SP-768-92
BLDG. PERMIT # -or -FILE# 92 SP-M
Related File # ( )
Date to Review ~0'_63Or9~ ~ ~rime #
Date to AA & DR Time
Date Received 06-17-92
Praject Name RESIDENCE No. Lots 2 No.Acres 1.1
-Section - Township - Range
SITE ADDRESS 11822 E 6TH! E OF UNION PARCEL # 21541-2101
Applicant's Name DOROTHY HARDING Phone # 924-3119
Address C/O ADA LINCICUM 11822 E 6TH-99216 Work #
Date Conditions mailed
Contact person Phone #
FLOOD ZONE Yes No ✓
Engineer / Surveyor's / Architect's Name CHARLES SIMPSON
Water 4 Address 909 N ARGONNE
Sewer 5 99212 926-1322
School 'ASF,
Planning Contact Person JOHN HA.RRINGTON Phone # 456-2205
Date Submitted Description Initials
AGREEMENT TO PAY FEES COMPLETED
FINAL PLAT FEES COMPLETED
NOTICE TO PUBLIC # 1 3 4 6 COMPLETED - OR NOT NEEDED
NOTICE TO PUBLIC NEEDS TO BE SIGNED
iN\p\tUeview.for .
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PLANNING DEPARTMENT
BROADWAY CENTRE BUILOING N. 721 JEFFERSON STREET
~ PHONE 456-2205
t r~;,~~~•y SPOKAtdE, wASHINGTON 99260
. rt~ :jr,t•r. '%:•.1?s~~.':,htuc,,i+, -
• • . :~i~ . •
SPOKANE GOUNTY COURT NOUSC
MEMOIZANDUM
TO: Division of Engineering and Roads
Division of Utilities
~ Division of Buildings
Spokane Counry Health District
Spokane County Fire District #1 • ~
Modern Elecrric Water Disrrict
FROM: 9wjjohn W. Harrington, Jr., Planner II
DATE: June 29, 1992
SUBJECT: Preliminary Short Plat SP-768-92
The applicant has produced evidence to show that the proposed lots can be created with a
Certif'icate of Exemption (see CE-395-92 A&B). No further processing of this short plat
will be done and will be considered a"DEAD" short plat.
If you have any questions, give me a call at 456-2205.
sam
c: Dorothy Harding, 304 North Union Road, Spokane, WA 99206
Ada Lincicum, 11822 East 6th Avenue, Spokane, WA 99216 ~
(~FFILCE CJF 7'HE CC]UhfTY EhlG INEEF2
SlaOI{:ANE CC7UNi V 9 WASI-IINGTO6r!
Jo_t c-Y e v 09 :1`392
1'Oo Sq)-w1b::ane Coi_inty P1.anninq T)ep~~tment (Gurrent F':I.arining
Ac3ma.nistr~atiDr'.)
FRC]Mo Sp,wla::ai°~~ L"ciunty Enqineers Depztr-tment Po".
S U L'-~ J a S b r: ~ s r~ C n d~. t~. t ~ r~ s9 i~~ ~ r~ F9 ~ r~ ~I n c
S ~ ~ i E°, ~
I~lufli be1`'
Y em Subditt gs.1 c-!°'15
0 E'1 e fo.~ lowinCI i i Cc-I"1 J ticin5 o~ ApproN crl l" fi IY tFI e abol/ L- 2'' efeY' r=n4. C' G~
subdiu a. sion ar~ ~suk? m i ttedtcj °t he S p t°4:: a ne Coi_l IW6 t)f Pz ao r nin~
DepaY t-MeP'1 i. 'fo =-1" ]l. P'1 C lua .R. c+ Il i6°1 the "F1. i"1 dZ. f 1 gs crt t't Ci Oi`' de1`' " sJ-E ouli=s 'G he
..~3 ho_e Y ,s p- s..~ t be ap`a p5'' Q_-V edu
E I T' F~ ~ ~ -Dndi t ion a1 ap ~ ~ -_-o v t..~ 1 of the plG°a t is gi~ ~ n by 1--6~~ e CoUn t-y
F-T? g1. f"1 eeY suE3 ,a eCt t-W, d~_..~ d1. C at7, i_i n of p' i. g{'o t-- mMif r iR! c~ y -afl f:1 app;r i'i va"_.
1:e ~'1 e 1'' ci ~ i ~ ~ fYl ~ ~'i .1. (1 t~ C: µ°t C~ :A. C'1 L C ~)1'' i. JL lY17~. Pl c~31`' :t
r E? CY~ .
h'E7 CS No cj6'i c:i tP' uf:: t:!!. ciPl bJ -DY' I•-: ro. s G -A+ be pE' r' fr-IrtY1 E' d Witi°9 iIl 'bi"I fc eXi5 till'i q
or pu oR ; s ed Pub1 a c R igF! t° of-EaJ ;.=xy un ta l a. per rnit I-o as bee n
issc_a ed by the C< ouri ty Engin eera A"L1 w ork: is si_i b, j ect to
a.nspecti-Dn and approva1 by the C:oi_tnty Ei1p.znPern
E I a: 1" 6°0 e appla. c ari t sh
C-Ul. d ka e Eidv a. ~ ed 'Chait i. n div dual dr :b. vew ay
aC ceS s pE? Y f Y) if: s aY G? YP C-a CIt t irG? d pY .A. o1"' L cl iS sua!"1 C e c-f a ba ! .t. di E°tQ:1
pe~° m.~.~~ f~! r r.lr~. ve~~a y a~~ r~s cf-~c r~s ~ C: ~w-►_ir~i: y r ~wlad ~sy St2~n
E13 Ded ic atiori of a _ fee~: ~ f t~ r.~ t ~^o i~ 1 i~ c~ I-it - ~ ~ •f- !~1 j~ a1 ~ ~ n c~ Sa! a.
Av etl~_t So .
E~ ~ ExiC~ ting Coun t }r r oad:~ s pr ov iding direc t ac c ess to ti , e plat
shaT ? k~ e paved and/ or curbed tt:-! S{~ ~~lk<~ ~ ~ ~~iunty s-tan ~ ~ ~ ~ .
E 19 T!"i C-? w-°+ i`' (J i i ~ pp~ ~ ~ ~ nt" shall 1. nC lude i rt e cntrd n[.' 1`' ciY" i e wtl et'" ~ f
the pti° opP i'' tyy 0`s ]L s 1"! 4? .ll. Ysy asfa gnSa!`1 d si_4 cce9soY" S p
T-M- ccnr~~~~ruct ti~~~ ~~~~ad improvemen~~~ st~~ed Vierein9 thca
a03,a liCan f: May p W.a. tI-l -i: I-1e p p ~ -___-v a!. -r-f the C s_-~L1 nty Engin eery
, j uin in an d be a w i1. i r~ ~ pzir ti c ip an t i n an y pa etitic..In Or
pr; r,
~ ~
e~~s ol^..4 tioPl W i-B .a. C h p4_4 i'' -DsE' Jl. 5 'th~ foY mation of `ci R oc:.°iCa
Iffl pY c-y e(y1 e6it D.7L S ti`' 1. C t t. RID p fo1`' S aid ifYl prol1 F? tYl ei'1 ~ s pU'r" S! 4 ,-_A!"1 e;, ~
R C W 36.88$ ~ ~ amei-~ ded., ~ ~ sLtc h tim e as an IIIID i s c_ r e~;ited o --r
anY Rc_lad Improvement Pro.ject is sGancti.c.-ned by Spoa::ariQ
C ount y 9 t1-ie i. m prov e m e-nts tiP eqLtired (curb 9 si dewa1 a: y drairiage
c -Dritr oY anc~ ~ aivin r~ ~ existi n c~ pav em ent) wi1 1 be C-it the sc:l1 e
ex(J @ f"1 se !:,f the i..t i`i dE' i`' s1. gi'1 E? d :-wi 1 eY g ti 1 G? i1' he-ii` sq Q 1r c-.l i'1 tQees r fl d
c"'15 sigi-1 su Thi~ pro:a v:A. sx. oI"1 i~ applicc1 bL e to ._''r .1. : : th AveI"1 ueti
E 2'1 As ~.a n alter n ata v e m et9-, od -Df c ons ~ rur ti n g the ir oad
i~ tipiP cf u p-rnen ~ stated 6-iei-e.d. Tifl trie C-a pplic: an t m ay 9 wi tt'i the
of t6-~~ Ccei_tnty Engineer9 acc-::-mplish the imprc-1veretients sf;~t-od i-oere:in by .~-7--ining ~.~nd p~-:irtxr_i~ating in a
C c-i_~ i-ity Fd ~ d Pr o. j er_ t C RP:) tr_l tfe ~ exten fc c-of -t 9-ie requireca r ~ -ad
4tYt pS'' +wivet4ift? nt. At Ss_t Ch t:d, ii ie c's sti ci n Ra!, D iri C 1`' ecZ teuoi' ri t'1 y Rc-ad
Impr-r_lvement Pro.j~ct i~ ~~~ct-ionec9 by Spokane ("ountyq
.imprc-vements req+_tired t: curb9 siid~walk9 drainzige com n i, rol ad-id
p~..avib-ir~ e.,:x~ting pavement:j will bL ti'lc scn1.e e:j.pei~~~ ~~if
-ti-~ e Ltn c3 e i-sign ~ d ownerq their he irsy gr~7 ri tees ~-xrid assa. cirisp
Ti-oa~~ ~rcovisi.tr,n is app1ic~a#ale S.`..xth Ayenuee _
E:::'::_° Thau tI-~ ~ ~ enl. 1 -Dw a. n c~ ~ tatem en a. sfic-i1 l appecf r withi. n tE-~ e
d c--, d i c ~ ~ r y ? a n g i_i e f t 6-r e.a f _J i--i a 1 e_,1 a, o
he c-)wneZ`' (a ) ot' sui C ea..~'arA-i`' t. r' ? in ii-0 te1'' est c1 C.j i'' ' 'r !~e c?l ~_t "I ~~I➢" Ze
StJ1:.1,-.: af"1 C~~ e_l i7 t~f e:`) ~l t= G `~;il~:' :d. i" I"1 "l 6Y1 e~. ~i i I"1 ~l ~ p~ tik': .g. on i oF'' tEl e
=:--if a R ad .C fil pi`' ~~-vL? dYi ei"ot Diii tY 1. C. 4 (RID) by the
f~ etition m ethod pur<.:, uan f: f; C; h ~ ~ ~ ~ ~ 36o 88 RCW9 w hich
E, 'i; f 1 G li_! Ca' C? s i:, pl -:_--w1'1 eY' (s) pi'' opet`' t`yf y c"t I°i d fUi'' tl"'I eY I°i ,::it to
b ~ c L. q by c s~.~~ n ~ n ~ ; a h~~l1 ~a: 9 u-~e fcnrr~i~.~ti
j a RID
by the ~~so1 uti.on m~thoci pi_brsi_lal-lt t-::- C:hapter 360 88 RCW9
w hich r~.1 so1ution in c 10_tc~ ~s the cnwI`9 eY' t. sb prope r t y o Xf a Rl: L3
ia forIYl 2t~~ ~ ~ eitht? i'' the pL? 'G .3. tico ('t ca i`' 1`' 2r:> 011..t `G $ --_1f l f il u `°i odq as
Provi. de r3 iorin C hap u ei- 36.88 RCV3 q~~~ e owner(s) oDr~
SUC C-Q- 5~.~'-s o1" (S) fi_l YtheY agYe[?.- (1) thr:1 t t; hE' 1. mpY'' ot! ef Yt ei"1 r. s~_
construrta.,::-n cont em p 1a•l; ed wa. thi. nthe proposed FRID is
f easi b ep (2) Th~~ ~ the benefi ~ ~ ~ ~ ~ be- ci er ive ci fr ~~.m th~~ ~
~ e_--rm~..~ t:a. on oi' tt-~ ~ R I D ~ y th e pr ~ ~ rty in c 1 i_td ed ther ei nn
'l: gt theY' WA t 11 t i I e a(!1 c-ji„i {"j T: e~if •=-1 I"1 y C, oe..t Pl ~"1 y pc-i]'' tiC 1. pe~ tiolul 9
exceeds the Ccist anc~ e,.:Pense -T-f forr~~tir-on of tt•ie RIDp and
3 rG hc``t G t 6°0 e p rop~ rty w:d. t 6 e :i. n the prc-j~~ c~ ~ ed R1 D is
si_1 ffa r_ a. eoit1 y d e ve3. opedo Provided, fi_c r-t I-ie•r- , t I-~ e owner(s) ---Ia°
shall r etzAin the rightq as ai..~ thorx zP cJ 1_ti-ider R('.:lal
.i 6o 88a ( )'30g `C o object tc- aPl ~ assC°? ssfTl C.~ I I 'l, (s) i i I"i the p}`' cnpe1'' f:, y a;Ei
a- rE' sul ~ f the 1. fPl pi'" -z-4/ emei'D tE.> C: alled fci1`' 3. 1"1 C: oP1juf'1 C tl -::-I'ti W i'ti"1
ti°e e for mati. on of a RID by c i. ther pe tition r c-i-so1 ut? on
r~ ethc-ia un c~ ~ ~ Chapter 36o 9e RC W9 and i; r-1 c-t pp ea1 to ti-12
S►_l ~.7 e1' i! _i i'' C!„ i u1'' & the deC isic-Pl ~ the B-D2{ Y' d c-f C ~~-ut'1 4 ~
CCs fY) (1'1:A. sS ioPl C.' Y'' s aff.1. i'' tTl iPl i~ the fifl ci l asseS smef ➢ t ollo
:t t is fl..t rti-~ ~ r caq reed -i: i~~ at a sut_ h tii-n e as i-i RT D lis
cY''eat@d c-oY aYly RclaCa :[mprcivement Prc-jeCw G is sctf:C i 1.e:,i'ted by
Sp---,i•::anE-- Ccluntyq t6-12 imph-j_iuements reqi_tirec3 (curbs sidew~.~l@•::v
dY' a1. Pl age C of l ti`' ol af l d pa'J if 1 g) w$. ~ ~ be ct 'u 't! t ~ scF lE' e~` : pP I-1 ~ e c~ f
the E_tndersiqneci c-Ownerfl their heirs9 grantees and assiqi-i<.s
w ith-.--ut F.y,-:krticxpai: xon bySp-_-a:: ana C-Dun t y o
The RI D w ax ~ er r_ c-Int: ai. ned a. n this acireem ent sha]. expir e
afG eY teP'1 (10) .yeaY s fY clI i`1 the dr.'l tC-? ~ f ei: at= i_t t .l. c-If°1 ~ 21~~ 1Wa
HotrJ eV eY' y tl-1 e ot;.J I"1 E Y' (s) cii'' si..i t= e_r-~ 5 r_1Y (S ) agY eP_ il: hat .l. 'f sa.I. d RID
4ai a2 V eY fc.' xpi1'' es w7i. th-Dut cr-Ifl stY'" uC tic-i"i f the Y f? ql..1iY' 2d
imp1`' overYl eI Ita q t("i e c-W I'i e1'' (S) coY' s1_i ~~~ssoi`' (s) aQ 1`' t:? e t~:,.l
cc-instruc:t thie requ.a.recl improvements ~.~t their -Dwn expensey
pay tc- S p okane C co unty the t i i en estimated r_ c~ st -Di the
Y' eqLl i1'' ed .1. (Tl pY' ciV ef Yl eC'1 tS `i, rj E' Tl at] le the t"i li_! f'1 t)! to C of Yl p1 e4. e thE'
Ca afYl eg oY' fuY' i"1 iS ri a b.;-fl -::-Y' ~~otheY" set4 i_I 1'' C-? methoC~ sug. w c.-i blE' tco
i. he Cc-iun~y (whir. h mayinG: lucl 2 -t h€~3 execo..i t:x. or i r-If ancit her RI D
bI r~t .1. v@ 1' c? Q Y C? efTl C t"1 t)y pi`' oGl idi!'1 Q~l--l1'' :--o i'' seCi_t Yit7 g to tl-! e Cclufl t'3f
the aC tua1 C c-i~is~ -rul:: ti~~-n -Df ti ! e ..T;.. fYl ~'J y' r-1V eiYl eP't tso
A1 .l c-f t he r eql_tiv° em en ~ ~ f this aq r• eem en t- sha1 l r- i_tn
w.g. th 7"c he :L anci aricI sI-ia 3. 3be b.i. nci ir-t g a_~ p..-Dra t he cfkJ P`I ir ta y 'L E"i e.Z. 1"
sucC e5 5 .:-)r t. 5 .3 c)Y as5 iQ n(. s. o T his PY' uN .iL S icii' I is c:1 ppl7.. C s=1 b1 e t-:.--
Si'E: l"i AN e-i"I u~ .
17-92' 4 i he Coi_! n ty Eri gi. r i eer f-tas d es .a. gr7atec1 T y pie a1 R o'acl way Sec tion
Kli_inber Two.. ._L -D c alAccess stanc0~.~rd fc-r the impr~~~ivement -----i
S.a. SF: th _ Ay en ue w hic h is ad . j a c en t t-D ti-iz pr- c-pclseci dev e1 t_ -p rilen ~ .
Th1.5~trd'JL ll~Y'iE.'ql_tilre the add.~~ic-In of appro::.im~--_Ite1y B-IC-) -T-to of
. ~.~sphal t a.lo_ong the -fr...ntaqe -::.f tfie cieveIopmen-G n The
c cor-i struc t :d. on o-~ curbin q is a1 s-°i reqi..E .I. Y E~ ~ ~
E 3 0 2 The propcised plat sl-it..~i i be im~~.---lved tcl the standards set
'fc-Y h i(l SP okcm1 I'1 E.' C~~lui-1 t,f B-Dc11`' d ! e-f G c-im m is s ion er• s ~ esolut.71. oCl
Nr~ ~ 80- 9. 5'329 as am en ded q wFe ic h L ~ tab1 ishp s r e gulation s f-Dr
1'' c-ci dsy ppY -_-:-aC hE' S 9 di'' a.1. ('t age 24 fl d ''FI eE.' "_=i :A. fl neW C c--fl st`° ui . ta. oi°1 0
E. i 33 T Il p C.-Jo..4 i1 ty En qin eer h~~ exam?_ Cl ed l E"i1. s ~evt? lciptpl ef°t t P Y~~ jp~~1sir.~l Z
t..=~ n ci has d eter m in ed that i: I-~ e im pac .-Df th.x. s Up -Dr) the:
G? ' : .A. st.A. I"1(~ CrJl.l Cl ty R-:_-a(J Systef 71 44J aY 1'' aCl t'a l, hP_ d~..' d.`. C cl t 1. c-iCl
C-~dc1itiona:t e'xciht ~r~~fi ~l~.~y and t;r~e r~~adway .~mpr~~~uements h~iE~~-e~.n
ec a. fbec~ o
E90 T~~~ app1icant sI°icluld be aclv'sed t~~at tF~~~~e may ex.ist
~_i#: a. l z t.~ e s.~ a~~ -t~-ie r n d c~ r~ cir- e~ c~ ~~ir~ -w~ v€~ r h~ e~~ d r f~ n c~ f!-~ ~
ap p Iir_ nts proP~rty9ii°ti c 1udii ig p r.--.pe r t y t!-p be c) ediCatec! e:_o r
se t- as.g. de fc-r future a c q i..t isi ta. c-na ~D o k a ri F-j C cl +_t n t y w i. l :t
cl ssi..t (y1 E' 4"'i cl i :d. t°1 t=(t ' I c.11. al ~~-bl.igc=l 't1 oI-1 ~ ---II' c=l i=I j u t_=i '"t'; PYl e f i t s Y r E' L C c-tt i c- n
reqardin g these uti 1if; i c s o The<-_ipp1icai~ ~shou]. d r_ he c a:: wi t I-E
•t he~.~ pp 1 i c .-Ata 1e uti1ita. e'and ap-wF k: ane C: ~~-Un•u yEnGirieer t----
CURRENT & PROJECTED TRAFFIC COUNTS 1
Station # 4066
SR-27 SR-27
FtD # 9027 NORTH RD # 9027 ~OUTH
SPRAGUE AVE SPFAGUE AVE
RD # 4538 EAST RD ~ 4535 WEST
46/27/83 - 23 f 3D7 06f 27 f 83 - 18,043
CURRENT - 33,149 CURRENT - 25, 6 62
+ 5 YRS - 40,331 + 5 Y1RS - 310221
+ 15 YRS - 59,701 + 15 YRS - 46,215
+ 20 YRS - 72, fi35 + 20 YRS - 56f22$
These caunts are seasanally adjusted by graup rnean factors.
Prajected counts are calculated at 4% per year.
Press <Return> to continue. PF16 to Exit,
CURRENT & PROJECTED TIRAFFIC COTJNTS 1
Statian # 4065
BOWDISH RD BOWDISH RD
RD # 0297 IdORTH RD # 0297 SOLITH
07/28/86 - 51886 07/28/86 - 9,131
CURRENT - 7,417 CURRENT - 111506
+ 5 YRS - 9,024 + 5 YRS 13,999
+ 15 ]CRS - 13,357 + 15 YRS - 20f?22
+ 20 YRS - 16,251 + 20 YRS - 25,212
SFRAGUE AVE SPRAGUE AVE
RD # 4538 EAST RD f 4538 WEST
07/28/$6 - 28,282 07/28/86 - 230848
CURRENT - 35 t 5 38 GLJRREN'I' - 301052
-F- 5 YRS - 43,360 + 5 YRS - 36,563
+ 15 YRS - 64,182 #15 YR5 - 54r 121
+ 20 YRS - 78,088 + 20 Y'RS - 65, 848
These counts are seasonally adjusted by grvup mean factors.
Prajected counts are calculated at 4% per year.
Press eRettern> ta cvntinue * PF1 6 ta Exit.
EASYDISP V1.01 - ROAD SEGMENT INFORMATION 1
Road Number: 6019 - 6TH AV
Start MP: 00.60 Function Class: Local Access
Ending MP: 01.00 Rural/Urban: Urban
Federal Route
Pavement Shoulders
Type: Low Type Bituminous Type: Surfaced
Width (Feet): 20 Left (Feet): 02
# of Lanes : 02 Right ( Feet 06
Medians General Information
Type: None Curbs: None
Width (Feet): Sidewalks: None
PF5 to List Road Intersectionso
PF15 to Enter new Segment.
PF16 To Enter new Road.
EASYDISP V1.01 - ROAD SEGMENT INFORMATION 1
Road Number: 5009 - UNION RD
Start MP: 00.00 Function Class: Local Access
Ending MP: 00.12 Rural/Urban: Urban
Federal Route
Pavement Shoulders
Type: Asphalt Type: None
Width (Feet) : 40 Left (Feet) : 00
# of Lanes: 04 Right (Feet): 00
Medians General Information
Type: None Curbs: None
Width (Feet): Sidewalks: None
PF5 to List Road Intersections.
PF15 to Enter new Segment.
PF16 To Enter new Road.
- • • r•i ;'=i: r: ~
. f • _ ,•j 3 VN r ' ~ I
S Ai
. - ` . ~ , • ~ s V' . I ~
i+'~~~~~~~'~
'-~-A PLANNING DEPARTMENT
~ t I t
BROAOWAY CENTRE BUILDING N. 721 JEFFERSON STREET
I
_ PHONE 456-2205
• .;ii;~G%>-. _ -r:..t,.~•w=yc_+•:>4.. »~-;~'.i:7!!-".`!r•r.. SPOKANE. WASHINGT
• . ON 99260
SPOKANE COUNTY COURT HOUSE
, - - . . , r • r_. a
RECENi~''~~~ .
MEMORANDUM JUN 16 1992 :
:
smx4ft com"h :;GcIIWX
TO: Division of Engineering a.nd Roads
Division of Utilities .
Division of Bwi.ldings
Spokane Counry Health District
Spokane County Fire District #1
Modern Electric Water District
FROM: kohn W. Harrington, Jr., Planner II
DATE: June 16, 1992
SUBJECT: Preliminary Short Plat SP-768-92
Attached is a copy of the application and proposed preliminary Short Plat map submitted by
Ada Lincicum for the subdivision of 45,600 square feet into 21ots for one existing single
family residence and one new single fa.mily residence.
Please review this proposal and zeturn your comments and recommendations by June 30,
1992. If you have any questions regarding this file, you may contact me at 456-2205.
Piease direct any written response to John Harrington.
T'hank you for your prompt attention.
sam
Enclosures
c: Dorothy Harding, 304 North Union Road, Spokane, WA 99206
Ada Lincicum, 11822 East 6th Avenue, Spokane, WA 99216
i. . -
- ,
~ • ~e:.~~~ ' `LYi~~1~ I I
• l~l:a~
PLANNING DEPARTMENT
a.o,..c cou•r. cou.. oui.
PRELIIVIINARY SHORT PLAT APPLICATION
PART I
A. GENERAL INFOR UATIQ~,~, NAME OF A.PPLICANT/REPRESENTATIVE: O oRc>-TN`'f 4ARDit4G_
MAILING ADDRESS: A L7A t-1, L. ! N C l C U M CITY: -5 L>o K-H U c STATE: ZIP: l to
PHONE: `fz.4-3W9 (work) (home)
IF APPLICANT IS NOT OWNER, INCLUDE VYRITTEN OWNER AUTHORIZATION
FOI2 APPLICANT TO SERVE AS REPRESENTATIVE.
LEGAL OWNER'S NAME: A.v,/A t-t KG l GUM PHONE: 9 z.4- - 3 l
IviAILING ADDRESS: E t l 8 z2-. dx.-~k A.V c.. 5.pol~►-~.c ~la,
PROJECT/PROPOS AL S ITE AREA (acres or sq. ft) 4 5, oo- sc~, FT,
ADJACENT AREA QWNED OR CONTROLLED (acres or sq. ft.)
ASSESSOR PARCEL #S OF PROJECTJPROPOSAL 4-5Z l 1.`Z- 1v t ASSESSOR PARCEL #'S OF ADJACENT AREA OWNED OR CONTROLLED
STREET ADDRESS OF PROPOSAL Z ~tG~ ~.`i~ • EXISTING ZONE CLASSIFICATION(S) (DATE ESTABLISHED) U R 3,5'
EXISTING USE OF PROPERTY
,
COMPREHENSIVE PLAN CATEGORY VQ-c3/v N
SCHOOL DISTRICT
FTRE DISTRICT Vcil l e~ 1 WATER PURVEYOR M o o E R 6t E, t 6G,
PROPOSED USE OF PROPERTY:
Single family dwellings (1~ Duplexes Multifamily dwellings
Manufactured homes ( ) Business ( ) Industrial ( ) Nlixed Use ( )
Other ( ) - Describe:
LIST PREVIOUS PLANNING DEPARTMENT ACTIONS INVOLVING THIS PROPERTY:
B . LECrAL INFnRMATION;
ivi rTiVi? Vr YICVYU~AL: 2 2
SECTION TOWNSHIP ~-5 RANGE 1+-G-
NAME OF PUBLIC ROAD(S) PROVIDING ACCESS: 1~. ~ vC--•
WIDTH OF PROPERTY FRONTING ON PUBLIC ROAD: 160
DOES THE PROPOSAL HAVE ACCESS TO AN ARTERIAL OR PLANNED ARTERIAL O YES (kyNO
NAME(S) OF ART'ERIAL ROA.DS -&*4-~''F-- -
LEGAL DESCRIPTION OF PROPERTY (Attach legal description stamped by Land Surveyor). INCLUDE
LEGAL DESCRIPTION FOR ENTTRE AREA TO BE SUBDIVIDED ON PRELIMINARY SHORT PLA1'.
PRELIM]NARY SHORT PLAT APPLICATION Page 2 of 4
iF YOU DO NOT HOLD TITLE TO PROPERTY, WHAT IS YOUR INTEREST IN IT?
WHAT ARE THE CHANGED CONDITIONS OF THE AREA WHICH YOU FEEL MAKE THIS
PROPOS AL WARRANTED? /NL uOPU! A 4OF-r Es AflD+-r lo i-k
'f'c7 tti e- v.r;w4-l~ .,~a...S S u 1>d ► v +dexk i'v, Su~a..l,lGt- to k5
WHAT IMPACT WII.L THE PROPOSED SHORT PLAT HAVE ON THE ADJACENT PROPERTIES?
No?..tC-_
WHAT FACTORS SUPPORT THE PROPOSED SHORT PLAr we-t-v 6i i c, S e.~;e. k- l~,•~
i 6 b.. WHAT MEASURES DO YOU PROPOSE TO MTTIGATE YOUR PROPOSAL'S IMPACT ON
SURROLJNDING LAND USE? N~►..~ i_.
C. PRELIMINARY ,SHQRT PLAT CENERAL INFQRMATIQ~j;.
NUMBER OF LOTS: Z GROSS AREA: 4-~i Gao
TYPICAZ, LOT SIZE: x z II 5 PROPOSED NET DENSITY*: 'Z
SMALLEST LOT SIZE: ~sx z.SS MIlVIMUM FRONTAGE: ~6T-
PROPOSED SOURCE OF WATER: .
Individual wells Public system Private Community Sys[em .
O th er ( ) - Describe:
PROPOSED MEANS OF SEWAGE DISPOSAL:
Public sewer Community system O Septic tank and d.rainfield O '
Double Plumbing Dry Sewcr Other
Describe:
UTILITY COMPANIES AND/OR DISTRICTS TO PROVIDE SERVICE TO THIS PROPOSAL:
Electricity: Mo PE R-" ELEG, Sewer. Pu aLt c-
Gas: ~vv P Water: tVtoa52-c4 ELEC. Phone: u,s.w ES-r
DO YOU, OR THE OWNER IN THE EVENT YOU DO NOT OWN THIS PROPERTY, HAVE ANY
PLANS FOR FUTURE ADDITIONS, EXPANSIONS OR FURTHER ACTIVITY RELATED TO THIS
PROPOSAL? Yes No (i-)- IF YES, EXPLAIIV: .
D. PRELZMINARY SHnRT 1'LAT IMI'RnVEMENT INFnRMATI()N: .
LEVEL OF STREET IMPROVEMENTS PRQPOSED: Private roads
Public roads ArLerial roads Tract X roads
.DESCRIBE ANY COMBINATION OF ABOVE: -
ESTIMATED TIIN4E PERIOD EXPECTED FOR COMPLETE DEVELOPMENT OF THE SUBDIVISTON:
3►~t c~ ts -tE-4 S •
IS PHA5TrIG OF THE FINALIZATZON OF THE SHORT PLAT PROPOSED? Yes No (y~
IF YES, SHOW PHASING ON THE PRELIMTNARY SHORT PLAT MAP.
IS DEDICATION OF LAND FOR PUBLIC USE CONTEMPLATED (Parks, schools, etc.)? Yes O No
IF YL-S, DESCRIBE:
* NET DENSITY IS UNITS OR LOTS PER ACRE MINUS PRIVATE AND/OR PUBLIC ROAD AREA.
• . tv
'7
. PRF-LZMINAR,Y SHORT PLAT APPLICATION Page 3 of 4
PART 11
THIS SECTION OF THE APPLICATION WII..L PROVTDE THE PLANNING DEPARTMENT STAFF WTTH
WRITTEN VERIFICATION THAT THE APPLICANT HAS T3AD PRELIMINARY CONSULTATION WITH THE
AGENCIES IDENTIFTED. RESYJL.TS OF THE PRELIMINARY CONSULTATION SHALL BE INCORPORATED
II~,f TH:Q- PROPOSAL BEFORE FINAL SUBMITTAL TO TF-E PLANNING DEPARTMErIT.
FIRE MARSHALL/FIRE DISTRTCT A. THIS PROPOSAL TS WITHIN F1RE TECTION DISTRICT NO. ~
13. ADEQUATE ARRANGENLENTS HAV (HAVE NOT) BEEN MADE TO MEET OUR NEEDS
I~t PROVIDING FOR AN ADEQUATE ATER SYSTEM ANll FACII.ITIES FOR FIRE
PROTECTION PURPOSES.
C. RECOMMENDED FLf2E FLOW: ~ ~~G~ G~~ ; OR UNABLE TO CALCULATE NOW
BECAUSE USE IS N07' DEFIlNITIVE; AND WILL BE DETERMINED AT BUII.,DING PERMIT
APPLICATION TIME. n . REQUIKEMENT'S INCLUDE: ~"Q y~r;
y-
~ FIRE DISTRICT SIGNATUREJTITLE DATE
WATER PURVEXOR
A. SATISFACTORY ARRANGEMENTS FOR DO1v1ESTIC WATER A.ND FIRE FLOW
REQUI.REMENTS PW!°W~- (HAVE NOT) BEEN MADE.
B. REQUIREMENTS/COMMENTS: P-4t ~ puzx _
9~
WATER DTSTRICT SIGNATURE I E DATE
~ COUNTY ENGINEER •
l ov°G
A PRELIMINARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR ROADS
AND DRAINAGE HAVE BEEN DISCUSSED WITH TITE APPLICANT.
A. COMMENTS:
S IGN /TITL DATE ,
COUNTY UTILITIES
A PRELIMINARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQU7REMENTS FOR
SUBMITI'AL OF THIS PROPOSAL (H*NLE') (HAVE NOT) BEEN SATTSFIED. THE DESIGNATED
WATER PURVEYOR FOR THIS SITE IS A. COMMENTS:
9~ .
SIGNATURE('fITLE DATE
HEALTH DXSTRTCT
r
A PRELIIv1INARY 17ISCUSSION HAS TAKEN PLA RAL REQUIREMENTS FOR
SUBMITI'AL OF THIS P OPOSAL (HAVE) (HA.VE NOT) BEEN SATTSFIED.
A. C M E T •
S IGNATURE(T'ITLE D ATE '
SE'WER PURVEYOR
A PR.ELIMINARY DIS,CUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR THE
/7E UNDERSTOOD BY THE APPLICAI+IT.
PROVISION OF FUBLIC SE7
~
A. COMMENTS:
SIGNATUREfI'ITLE DATE
~
.
PRELRvUNARY SHORT PLAT APPLICA7'ION Page 4 of 4
PA.RT M
STJRVEYOR VERIFICATTON
~ D, A LICENSED LAND SURVEYOR, HAVE COMPLETED THE INFORMATTON
~ESLE AL DESCRT'P'ITON AND PRELIMINARY SHORT PLAT HAVE BEEN PREPARED BY ME
S ERVISION IN ACCORDANCE WITH THE REQULREMENTS OF THE SPOKANE COUNT
f IOiv REGULATIONS AND THE LAWS OF'T'HHE STATE OF WASHINGTON.
U ~~y! z .
St . /-"-(2-~~ DATE,:
' - 9
PxorE:
~ '~~g7 t ss: ~r) P, cl
~s' c-~ r' c~ <<a ZIP: 992-! Z
•
~AL l,l►~ . ,
EXPtRES 7117/ • '
PART YV
(SIGNATURE OF PROPERTY OWNERS OR LETTER OF AUTHORIZATION)
I, THE UNT7ERSIGNED, SWEAR UNDER PENALTY OF PERJURY THAT THE ABOVE RESPONSES ARE
MADE TRUTHFULLY AND TD THE BEST OF MY KNOWLEDGE.
I FURTHER SWEAR THAT I AM THE OWNER OF 1ZECORD OF THE AREA PROPOSED FOR TI-EE
PREVTOUSLY IDETfTIFIED LAND USE ACTION, OR, ZF NOT THE OWNER, ATTACHED HEREWITH IS
WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF.
! h
SIGNED: DATE: 3~P' Z-
~ ADDRESS: 5118 Z, -2- 61'h PHOIVE: ?2-4-- 3//9
ZIP: `I 9 Z. 1 (p
9'7
SIGNATURE OF APPLICANT OR REPRESENTATIVE DATE
STATE OF WASHINGTON )
) ss: '
COUNTY OF SPOKA.NE )
SIGiNED AND SWORN TO/AFFIRMED BEFORE ME ON THIS l~ DAY OF 1992, BY
q~~ ~
~ .••L'va's ••h' 1 l
i ~t.Q; a~ Ni,~•~ ~l
.~Y ! ~o. I~/
Z: ~ Notary Public in and for the tate of ~~ashington
~ Residing a[: ~ r . . ~ -
;OIqR~ • •My appointment expires:
~
PART V
(TO BE COMPLETED BY THE PLANNING DEPARTIVIENT)
DATE SUBMITTED: , F1LL
DATE ACCEPTED: . BY: .
TOTAL FEES: RECEIPT
~S .
t
. . t ~
~ 1 • I
PLANNING DEPARTMENT
. . - ,.r..,
..c . _ t,.
$•p•••c cov.11 tov•r.ovft
PRELIMINARY SHORT PLAT APPLICATION
PART I
A. GE
JVERAL INFnRMATION: NAIviE OF APPLICANT/REPRESENTATIVE: O u Rc->T N`y' F-+ A~~'NG.
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: (work) (home)
IF APPLICANT IS NOT OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION
FOR APPLICANT TO SERVE AS REPRESENTATIVE.
LEGAL OWNER'S NAME: PHONE: M AILING ADDRES S : .
PROJECT/PROPOSAL SITE AREA (acres or sq. ft) 4s16-on
ADJACENT AREA OWNED OR CONTROLLED (acres or sq. ft.) Wc5d1 E
ASSESSOR PARCEL #S OF PROJECT/PROPOSAL -4-5Z- l I. 2 1u I
ASSESSOR PARCEL #'S OF ADJACENT AREA OWNED OR CONTROLLED N.o m E
STREET ADDRESS OF PROPOSAL E~
EXISTING ZONE CLASSIFICATION(S) (DATE ESTABLISHED) U R 3, 5
EXISTING USE OF PROPERTY S~H~,I ~~c~.,Lv~ i~ Y R~.s tc~~ ~►c c'__
COMPREHENSIVE PLAN CATEGORY V%~?- aH rl
S CHOOL DISTRICT
FIRE DISTRICT V,5t-.l l e-{ 0 WATER PURVEYOR M Oo~P- N E k-tC. ,
PROPOSED USE OF PROPERTY:
Single family dwellings Duplexes O Muldfamily dwellings O
Manufactured homes ( ) Business ( ) Industrial ( ) Mixed Use ( )
Other ( ) - Describe: .
LIST PREVIOUS PLANNING DEPARTMENT ACTIONS INVOLVING THIS PROPERTY:
N c~' ~
B. LECAL INF(aRMATi()N;
iva t► 1 ivlt Vr YiCVYV511L: E I%8 C- 4' L^-
SECTION '2- 1 TOWNSHIP Z- 5 RANGE 4- 4-
NAME OF PUBLIC ROAD(S) PROVIDING ACCESS: 6 + kA- ks., u W IDTH OF PROPERTY FRONTING ON PUBLIC ROAD: 160
DOES THE PROPOSAL HAVE ACCESS TO AN ARTERIAL OR PLANNED ARTERIAL YES (4~90
NAME(S) OF ARTERIAL ROADS
LEGAL DESCRIPTION OF PROPERTY (Attach legal description stamped by L.and Surveyor). INCLUDE
LEGAL DESCRIPTION FOR ENTIRE AREA TO BE SUBDIVIDED ON PRELIMINARY SHORT PLAT.
PRELIIvIIltiTARY SHORT PLAT APPLICATION Page 2 of 4
IF YOU DO NOT HOLD TITLE TO PROPERTY, WHAT IS YOUR INT'EREST IN IT?
WHAT ARE THE CHANGED CONDITIONS OF THE AREA WHICH YOU FEEL MAKE THIS
PROPOS AL WARRANTED? 0,L0o R. U A 40r-IE S AP(>i-r t o cA c%..c ro Ss +le ~-t-
e v.0,4- l,, u~s 5 u i~d I V (d.e_d. N -L-a
WHAT IMPACT WTLL THE PROPOSED SHORT PLAT HAVE ON THE ADJACENT PROPERTTES?
Norl~
WHAT FACTORS SUPP4RT THE PROPOSED SHORT PLAT? WewP4;1Ai c, Ylit-~.
WHAT MEASURES DO YOU PROPOSE TO MITIGATE YOUR PROPOSAL'S IMPACT ON
SUR.ROUNDING LAND USE? ►-lc~►..~ ,
C. PRELIMINARY SHnRT PLAT CENERAL INFORMATIQbL-
NUMBER OF LOTS: Z GROSS AREA: 45i GcaC.>
TYPICAL LOT SIZE: 80 x- z2~ 5 PROPOSED NET DENSITY*: 2
S M ALLEST LOT S IZE: > s X z. 8 s MININfUM FRONTAGE: -7 h
PROPOSED SOURCE OF WATER:
Individual wells Public system Priva[e Community System ,
Other ( ) - Describe:
PR4POSED MEANS OF SEWAGE DISPOSAL:
Publac sewer Community system Septic tank and drainfield • Double Plumbing ( ) Dry Sewer ( ) O[her ( )
Describe: UTILITY COMPAMES AND/OR DISTRICTS TO PROVIDE SERVICE TO THIS PROPOSAL:
Electricity: MvDcW__N ELEG, Sewer.
Gas: Y~ w a Water. HoC>52-~k ELEC Phone: u,s, wEST
DO YOU, OR THE OWNER IN THE EVENT YOU DO NOT OWN THIS PROPERTY, HAVE ANY
PLANS FOR FTJTURE ADDITIONS, EXPANSIONS OR FURTHER ACTIVITY RELATED TO THIS
PROPOSAL? Yes No (1~}- IF YES, EXPLAIN:
D. PREI,IMINARY SHORT PLAT IMPRnVEMENT INFnRMATION;
LEVEL OF STREET IMPROVEMENTS PROPOSED: Private roads
Public roads Arterial roads Tract X roads
DESCRIBE ANY COMBrNATTON OF A.BOVE: ,
ESTIMATED TIME PERIOD EXPECTED FOR COMPLETE DEVELOPMENT OF THE SUBDIVISION:
3 l~t c~ -t l~ S
IS PHASING OF THE FTNALIZATION OF THE SHORT PLAT PROPOSED? Yes No (4~'~
IF YES, SHOW PHASThG ON THE PRELIMINARY SHORT PLAT MAP.
IS DEDICATION OF LAND FOR PUBLIC USE CONTEMPLATED (Parks, schools, etc.)? Yes No
IF YES, DESCRIBE:
* NET DENSITY IS UNITS OR LOTS PER ACRE MINUS PRIVATE AND/OR PUBLIC ROAD AREA.
.
• F
• .
~ . ' ^ ..a
,
PRELIMINARY SHORT PLAT APPLICATION Page 3 of 4
PART II
THIS SECTION OF THE APPLICATION WILL PROVIDE THE PLANNING DEPARTIvENT STAFF WITH
1trRITTEh~ VERIFTCATION THAT THE APPLICANT HAS HAD PRELIMINARY CONSULTATION WITH THE
AGENCIES IDENTIFIED. RESULTS OF THE PRELIMINARY CONSULTATION SHALL BE INCORPORATED
IN TNE PROPOSAL BEFORE FINAL SUBMITTAL TO THE PLANNING DEPARTNiENT.
FTRE MARSHALL/FIRE DISTRICT
-EROZE
A. THIS PROPOSAL IS WITHIN FIRE CTTON DISTRICT NO. I
B. ADEQUATE AR.RANGEMENTS %V-AOTER AV (HAVE NOT) BEEN MA.DE TO MEET OUR NEEDS
IN PROVIDING FOR AN ADEQUSYSTEM AND FACILIT'IES FOR FIRE
PROTECTION PURPOSES. G~ P '
C. FLECOMMENDED FIRE FLOW: S ~6~ ; OR UNABLE TO CALCULATE NOW
BECAUSE USE IS NOT DEFINITNE; AND WII.L BE DETERMINED AT BUILDING PERNIIT
APPLICATION TIME.
n. REQUTREMENTS I~TCLUDE: N~ ~ y~ ~ 1C~~~ ~1 u ~f ~v . J~-U~~~-' ~i~-c- ~ y ~4►-~ ~~l' ~1 ~
~
~ FIRE DISTRICT y ~ SIGNATUREMTLE DATE
LWATER PURVEYOR
A. SATISFACTORY ARRANGEMENTS FOR DOMESTIC WATER AND FIRE FI.OW
REQUIREMENTS 4MWW~- (HAVE NOT) BEEN MADE.
B. REQUTREMENTS/COMMENTS: P_16t P&O
lr 4 --30-
WATER DISTRICT SIGNATURE E DATE
: COUNTY ENGINEER
A PRELIMINARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR ROADS
AND DRAINAGE HAVE BEEN DISCUSSED WITH THE APPLICANT. •
A. COMMENTS: ~4e
SIGN /I'ITL DATE
COUNTY UTILITIES
~zc °O
A PRELIMTNARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR
SUBMITTAL OF THIS PROPOSAL (HAVE) (HAVE NOT) BEEN SATISFIED. THE DESIGNATED
WATER PURVEYOR FOR THIS SITE IS A. COMMENTS:
SIGNATURE/I'ITLE DATE ,
HEALTH DISTRICT
A PRELIMINARY DISCUSSION HAS TAKEN PLA RAL REQUIREMENTS FOR
SUBMITTAL OF THIS P OPOSAL (HAVE) (HAVE NOT) BEEN SATISFIED.
. - . ~
A . C M E • ~
• . ~f~~~~ .
SIGNATURE/TITLE DATE
SEWER PURVEYOR
A PRELIMI,NARY DISCUSSION HAS TAKEN PLACE AND GENERAL REQUIREMENTS FOR THE
PROVISION OF PUBLIC SEWER ARE UNDERSTOOD BY THE APPLICANT.
A. COMMENTS : SIGNATURE/TITLE DATE
SPOK:ANE COUNTY ENGINEER'S
SHORT PLAT
PRELIMINARY CONSULTATION
A. PROFOSAL: Project Name: L IA C, l0 t*A "MvJ d L ~T- S tj vQ,r
Project Address: S6mV A-S T~-O#Z,0 V%/
Number of Lots: Parcel # t157Z. I I. Z/()/
Section _jq'1 Township -ZS' Range LL9 Quarter ~ 2 3 4
OWNER Owner Name: -A2*
Address: 4( ~ 2. Z IL5 ~ T t1 Phone: Business Home
SPONSOR Name: .
or Address:
AGENT Phone: Business Home
ENGINEER Nanie: 6AJ~ C7r 10 Z,y~
or Address:
SURVEYOR Phone: Busine.ss Home
B. PRELIIVTMARY CONSULTATION: •
Prelinunary a) Right-of•Way I..OOLG,S 6'IopQ
Conditions b) -421irb YES ( . NO -0
c) Sidewalk YES NO Q
d) Pave YES NO
e) Approaches YES J~ . NO U,&_T t2M ~ d,,= N1 Cr V~I 15,
_ (J~b P~ ~ r
0 Drainage YES (rJ~ NO
g) Flood Zone YES NO ~4 .
h)` 5taW / City Review - --Yes ( ) No ( #r
NOTE: This proposal must comply with Spokane County Road Standards, adopted by the Board of County Comnussioners
Resolution.No. 80-1592 as anlended, and Spokane County "Guideli.nes for Stormwater Management".
,
v
SYECIAL CONDITIONS or Reniarks: X-T'!KM L> 1"4440" "Q~~ 13 E p d,t~ e
G. FEES:
1. PRELIMINARY FEES:
~ $ 50.00 SHORT PLAT 2-LOT (ADMINISTRATIVE DNISION) or DUPLEX DNISION
$100.00 SHORT PLAT 3-LOT (or more)
Cash or Check # Z
r . •
2. FINAL FEES:
a. $100.00. FINAL MAP AND PI.ANS SUBMITTA.L.
(Fee to be paid when final plat is submitted to Spokane Couaty Engineers Office).
b. AGR.EEPIENT TO PAY FEES - ACTUAL COST + 10%.
(Based upon the hourly rate of the person checking the plan + 10% administrative charge of the total hvurly cost. In order to have the
plan checked the applicant must submit to Spokane County Engineers a signed an agreement to pay fees.)
NOTE: FOR FINAL hfYI.AR ALL SIGNATURES AND NOTARY & SURVEYOR'S STAMPS to be in PERMANENT BLACK
INK. (Per WAC 332-134-050 vii 2). No ball point, fountain r or e ed s ps will be pt .
J
Date: M~'Y/ q~.IIy:
S~'6 COUNTY ENG ER
Date: By:
APPLICANT
* THESE CONDITIONS ARE PRELIMINARY, AND ARE DISCUSSED AT THE TIME OF APPLICATION
S
,IGNATURE. FURTHER INSPECTION OF APPLICATION MAY RESULT IN FUTtJRE CONDITIONS BASED
UPON SPOKANE COUNTY RECORDS AND DOCUMENTS. „
~%8kAPrC-uMSp.Ck 3/92
- -
SCHERRY HARDfNG 6324
~
WOL HARDISA513L0 ~ a
N. 304 UNION RD. 928-3551 ~
SPOKANE, WA 99206 < 19 92 19-10 116
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U.S. BANK ~
SPOKANEVALLEY6RANCH
SPO ANE. W SH NGTO99206
U S. Bt1NK OF 5NA5HINGTON. NATIONAL A550CIATiON
MEMO SIGNATURE
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fLa+AC AEFt€cuavs
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~ DATF I' I IA~'y RECEIPT ~ U
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~
~ Address LLI\) aT_"-j 5~)d/C/~~/~✓
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