1994, 07-21 Permit App CE-523-94 A Cert of Exemption1
2. LEGAL DESCRIF'TION ����_
PTION of property for which this " State: —e_ zip: c r
NOTE: if the property ���� of Exemption" is beingapplied:
P p ty is being divided or than y d .. - provide the NEW LEGAL DESCRIPTION
Section _ Township [/ nty,ashion. Range within Spokane County, Washington,
Address:
APPLICATION FOR
CERTIFICATE of EXEMPTION
City: VC',
APPLICATION NO.
COMPANION FILE NO.
Applicant's Name: O�>
J�dtS %s ckj ? , Business Phone:
Horne Phone: Slric
•
3. Existing tax parcel number(s)
4. Total existing acreage ... `!G xa_?pir!>~4rfasir cond,,,,w„Sick
6. Zoning: Iratal 5. New
S. Existing or intended use of property: 7. property size: (sq.ft. or
P gem: C•mpreh-. sive Plan atego., : acres) (/, V
�/. at i /' se /ill L�
• Existing road frontage name: �`'S/ ,a/<a /
Existing
ro Road name: •Il-
$e must extend into or Ps re ui Fr G. If
c ��
by Private Road, a copy of recorded Private Rand Easement /m to provided ry as required per ZONING. / is
R£Co£pae oad, NUMBER entered as 'property
Existing road frontage P tied with r1,:. application
10. I, /'/4S. oeFfZI
the above responses are made truthful! and to the rint e), swear r under penalty of perjury chat
the any further a made truthfully
h ut y y knowledge. I also a
understand at, should do.cu there n haymaylbl�uired bythe Planningagree to
disclosure on mymisrepreentation orw willful Department.
full
disc os a this pp i nSpokane also County
em may
any approval that it night issue in
owners, if this application is for a "minor lot line adjustmentp°relimission from both progeny
A ,.!leant
T PLANNING DEPARTMENTSTAFF ONLY
T PL FOR THE PROPERTY
ERTHISBED "CERTIFICATE OF EXEMPTION"
SUBDIVISION ORDNANCE, SECTIONB_ —ABOV PURSUANT TO POKANE INDICATED
THIS CERTIFICATE OF EXEMPTION COUNTY
CONDITIONS AND/OR FINDINGS: SHALL BE
SUBJECT TO THE FOLLOWING
The applicant shall comply with all re
quirements and regulations of the ZONING CODE of Spokane County.
The applicant shall comply with all requirements of the Spokane CountyH
Division and/or County Engineering Division regarding wastewater and/or public
Utilities
systems and ace nth District access and roads, respectively, disposal, on -site water or public water
If above legal is new, the applicant shall file SEGREGATION
soon as possible after this application Ls approved. Not required
with the County Assessor as
a If private road is used, equtred when denied,
Code have beenacomplied building permit can be issued until the standards Chapter 3.05.050 of the County
5.Thee applicant co comply with for the location and construction of the private road.
P y with the following additional con t&:dons:
SIGNED:
Date
THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL
BE APPLICABLE TO RUNEIR SUC ESSORS OR ASSIGNS.
AND
SHALL on
THE APPLICANT, OWNER, 1 WITH THE LAND, PPRO D D THIS
DAY OF �renrvsi 197k'
RECEIPT NUMBER _
THIS CERTIFICATE S..kane Coun a nil
S?p,{A H SCTI ICATE OF EXEMPTION ISSUED BY SPOKANE CO P a nin • De.arunent
- iS NECOUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE WAWA0HI (5O9 5
11S CERTIFICATE �: JST ACCOMPANY YOUR B UI LMTG PERMIT99M60 APPLICATION
a�••9J AIPPILIICATTI®N