Loading...
2004, 10-18 Permit App: TDR-03-04 MH for Dependent RelativeCIT Or 01"\lakft 0(. S1, 18 pokane COMMUNITY DEVELOPMENT DEPARTMENT `200� CURRENT PLANNING DIVISION 4.d COVER MEMORANDUM Date: October 18, 2004 To: Spokane Valley Public Works Department ■ Sandra Raskell, P.E., Assistant Engineer Spokane County Division of Utilities - Information Services; Jim Red Spokane County Fire District No. 1 Spokane Regional Health District - Steve Holderby Irvin Water District #6 Spokane Valley Community Development Department/Building From: Micki Harnois, Associate Planner -7/14,L& 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 PH: (509) 688-0048 FX: (509) 688-0037 E-MAIL: mharnois@spokanevalley.org SUBJECT: Review and Comment on Temporary Use/Dependent Relative application materials -File #TDR-03-04. The City requests your review and submit any comments via mail, facsimile or mail by November 1, 2004 to the attention of the staff person identified above. 11707 E. Sprague • Suite 106 • Spokane Valley, WA • 99206 • (509) 921-1000 • Fax (509) 921-1008 S"�'o'�ka''`-. •� P Valley CITY OF SPOKANE VALLEY Community Development Department Planning Division 11707 East Sprague Avenue, Suii�,1a Spokane Valley, WA 99206 VV Tel: (509) 688-0179 C 1 Fax: (509) 921-1008 planningaspokanevaliev.orqs. .,( SQn.P� q\. alsi PART I - APPLICANT INFORMATION JFf Use Only) DATE SUBMITTED: Q /3e%zi RECEIVED/�VEBY: \`%Y � FILE NO./NAME: e �Ci3 -4 9/7/ CURRENT PLANNING FEE:4 /5-40, QO MANUFACTURED {MOBILO HOME FOR A DEPENDENT RELATIVE TEMPORARY USE PERMIT APPLICATION APPLICANT INFORMATION: APPLICANT: /Do, h a 1-102- .Jo, /? S /€ MAILING ADDRESS: /c:/01 D cc" 6, 4;42,ee, CITY: f/1U h /4-sL�/ STATE: 11/4 p ZIP: / 9 PHONE: (((HHOME/WORK .) /'VY'' 7 FAX) (CELL) 9a=3— L/ S 4 Please Circle NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW: OWNER INFORMATION: LEGAL OWNER: J9 ✓l.7 I G y4/T 4 / A /1/4, rrl4rdA/ MAILING ADDRESS: /) .-U cf 6 �O 0' 1`L -'�� CITY: S1?i/f.-d-hL STATE: v�i �y ZIP: 7,LU�i PHONE: (HOME/WORK) 7 /7-7Y FAX) (CELL) Please Circle PART II - PROPERTY INFORMATION PROJECT INFORMATION: PROPERTY SIZE (SQUARE FEET): v e,.0 a ' NUMBER OF EXISTING DWELLINGS: LEGAL. DESCRIPTION: CS/LGL4/2, G /S T /✓L �!j 7S l �L �2.Lr�' PROPERTY PARCEL NO: '95'6A414/, 2 re, 7 PROPERTY STREET ADDRESS: /? -2-(, � E �si-��Li►�,��C �� , J# 772- ZONING: . -5 EXISTING USE OF PROPERTY: .SS /,v -i-dlr- PROVIDED DETAIL REGARDING PROPOSED TEMPORARY USE IIF PROPERTY (INCLUDE INFORMATION REGARDING ACCOMODATION FOR SEWAGE DISPOSAL, WATER HOOKUP, TYPE OF MANUFACTURED HOME, AND SIZE OF STRUCTURE): /V N/ S'E pT/G .fy J72r7rJ Lt/J// 1 G if/a - Lso �i%-- /71"2 f' /90 Cam_'- L✓�i � .Sy�s�.� Version 2: 7/28/2004 Page 1 of 4 PART III - LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) , (print name) SWEAR OR AFFIRM ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDG I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. THAT THE E. ADDRESS: 1 At OS' Pc r4 14t1 G l 4t/€ PHONE: / — J 17_ 7 '"" 0 Kr i -- .. L IL ZIP: 9 q.A c'tl� (y)�, (State) (Signature) ' NOTARY (For Part III above) STATE OF WASHINGTON ) ss: COUNTY OF SPOKANE ) SUBSCRIBED AND SWORN to before me this •a . day NOTARY SIGNATURE otary Public in and for the State of Washington Residing at: (Date) 20 My appoin p /:, tm t expires: Da Version 2: 7/28/2004 RECEIVED SPOKA E.vAILFti ARTMENi �_©PrR;;hc CnM�1t,td1T Page 2 of 4 .09/09/2004 THU 08:23 FAX 6123715447 09/08/2004 12:33 509927140 Stiam:1g .0001vidley ADULT MEDICINE GROUP PHOTOGRAPI vidkv_GsNeo11707 East Sprague Avenue, Suite 99206106 Spokane Valley, �, n�� Tel: (509) 921-1000 Fax: (509) 921-1008 STATEMENT OF .ATTENDI ICIAN I,ATIyES FOR DEPENDENT FI.LENO: e(Ii3-04 To assist in meeting: the requirements of the Zoning Code of the City of Spokane Valley concerning a licensed physician's staterr.•Ot regarding the nature of the medical problem, I submit the following information. 1. Full name and.address of person(s) for which information is given below: 3. PAGE 02/02 The Zoning r Ode of the City of Spokane Valley defines a "dependent" person as a person who has been determined by a licensed physician to be physically or mentally incapable of caring for themselves and/or their p operty. Do you belirie your patient is so qualified at the present time? Describe the ',t ature of the medical or health -related circumstance(s), physical and/or medical, • which establi$ a "dependency" situation: 004 [.70 p 4. Is this circus Iatanec of short or long term duration? No )F'[�ySICk)t`i'S C: 1t TIFICATION: Physician's Na?rye (Please Print): Business Addre s: Yin' Not HEALTHPARTNERS Adult Medicine Mpls. MN 55454 Phone NumbeV:w. 4 2 ; /- ///0 (Signature) (Date) Spokar.County Parcel Dattkocator MN AN P2 Swarm Count] All Data As Of Friday, August 06, 2004 Summary Parties Values Taxes Sales Info Seg / Merge Events / Notices Land Dwelling / Structure WebPlus Fact Sheet w/o Taxes Fact Sheet - Taxes Only Fact Sheet with Taxes Fact Sheet without Taxes for Property Number 45044.0507 All Data As Of Friday, August 06, 2004 Site Address 12208 E PORTLAND AVE, SPOKANE Owner Address HARRISON, DAVID E & CYNTHIA S 12208 E PORTLAND AVE SPOKANE VALLEY, WA 99206 Acreage Land Sq Feet 20,479 Property Class 11 Single Unit Exemption Year 2004 TCA 0146 Parcel Status Active Taxpayer Address HARRISON, DAVID E &.CYNTHIA S 12208 E PORTLAND AVE SPOKANE VALLEY, WA 99206 Market Values 2004 Land Improvements Total Value 26,400 Exempt Value 60,100 Personal Property 86,500 0 0 Active Exemptions Legal Description GRANDVIEW AC 1ST NLY 150FT L2 B8 Sales Sale Date 12/29/2003 12/13/1999 10/31/2003 04/09/2004 Sale Price 76, 772.00 79,500.00 86,372.00 76,500.00 Sale Instrument Government Transfer Statutory Warranty Deed Trustee Deed Government Transfer Excise Number 200400277 990018730 200320819 200406561 Sales History (prior to 1999) Sale Date 11 /04/1.997 12/13/1996 09/03/1993 Sale Price Sale Instrument 0.00 QUITCLAIM DEED 0.00 QUITCLAIM DEED 0.00 QUITCLAIM DEED Qualified / Unqualified UNQUALIFIED UNQUALIFIED UNQUALIFIED Vacant / Improved IMPROVED IMPROVED IMPROVED Transfer Type Verification RESIDENTIAL RESIDENTIAL RESIDENTIAL UNKNOWN UNKNOWN VERIFIED Improvements Improvement Type Dwelling Other Other Other Description Dwelling Residential Detached Garage Attatched Carport SHEDGP Year Built 1939 1939 1939 Size UOM 1,276 SF 780 SF 408 SF 1 SF