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2009, 11-02 Permit ADU-02-09 House
s� ley ACCESSORY DWELLING UNIT APPLICATION SVMC 19.40.100 Community Development — Planning Division 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0197 ♦ Fax: 509.688.0037 ♦ planning®spokanevalley.org PART I - REQUIRED MATERIAL 1. Residential building permit application. 2. Site Plan with the minimum site plan requirements (see attached form) in addition to " , following: I to a. Show the location of existing parking stall(s) (minimum of 2 required). i b. Show proposed parking stall(s) for ADU (minimum of 1 required). c. Location of all existing and proposed structures with square feet of each d. Show the location of entry to ADU.4f( j PART II - APPLICATION INFORMATION LEGAL OWNER: ,J C41 r✓j,ti 142.-, /C MAILING ADDRESS: E. /ram AI e uu��-� CITY: ��� `� /�'L� STATE: I4/ ZIP: ,O/*y J PHONE: el.? v-- 3 5/17,A FAX: %lj ✓7'91 CELL:.:20e'-DO_'"T EMAIL: ri / d,,,,�%=/L� Berg,/ APPLICANT: i!yfcy / C_.etcis"ei�..o,//ki r MAILING ADDRESS: ��/.6 / A/ --Alta X CITY: S �� �. //�' STATE ZIP: ?� �� PHONE: l�y J9' 7 FAX: ? ' ,,fie>,1/ 9a�/ CELL:„) G53 ..-(� r Cs v/ EMAIL: `�/..."- fe/ �/ %� .440 TAX PARCEL NO.: Y5-/a « Z' /, 7 7 ZONING DESIGNATION: , `3 ADDRESS OF PARCEL: /C 7 / -/ a4r ACCESSORY DWELLING APPLICATION REVISED 12/16/08 Page 1 of 4 Spokane 4Va11ey PART III - APPLICATION INFORMATION 1. Type of accessory dwelling: ❑ ATTACHED .'6ETACHED 2. Do you live at the residence where the accessory dwelling is/will be located?YES ❑ NO 3. Do you plan on altering the exterior of princidence? ❑ YES V NO 4. Square footage of existing residence: �'` /.571g 5. Square footage of proposed ADU: 7 4. ' 6. How many bedrooms will the accessory dwelling have? ? 7. Describe in complete detail the design of the accessory dwelling and existing residence (i.e., trim, roof pitch, height, finish material) (pictures or elevation drawings are recommended): 77-// tert- ACCESSORY DWELLING APPLICATION Page 2 of 4 REVISED 12/16/08 Spokane �Valley� PART IV - AFFIDAVIT OF OWNERSHIP STATE OF WASHINGTON ) ss. COUNTY OF SPOKANE ) I, e , being first duly sworn, on oath do hereby certify under penalty of perjw under the laws of the State of Washington: That I am an owner of the single-family dwelling unit located at /fi rl 7 ) )7 „., ti , and have a fifty percent (50%) or greater interest in this property; and That I have applied or am making application to establish an authorized accessory dwelling unit at this location; and That I presently occupy and will continue to occupy one (1) of the two (2) dwelling units at this location as my principal and permanent residence. When the property is sold, I will notify the new property owner(s) of the requirements to file a new Certification of Owner Occupancy with the Department of Community Development, Planning Division for recording if they intend to maintain and rent the accessory dwelling unit. Failure to submit this certification within one (1) year of transfer of ownership shall be a violation of the Land Use Code and will render the accessory dwelling structure non -conforming if the new owners continue renting the accessory dwelling unit. This certification will remain in effect during the period of my ownership of the property unless I record a certification that the use of the property for an accessory dwelling unit has been discontinued. Signed and sworn to before me this *eft L. et Signature of Affiant L14> c..0,7,4/41,;04) C=.• Name of Affiant day of NOuoallakg 20 C9 . NOY PUBLIC IN AN WASHINGTON Residing at My appointment expires: HE STATE OF Qatui \cq\ \ ACCESSORY DWELLING APPLICATION REVISED 12/16/08 Page 3 of 4 Spokane �Valley� PART V - DECISION STAFF USE ONLY Staff reviewed the proposed Accessory Dwelling Chapters 19.40.090 and 19.40.100 (as amended Municipal Code. Determination: The permit for the Accessory Dwelling Unit (ADU) City of Spokane Valley Division of Planning: 1. The City's staff will file a deed restriction (title notice) with the Spokane County Auditor's office indicating the presence of the ADU and forward a copy to the property owner. 2. To cancel registration of ADU, the owner shall submit a letter to the Community Development Department, Planning Division, then staff shall file a title extinguishment with the Spokane County Auditor's office upon verification the ADU has been removed from the property and forward a copy to the property owner. 3. The owner/applicant shall comply with all requirements and regulations of the Uniform Development Code and the established criteria of the Accessory Dwelling Unit. Unit Application pursuant to the following criteria in in Ordinance 17-25) of the City of Spokane Valley is subject to the following conditions pursuant to the APPROVED SUBJECT TO THE CONDITIONS NOTED ABOVE: Planning Division Signature //1/CA Date Date Submitted: 1I/.L/r-KA Received by: Fee:S' l PLUS Number: 01 O01560 File #: A©U- 0.2-001 ACCESSORY DWELLING APPLICATION Page 4 of 4 REVISED 12/16/08