1989, 11-13 Appeal Request Form SP-89-592Name:
(PLEASE PRINT)
Address: E 700(3 48-6L Ave
SPOKANE COUNTY PLANNING DEPARTMENT
APPEAL REOUEST FORM
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Home Phone: 926 -(703
Zip Code: 20e
Business Phone: 499- 5400
Planning Department File No.: SP_ 89—,597 --
Date of Action: NOV.19,9
Signature:
Signature of Authorized Representative:
Address:
YOUR REASONStFOR J
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Fees - Receipt #
OFFICE USE ONLY
gb-S_ g Hearing Date: OS/3/9