I~~ ~C)Uio4a Req Court House xxx These requirements are and shall run with the land and shall be binding unon the Owner(s), their heirs, successors or assigns. Dated thi s_ZQ1h day of 19 ~6 . ~ . rt E. Per s anet Perkins v STATE OF WASHINGTON ) ss COUNTY OF SPOKANE ) On thi s20m day of f 19 #9(o , before m y personally appeared Bert . Perxins and Janet Perkins personally known to me to be the individual(s) described herein who executed the foregoing instrument and acknowledged the said instrument to be the free and volun- tary act and deed of said individual(s), for the uses and purposes herein mentioned. IiJ WITiVESS WHEREOF, I have set my hand and affixed my oEf~i,~l. sqal this day and year first above wri tten. Q~,~~a'•.`~~ • ';'o a ~ ~ ~ • h and7or the State of ~`•~es i d i ng i n Spokane, + I • • R/W 1/1/85 ~