1981, 07-06 Permit: 81A-6791 Exemption Cert. PERMIT NO.
• Spokane County
Planning Department
t,t.4. , ; .;;;,;. Short Plat
Exemption Certificate
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1 . WAS THIS PARCEL SEGREGATED BEFORE MARCH 13, 1978, OR WAS APPLICATION
TO SEGREGATE MADE BEFORE MARCH 13, 1978 ? YES NO
(exempt under section 3.365 of Short Plat Ordinance)
2. IS THIS PARCEL 10 ACRES IN SIZE OR LARGER ? YES NO
(exempt under section 3.3E of Short Plat Ordinance)
3. WILL THIS PARCEL BE USED FOR A PUBLIC UTILITY FACILITY ? YES NO
(exempt under section 3. 3B4 of Short Plat Ordinance)
--4. IS THIS SEGREGATION BEING ACCOMPLISHED TO EFFECT A MINOR BOUNDARY
' , OR PROPERTY LINE ADJUSTMENT, BUT NOT CREATING ANY NEW LOTS OR
CAUSING OTHER LOTS TO FALL BELOW MINIMUM ZONING STANDARDS FOR SIZE
SHAPE OR FRONTAGE, OR AFFECTING ROAD ACCESS TO ANY OTHER LOTS ? YES NO
(exempt under section 3.3H of Short Plat Ordinance)
5. IS THIS PARCEL ZONED RESIDENTIAL OFFICE, LOCAL BUSINESS, COMMERCIAL,
FREEWAY COMMERCIAL, INDUSTRIAL OR MANUFACTURING ? YES NO
(exempt under section 3.3B4 of Short Plat Ordinance)
APPROVED BY• DATE: 7/ ' / °(
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I hereby certify th• answers I have offered in connection with obtaining
this exemption are true
APPLICANT'S SIGNATURE: cc — DATE: 7/
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4RI.I .v.., (ENINE buil Olpt. N 721 JEFFERSON STREET SPOKANE WASHINGTON 99260 PHONE 456.22CS
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