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2003, 03-28 Permit App 03002059 Long PlatProject Number: 03002059 Im Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ...................... Permit Use: PE-1921-03/PUDE-5-03 57-LOT PRELIM PLAT Setbacks: Front Left: Right: Rear: Site Information: ................ . Plat Key: 000000 Name: UNKNOWN Date: 3/28/2003 Page 1 of 2 Contact: ARPIN, MARGARET Address: 1117E 35TH C - S - Z: SPOKANE, WA 99203 Phone: (509) 838-9066 Group Name: Project Name: District: G Parcel Number: 55073.1548 Block: SiteAddress: 17503 E MISSION AVE GREENACRES, WA USA 990 Location:: GRE Zoning: UNKN Unknown Water District: Area: 9.56 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Lot: Owner: Name: ROOKS. ROBERT Address: 7141 N AUDUBON DR SPOKANE, WA 99208-4516 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Long Plat Firm: Phone: Item Description Units Unit Desc Fee Amount ENGINEERS PRELIM REVIEW 1 SELECT $200.00 PRELIMINARY 57 # OF LOTS $2,496.00 ENVIRONMENTAL CHECKLIST 1 SELECT $76.00 PUD: PRELIM OR FINAL 1 SELECT $1,491.00 PRE-APP CONFERENCE 1 SELECT $61.00 UTILITIES (INSIDE PSSA) 1 SELECT $100.00 Permit Total Fees: $4,424.00 Operator: MB Printed By: GMW Print Date: 3/28/2003 Project Number: 03002059 In Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permit Type Long Plat Fee Amount Invoice Amount $4,424.00 $4,424.00 $4,424.00 $4,424.00 Date: 3/28/2003 Amount Paid Amount Owing $4,424.00 $0.00 $4,424.00 $0.00 Page 2 of 2 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: MB Printed By: GMW Print Date: 3/28/2003