AEE-43-95SPOKANE COUNTY PLANNING DEPARTMENT
APPLICATION FOR ADMINISTRATIVE EXCEPTION
(OTHER THAN LACK OF PUBLIC STREET FRONTAGE) -
t` A. GEIteRAL INFORMATION
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////9 E h11'hailin address: 8/Mad
any: e-ze iae4Qi3
FILE NO.: AE F - `l 3- as
Agent: 0
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ZIP Code: t
PHONE- Home: y PY 7/cp Work
If applicant is not owner of property, need written authorization for applicant to serve as agent.
Legal owner(s)t name: ai MC- a S .Q.%(u€ Phone:
Authorized agent(s)' name: c------T
Phone:
Parcel No(s).: ss i a- 3) 57 Section: t Township: a 5 Range:
Legal description:
Cturentzoning: t t-3 S Comprehensive Plan: (.4rb2lrj
Arterial Road Plan; N-13'
Current use of parcel: re Ck...124 , a rp� G 7�
Street Address of Subject Parcel: I 77 J A E, (� (f C_
B. SPECIFIC INFORMATION
Adminis, .: ve exception requ..ted
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of stan
from which seeking relic
Applicable chapter/section of Code: � 5;�
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Explain n for reques5—ID at l ` \ i) �able b rV 1 rev.
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Attach site plan with proper dimensions and other supportive information.
Page 1 of 2
I swear, under penalty of perjury, that (1) I am the owner of record or authorized agent for the proposed site; (2) if
not the owner, written permission from said owner authorizing my actions on his/her behalf is attached; and (3) all
of the above responses and those on supporting documents are made truthfully and to th best of my knowledge.
Name:
Signed:
State of Washington
ss:
County of Spokane
On this day personally appeared before me SYCT1.ANf\ PkLNJK
to me known to be the individuals) described in and who executed the within and foregoing i
acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed, for
purposes therein mentioned. GIVEN under my hand and official seal this `1/
>(-
SUETL.ANA
Sf act &/
18 NOTARY
day of C J .11�! (Gtark—
NOTARY PUBLIC in and for the state of Washington, residing at
c PUMA
a 1 0
•
_144,tie eel. thanda
My appointment expires % -99'
•
PLANNING DEPARTMENT PERSONNEL ONLY
THE PLANNING DEPARTMENT APPRO V ES/DENIES THIS "ADM1 IISTRATIVE
DESCRIBED VE,PURSUANTTOTHEZONINGCODE OFSPOKANECOUNI'Y,SECTIONS
14506.020 'I .
File No: AE % - (43
EXCEPTION" FOR THE PROPERTY
14506.000 AND
CONDUIONS AND/OR STIPULATIONS:
of the Zoning Code.
County Health District and/or Utilities
public water systems.
THIS ADh4AUSfRATIVEEXCEPIIONIS SUBJECT TOTHEFOIIAWING
9 The applicant shall comply with all refit irements and regulations
The applicant shall comply with all requirements of the Spokane
Department regarding wastewater disposal and on -site water or
3. The applicant shall comply with the following additional conditions:
•
Dr
THIS ADM@IISIR(A�TIVEEXCEPIIONSHAILRUNWMITHELAND.
DATED THIS —I 'ellDAY OF
4/9
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING'
IF APPLICABLE
NOTE: THEAPPIICANCORANINTERESI'FDPARTYMAYFUEANAPPEALWIIHIN20CAIENDARDAYSOPTHE •
ABOVEDATBOFSIGNING. APPEALMUSTBEACCOMPANIEDBY ASP. APPEALS MAY BE FILEDATWE
SPOKANECOUNCYPIANNINGDEPARTMENC,BROADWAYCENTREBUIIDING,NOR1H721B7 SONSIREEt,; ,
SPOKANE, WA 99260 (Section 14.412.041 of the Zoning Code of Spokane County)
SPOKANE COUNTY PLANNING DEPARTMENT, 5MWirraffiEJERIESII, SPOKANE, WA 99260.:
(509) 456-2205
RP-AE App.
Rev.10/91
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