Sullivan S 810 Lutheran Church of the Good Shepherd - Addition
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' (THIS IS NOTA PERMIT) \ ~
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BUtLDiNG PERMIT APPl.ICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNOERSTAND
COMPLETE IN INK
(Please return this orlginal and your building pians to the Depariment of Building and Satety)
SHADED AREA$ ARE FOR DEPARTMENTAI USE ~
pIojeaf ~lure►pera ,-,+..w ~ ~~,x,,-,~~f'~"~»
Re► a eme LAST FIiiST 4r MI
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AQplicanl Addreos
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DEPARTMENTAL REYIEW
Cflnd.
AQpr°v~ Approval Hold
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811 Occ- %A &A C - '
~her (SEPAiCrHlcal Materialiete.)
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Ioer~fl~ a ~catar~~► ~iafpr~nation contain bY me or rrly aQnt§pxa?"Mrf
oompile 1 applh.~tio~i Is true and correct ~
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Contact Pereon h 1 nP ~ip~ Buainesa Namelt4)7I •
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Phone Phone
Coun[y Contact F'nrson C•A2S/ /~'i~S&IiE/ Phone IVo. 456-3600 Date S~
COMMERCIAL BUILDING PERMIT REVIEW
This building perrlt review is intended to appraise you of the improvements (roadway, side-
walk, curb, e[or,auater, etc.) which must be constcucted in association with your buildinp,
permit. This checklis[ will be filled out by the Engineer's staFf and a copy will be re--
turned to you ac che time tha[ the permit is ini tieled by [he Engineering Depac[ment. All
requiremente ehal? be completed prior to issuence of the buildlng petmit. All unchecked
boxes requice oddi tional reaearch or information to make a determination.
1. Stormwater 1'raina e Considerationa
A. Per gulileRneor 'Stocmwater Manegement 1981" both on and off eite.
l. 208 Considerations* ~ Yes Li No
2. Fload hazard zone considerations** ~ Yes ~ No
3. Storm I}rainage Plan ~ Yes a No
II. Planning Actinn Q ?
I
1. Plat, short plat, rezone, Conditional Use or Variance ~ Yes a No
on pcoperty. Planning Number
2. Are requiremente of plaaning action incorporated ~ Yes q No
i nto ai te plan
III. !Ight of Way ~
1. Does permit necessitate R.O.W. dedication Yes No
2. Did zone change require R.O.W. dedicetion ? . Yes No
.
3. Radiue at corner y Yes No
IV. County Road Improvemente
1. Roads need to be improved. How wide Yes No
2. Curb Yes WINO
3. CRP/P.ID agreement (Copy of deed, contrac[, or p Yes ~ No
ti tle cepoTt requi red. )
4. Plans for improvements provided Yes ~ No
5. Sidewalk Yes Nv
V. Parking Plan b Approach I.ocation
1. Review and sign o.Ef by Traf f i c ~ Yea ~ No
2. Approech Permit from Engineer'e Office ~ Yes Li No ~
3. S[ate or City eign off Li Yes 0 No
4. Is [his road on b Year Plan a Yes Li No
VI. ULID Agreement: ? CVvQ►k, 00JVX4SC7 rd ~ Yes ~ No
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VII. Field Review: Preliminary Comments
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* All laiid wi[hiii the Aquifer Sensi tive Area, whece deemed feasible by the County Ersgi-
neer, ehall in,:orporate stormwa[er treatment to mi[igate the poten[ial for groundaater
degradation. !See Guidelinee for Stortnwater Management 19819 Spokane Board of County
Commieaioner'a Resolution No. 80-1592, ae amended.)
The purpoae of flood hazard zone review is to minimize lossea due to flooding in spe-
clfic areas de;ignated by Flood Hazard Houaclary maps on file at the County Engineer's
Of f ice. ( Scae ;potcane Board of County Commissione r's Resolution No. 81-0726, as
emended. )
S/22/85
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