CE-523-94A1 . Applicant's Name: J75 �og-iR
Address:
APPLICATION FOR
CERTIFICATE OF EXEMPTION
APPLICATION NO.
COMPANION FILE NO.
Business Phone:
Horne Phone: q--
City: �RF�d/ <-S
-'. LEGALity:SCRI P State: f Zip: _
PITON of roperty for which this "
NOTE: ijrhe proper �� of Exemption" is bein a
Section �' v being divided or ehaaged - provide the Nsw Lzc cvn/O,v below.
Township __ Range
within Spokane County, Washington
0
Ve-
3. Existing tax parcel number(s)
3. Total existing acreage , —G�iD!1'��'Al7tIZ7
6. Zoning: W1rt.
8. Existing or intended use of property:
. w emar.a m sick
h" siv atcooacres) M /
9. Existing road fronts e n g� .1T..o /
VOTE: M;nun g ame: "Ifir j l-,
um Road Frontage must a read int Feet of Frontage ZONING. 1fa i b.
by Private Rood, a Roa ojreeorded Privye Road or be adjacem to the
ccess
byRPrivate ood, a c ey of rd vided wi at is appli a i n aM t / s
as "Existin r e1J1en! a boprovided with this application and the,{uDrrox
8 ood frontage name- above.
10. I, ---�o g r=� �
S. 06 Alrit—
thc above responses are made truthfuIl fpri,u e e swear under penalty of a •u
furnish any furtherdocttmentation that may beo the best yfhe : y kanning De. I also agree tto
understand that, should there be any willful misu r p esen ationt or wiillfui lack of full
disclosure on my part, Spokane Count ma 8 Paznnent. I also
reliance on this application. I also have provided written e
o���ners, if this a any aPProval that it nught issue in
pplication is for a "minor lot line adjustmen P' mussion from both property
I
SIGNED:
A�•lleant
TFT PLANNING DEPAR STAFF ONLY
PLW FOR THE P RTME TIDEURIBD ABRT�CATOPEXE
MPTION" AS SUBDIVISIONORDINANCE, SECTIONBPURSUANT TO SPOKANE ICATED
THIS CERTIFICATE OF EXEMPTION COUNTY
CONDITIONS AND/OR FINDINGS: SHALL BE SUBJECT TO
The applicant shall comply with all req g THE FOLLOWING
uirements and re ulations of the ZONING CODE of S
The applicant shall comply with all requirements of the Spokane County Health District an /or Uti County.
Division and/or County Engineering Division regarding wastewater
systems and access and roads, d/or Ut l t es
respectively, dtsposal, on -site water or public water
If above legal is new, the applicant shall file SEGREGATION
soon as possible after this application is approved. Not required whe AdeON with the Coun
s. If private read is pled, no bc;lttin ry'Sssessor as
Code have bad is lase ,ind g Permit can be issued until the standards Chapter 3.05.050 of the County
P with for the location and construction of the private road.
S. The applicant shall comply with the following additional conditions•
I/.
5. New property s
7. C•mpre
6
Date
THIS CERTIFICATE OF EXEMPTION IS FOR AND °*
BE APPLICABLE TO EIR SUC ESSORS OR ASSIGNS.
ma, way buck
THE APPLICANT, OWNER, f PPRO D THIS
G.L_ DAY OF
19
RECEIPT NUMBER
THIS CERTIFICATE o P a in c p OF EXEMPTION ISSUED BY SPOKAE CO P a $ WASIe.aGTO
N
—OKA.NE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPO
c_- ,lame O.ArMTE MUST ACCOMPANY ®jyPA�� BUILDING K�ANE WA 99260 �(509}456-2205
�tRln.}.nrty] � Cu PERMIT APPLICATION
CERTIFICATE OF EXEMPTION
APPLICATION NUMBER:
TAX PARCEL NUMBER: ___.---
This CERTIFICATE OF EXEMPTION is an official document and shall tun with the land and be applicable to the
applicant, owner, heirs, successors or assigns. Set front page.
_. LEG e! DESCRIPTION - continued
8. ADDITIONAL COMMENTS - continued
CONDrF1ONS AND FINDINGS - continued
SPOKANE COUNTY PLANNING DEPARTMENT
RC>. M9a. Ca Ave Mrilitr•k an' AM