CE-523-94BAPPLICATION FOR
CERTIFICATE OF EXEMPTION
APPLICATION NO,
COMPANION FILE NO.
City: �r=E,q/%i _ r •
LEGAL -—�_
Applicant's Name:
Address:
2. DESCRIPTION of property for which this "Ce �'CTE: if the property is being divided o Section `Y��' Township
Range
3. Existing tax parcel number(s)
Total existing acr
6, Zoning:
8 . Existing or intended use of property:
9. Existing road frontage name:
Business Phone:
Home Phone:
State: (-Li_ Zip/
t�cateofExemption" isbein a p1i 7/ b
r changed . • • provide the NEW g applied:
LEGAL DESCR/yr/ON below,
within Spokane County, Washington.
. wndnua m Mek
i1fl 4 -
NOTE: Minimum Road Front r ram/ • Private Road, Frontage must =end into '��' Feet of Frontageet tt422.,47,
If d �'s i
byRP,iy t e a copy of recorded Private Road Easement ad incur be the Property ar required peZONING. I'-'-"!Q ---,j
NUMBER entered as "Existing road frontage
ac
provided with this a,,,. n._.,_
10. 1, 5
SIGNED:
5. New property s ze: (sq.ft. or acres
�,i/Alpr Cate•. )
I
AuorroR
he above responses are made truthfully and t the bests ofwe m
furnish above
fu rint name), swear under penalty ofperjury, that
understand nher documentation that mayY knowledge.
that, should there be required byes the Pon or De I also aofee to
disclosure on my pan, Spokane any willful misrepresentation or Planning
j��kt. I also
disclosure
on this application. Salne County may withdraw any approval that it might issue tinl
owners, if this application is for a "minoo r lot line adjustment." permission from both property
Of
A leant
THE PLANNING DEPARTMENTSTAFF ONLY --Date
—
TBHE PLANNING FOR THE PROPERISSUES HIS ABRV
SUBDIVISIONORDIN 1FICATE OF EXEMPTION" ORDINANCE, SECTION E P SUANT TO SPO AS INDICATED
THIS CERTIFICATE OF EXEMPTION �'� COUNTY
CONDITIONS AND/OR FINDINGS:SHALL
BE SUBJECT TO THE
The applicant shall coin ] The
p y with all requirements and regulations of the ZONING CODE of S
The applicant shall comply with all requirements of the Spokane Count
Division and/or County Engineering Division regarding w ��e County.
Division
ins and access and roads, y Health ice wet and/or public
water
67 respectively, g wastewater disposal, on -site water or public water
If above legal is new, the applicant shall file SEC
soon as possible s after this application is approved.
APPLICATION ON with the f private asroad is used, pproved. Not required when denied. County Assessor as
Cede have no building permit can be issued until the standards Chapter 3.05.050 of the County
been complied with for the location and construction of the private road.
The applicant shall comply with the following additional conditions:
'. THIS CERTI
FICATE OF EXEMPTION IS FOR
BE APPLICABLE TO THE APPLICANT, °ic'
AND SHALL RUN WITH THE LAND. AND SHALL
IRSyS�1CCE$$ORS OR ASSIGNS.
C�i P P R O V E AM• OWNER, HE
D. THIS DAY OF
19
RECEIPT NUMBER
THIS CERTIFICATE OF EXEMPTION n ?0:{ `> TE THIS
CE nc XEMpIION ISSUED BY SPOKANE COUNTY Plann' • De INGTO
'OK C PLANNING DEPT., 721 N. JEFFERSON SPOKANE, A0iiINGTON
CATL MUST ACCOMPANY Y
�.�re w nud.x �. �,ss Gi[TR BUILDING 1PIE�g" APPLICATION
CERTIFICATE OF EXEMPTION
APPLICATION NUMBER:
TAX PARCEL NUMBER:
This CERTIFICATE. OF EXENTTI
ON is an official document and shall run with the land and be applicable to the
s See front Page•
applicant, owner, heirs, successors or assign .
2. LEGAL DESCRIPTION - continued
�^ f: Xt � ��_ 15FT � W 15FT &EX C BEG
. C:ORF+ I N �'`:'>n GFNACRS F'T OF Li B...,.:. _
- T INT OF EL°�CL OF CANAL TH WLY ALG CL TO PT 25FT W O1_
A
-TH S 5F ► 1H E25F1" TH N TO POB
8. ADDITIONAL COMMENTS - continued
CONDmONS AND FINDINGS - continued
SPOKANE COUNTY PLANNING DEPARTMENT
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