1994, 10-19 Cert of Exemption5oOKANC COVI+I COVai e0V5C
1. Applicant's Name:
Address:
N
APPLICATION FOR
CERTIFICATE OF EXEMPTION
APPLICATION NO.
COMPANION FILE NO. _ :go.
Business Phone: e/, --315;-,;-z_
Home Phone: 512_6 —5'-Z-zS�
City: fsC069=d State: ZmA) Zip: 4X-2.13
LEGAL DESCRIPTION of property for which this "Certificate of Exemption" is being applied:
NOTE: if the property is being divided or changed - - - provide the NEw LEGAL DESCRIPTION below.
Section ----7-- Township25'-N Range yy� within Spokane County,
Existing tax parcel number(s) e -V
Total existing acreage
Zoning: Leg I.'��
Existing or intended use of property:
5. New property size: (sq.ft. or acres)
7. Comprehensive Plan Category: _
continued w back
mntinued. bagY, y s,
Existing road frontage name: Feet of Frontage IL,Sr6 �zs p�
NOTE: Minimum Road Frontage must rxtend into or be adjacent to the property as required per ZONING. If access is
by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR
RECORDING NUMBER entered as "Existing road frontage name" above.
10. I, l/JYe!v%c y e-2
1l oi2,os (print name), swear under penalty of perjury that
the abov responses are made truthfully and to the best of my knowledge. I also agree to
furnish any further documentation that may be required by the Planning Department. I also .
understand that, should there be any willful misrepresentation or willful lack of full
disclosure on my part, Spokane County may withdraw any approval that it might issue in
reliance on this application. I also have provided written permission from both property
owners, if this application is for a>inor lot line adjustment."
STAFF ONLY
THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION" AS INDICATED
SUBDIVI ION ORDINANCE, SECTION ELOW FOR THE PROPRTYCRIBED A$QV �IJA2SUANT TO SPOKANE COUNTY
THIS CERTIFICATE OF EXEMPTION SHAL``L5S BE SUBJECT TO THE FOLLOWING
CONDITIONS AND/OR FINDINGS:
1. The applicant shall comply with all requirements and regulations of the ZONING CODE of Spokane County.
The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities
Division and/or County Engineering Division regarding wastewater disposal, on-site water or public water
�\I systems and access and roads, respectively.
�3. If above legal is new, the applicant shall file SEGREGATION APPLICATION with the County Assessor as
soon as possible after this application is approved. Not required when denied.
4. If private road is used, no building permit can be issued until the standards Chapter 3.05.050 of the County
Code have been complied with for the location and construction of the private road. ^
The aDDlicantshall comDly with the followine additional conditions:
/5� �1 i5 it f fblC ° 0�°�' MPhOf4 IS FOR AND SHALL Rd4 WITH THE LAND, AND SHALL
L/ BE APPLICABLE TO TIM APPLICANT OWNER, HEIRS, /SJs CE SO,S� QOR ASSIGNS.
APPROVED ' THIS �a DAY OF (�SLtdL� �J 191
THIS CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON
SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509)456-2205
'1 EES CER=CATIE MUSIC ACCOY2ANY YOUR BUMDENG PERMrC APP11CAA7IDN
F�Css,: Appl::�ion/Fo"vs: !f APP hLSTR(m W): mv6/93