Sprague E 17017 Off-Premise Sign
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BUILDiNG PERMIT APPLICATION WORKSHEET
PLEASE PRiNT AND COMPLETE ONLY THOSE PARTS OF THE FOAM YOU tJNDERSTAND
(Please return thle orlplnal end your building plans to the Oepartment of Buildirog and 5-4tNty)
1 OMrne► e N8T0 ~ p89t) lfirell {m) Oepattm~t l1&0 Only
~ 8 pk'& ~7' !~l C ~ e ~ Comm
2 Pro)ed Aderm (ro Maiiorog rem) v Name SP~ Zip
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3 CrtylGloironuMty Sne suodiviswn,alat Name
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g p"l 0 No o18ulWinpa Sq JA~e Depth FrontBge
7 88t Badt-iroM (LjS-1 (R*+2 Reer Oansua Treot Mvdule Na Inlltala
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~ 18 ArdtiteC! Ftnn NMIr 8lfeet Addres8
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CmW parmn ' Phone if dNferent Ihan absye
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Oamraefor Flnn Nsme ~ S~t~ t Add►eea .
,401
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Phone
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or, to I VmmNp .5 Re It dilrerent than aLave
8 OYrtw/Apent (11 dlf r t thanW ebave) ~ Bueiness Addreas~
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12 Farfew R qulred 77,01n, (YIN) Other (V/N) SEPA Exenpt (YIN) ~ Dat '
t5 TYpeVork , 9ldp Zi MH Ll I~Few 11 HBpleCe T Other
Flre y Oemo AddlAltea nMove 14 OeSCrfbe W'atk
10 AppIEcant Mame Street Addresa
~I Zip Clty State Phone
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LwWef Sireei Addtess
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ContW person Phone il d(fferent than above
Additional Infomnat[un
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DEPARTMENT APPRO\/ALS
~ This is not a Permit
AppltcaNon Type
(Slsndard unlesa (Indicated epprovals requlred fn either nreleasg" or •release wlth condltlons"
olherwlse Indlcated) 8pace pr(or to permit iseuence
Q, Faat Track
Eariy Stert Relesee
- Release w/aond 1 Hold 2
0- Envlronmental Neelth ❑ Commercial, G Residentiel
W 1101 Collsge CQ New Conatruction, Cl Btdg alterationladCitlon
~ Room 200 CI Additiona) structure,
APPLICATION fi
CondltlOne/Comments
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~ Ptanning/Zoning, 0 Commerclat, O Cert ot Exemptlon. 0 Frontage,
N 721 Jetterson D SstOacks. 0 lot wld; O lot elze, O use/zone
0 CU, va►ience, zane change, ahoreline, 0 fen+oe,
~
O Other -
,
Condlttons'/Comments ~ - _
Q50t- Englneere. C7 Commerciel, O Reaidentlal„ O Flood Plain, ~
N 811 Jefferson O dratnage O new axcesa/app►aacA, 0 fence,
O road lmprovemente v
~ Conditlons,lCommenle
0 uuuuea.
N 811 JeNerson
Candltions / Comrttiente
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❑ Ptan Exam I I 1
Ffre Prev <
Condttlon9lComment9
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Project Representative
~ - TelepAone
Agencles Performtng-Special Inspeclion
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1 IRdkate abovo or attenc condltione releflve to flnel as built epprovel
2 Indkate above or etfech reasona for hold
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1✓ - ~ +i JU` 23 1984
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SEC E 0!i
~ PAGOiRf''ORATIED _ a-7 ~0
E QRME"r~0' ~NC 14 30136 • ~a/4
5 ~
-30-79 ~ F uTH, GE~6tG
o~ F aSAN~ Mi~L R4At'y 0 pUL
#
~i 8103Z702:38
V6I 543 ' - 944
I~T~#'ICE Tt~ Z'1~ ~'~b.IC ~ l~~'
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The awner, his hairs or auccesears sha.ll jain and participate in any
getitivn or resalution wh.ivh puxpoae is the rarmation af a ETtility
I.oocal Improvement District (iTLZD) pux$uant tfl RC'ri Chapter 36.949 as
araended. The owner, his heirs end suaceesors shall f'urther agree nat to
oppose or protest any legal aesessments far any Utility Local Improvaement
Distriot (MID) establisherd purrsuant t4 RCI+1 Chapter 36. q4, as aimended.
These staEemer~t~ involve the fvllowing desaribed propertys
A portion af Traot 20 of VER.A aa per plat thereaf, recarde,d fn Volume
'rD'l of Platts, Page 30, in Spakarte County, We,ehitagtou, aud mare pa.rtiou].arZy
desaribed e.s falloxst
the South 24$.5 feet of the West Z08.5 feet vf sa3d Trsot} EXCFJP1.' the West
14 feet tbereaf.
Dated x .
~C w
r
x
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A ~
STAT~ OF WA$KMTQN )
~ es
COUN!'Y DF SPOKANE
On thi; X-da,y of A. D. 1 hefore me pe~reo ly
appeAWD
~ ~ , ~
L..
knawn tQ me to be the irldividusl s deeeribed herein who exeauted the f ore-
going inatrvment and acknowledged the said inatrument to be the f'rea end
voluntary aat and deed for the usea and purposes herein mentior,sd.
~iven under my hand and seal this, iday of a19
y M ~ ~ I
4 ~ e
t` xd~
g - ~ ~ • N ~ Ptib3 i C
.
he State vf Ifas ingtor,,
Y~ RL~olre Tax F~a►noa~, n a.nd for t
~ 4e1r ~ , re ~ shi ton.
1• i
~ 5 ~~ot? 15 6
/
543 :Aj 842
Ifl-W~
810327023' J SULLIVAII FtD.
1201
NQTZCE T~ ~HI; PUBLTC
The euYdersign.ed awnars, theix hefrs, grsatees and assigms, hereby agree
to jain i,n and partioipate in a+Gounty Road Projeat (CFP), at $uoh titae
an aCounty Road Project is ganotioned by Spokane Caunty, whioh invalves
the follow3un,g described property:
A portion of Traot 20 of VERA as per plat thereof, recarded in Volume
T' Or' of Plate, Page 3py in Spaksne County, Washirgton, and being mare
particularly desoribed ae followsa
the South 20$.5 feet of the West 208.5 feet of eafd Traat, EXCEPT the WeBt
14 feet thereof.
It in further agreed tizat atewob time aa a Caunty Road Pro eot (m)
is santianed by Spol~xa County, the improv+~mex~.te re~,~xired ~ourb sidewalk
~ira3 '
nage control, and pave 10 feet to the existing gavemeaat) wi11 be st,
the so2e expense of the undersigne+3 owmmers, tbeir haire, gTeritees and
; assigns. Spckane Coumty will avt partioipst+e in the oost af theee
' inprovemente.
Datea x ~
. ~
'ft L L R'°r. To, awwAa _ } .
~ ~FItEUOR RECORDEaa xz
ey ~iEaULST ~]~Cvu~nt~r
I x
vt3orthouse 3s2 ?H' 81xtx
Yr - tib A M110R1
STATS OF WASHMTON ) SPOhA+4- ►%x4T c~~~314
CQIMTf OF 5P0KANE MINOR
Gn this -Lf-da,y a~ ~ , A.D. 19 , e o me pereoaalYy
appea.Ted .0K4Cr e4 . k'c$i-- I A/ gL
► lnown ta me to be thez~--- ALFAL.F who euecut+ed the foreg+qing inatru•-
ment and acknowledgad the said irYetrumeat to be the free and valuuatary aot
and deed af said for the uBea and pur'posea herein
mer)~ioned.
~M 1 r
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~A#eag Whereaf I have hereuato set d and aff i icial
and year first above written..
• ~ NED
tary Publio
4Pn and for the State af sbington
~o Sh1354 re$iding at Spokane. Wa ingtan
f
6
~ tGHT OF wAY OEEO ~ 81U327023b ~ y~i 5 ' .9
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I~T THE MATTER of the....... StTLl IVANI ROAD ' No . 1201,,. .M .
.a... a . ~NS~H . . -
KNO%)r AL.L MEN BY THESE PRESENTS, That. a&~~.~a...~:...,~ai~~3A~. &~eun.io~..~•...~u.the2 r
.4pn.-t-Q.. C. Redl in & Jo, enn L. „xedl in of the County of SpokanP.
and.. I(
en the Statt of Washingtan, in consideraUOn of the benefits and other valuable considerations, and the sum
of...~?~t .~..3~R~.lS~Q .....Dollars, paid... tblAM....:.by the County oi Spolcane.
ttie receipt whereof ia heceby aclnowledged, have graated, bargained, sold and conveyed, and by the9e
presents do grant, bacgain, sell and convey unto said Spokane County, the follo«•ing described paccel,of land,
situated ia Spokane County, in the State oi Washington, tawit:
That portion of Traot 20 of VERA ae per plat thereof as recorded in Voluma "Q" of
Plate, page 30, ia Spokane County, Washiagton, and beirg more partioulvxly- ~
deeoribed ae follaws: " ~ •
The Eaet 25 feet oP the west 35 feet, of the South 2080 5 feet of thw V.i~st 2089,5
feet of ssaid Traot.
10 fL L Eoft tlmt SomW
on% 9-0 7 3,94F/
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~ .of Sectian...A......, Township» ....?.I...North, Range....AL....., E.W.X
TO HAVE AND TO HOLD the saene, unto the saud Spokane County for tbe purposes of a pubtic road
Eorever.
In witaess whereof....... A6&..have hereunto set......._ ..AU41.~t»...hand.C and seal.s. this......
day of..... . ~ 19 ~..G . ~ .
.
, . a... Seat)
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(NOTE: if mstrled. must be efgned bt both bus0aad aod artte.) 51358
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