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HomeMy WebLinkAboutEXM1996-00002 ECEIUE ail tio 'QQ��I/ ,I , / rte S USI Ij;7'= = Or] EXE= Tt�TYON APPL= CAT= ON Jefflgan..fMAISPqm.nty Subdivision Ordinance exempts certain proposals from the platting requirements of the Washington State Plats-Subdivisions- Dedications Act (RCW 58.17). To qualify for an exemption, the proposal must be reviewed and approved by the Jefferson County Planning and Building Department. Please answer the following questions completely, using ink or a typewriter. il APPLICANT: R.0.-r--R.►c.tc__. A -h-VI.rz. C�//..,A, A . L A ray s 1 c-- 3 ADDRESS: 433 ( oC.s 2c . (3 r2./ NNoN> W/� / ej '3ZO •••�i TELEPHONE: (home) 360-79c.- 3o5-4- (business) REPRESENTATIVE/CONTACT: A a-NI at-0 C.■,./o c,Q C W o o r S v 2v e..t,...� ,l,,,c,,) 4g ADDRESS: 2.155 Dis�avEfe-y 2p. Po21-Tu,tisE,.,p ,\A-IA 983ca 14 TELEPHONE: (home)3(.O- 38 S- S 96,8 (business) PROPERTY AND PROPOSAL. DESCRIPTION GENERAL LOCATION: 0 N U. S. (-(r ((,,W L.A.) A'/ 1 0 APP 26 x i �..�,o�TELy z �'a NAIL ES NOrZrc-+ O F 1321 tiNO IAJA, 1 N THE NIo2T6}6a,N P02T rOti 0 r CEO V 'r {_.of 3 'Ec. 2 3 —FT zC N., 1?.. . 2.. \/,/., \,l.M . LEGAL(S) (identify each affected property): • Owner: PAT 21 c.« 4- \(1►2(5 r r,,A. LAN., "51 N C.. Address: S A l'A1/4 1= A s A (3 o v r II Tax Parcel .Number (9_digits): -CoO Z - Z 34 -O Z 9 Real Property Description: (_c'r I o r= Dr s 14 E it' s S 4 o,z_i PL_A T \)OL. I of S1-4a,z..i PL_ATs P. 1Sl • Owner: D,\Lt E. -4- F..NJE E■ Ertl- Address: 17 b$ A3E2DEC A■ F_ NE R.Eiv oN \JA 58oSC.. Tax Parcel Number (9 digits): 9 3 G.-O o d— 1 Real Property Description: I--OT ( 0 F BL.cC..i& 1 O F 114 E. PL,d'T 0 F Biz.12.1 N N. N ■/mil OL..Q VoL.4 O F PLAT S P. / / • Owner: PATA.tCK..1- V1 2 C,e NA L AN5,,.., (. + DAL. ,F- Fr_A aF Evtirzr' Address: S - A s A (3 o../ E Tax Parcel Number (9 digits): 0 0 2. - 2. 3 4 - O 1 Z Real Property Description: ALL. o F hov ' r Lo r- 3, SEc. Z 3 T2c, N7 2..zw LY/ tic- Narr4 OF <<-1 £ bISNf re,. St-1 PLAY.. Sae. AFN 3815 /-7 • PROPOSED ACTION: R-,/ ()c O D I v( OF A Pte! (op z -Z 34 —O lr.Z �f. A S N x- r-+t S c.) .v�' y M P . rt E IN/02 T-W-(2,.i Po 2 ,o o �3 r ■ �o, t.., t=t� c� A P i./, 9 36.-- 000 - 1 0 1 "Ft-GE S v v 7-1-1 F R.r✓ P,42c_cd___ To BF 71-.6;N,E0 To APP („oz_ -- 2_ 34- o2.� S = TE PLAN A site plan must accompany the exemption request. It shall be no larger than 11 by 17 inches, to scale, and suitable for copying. It shall illustrate and identify the following features: 1. North arrow and scale. 2. Existing and proposed property boundaries; identify lengths. 3. Property improvements (well, septic systems, house, etc.). 4. Parcel ownership. 5. Roads serving the property. AC.KNOGJLEDOEMENT I hereby declare that the information provided in this application and all attached material is true and correct to the best of my knowledge. authoriz-.—s • • - u ( e) OFFS CE USE ONLY EXEMPTION TYPE: Pj VY)` APPLICABLE ORDINANCE SUBSECTIQN: 3, gDLq I4 APPROVED 0 DISAPPROVED COMMENTS: i A� 0 $II A► L. 1. . .I t. .1/ :At) I '. /, .a. .� 4 I '.l. .�., L_�. .1 �.iA..' r 1 �AiA '.u.O 04 PA III. i es. � ♦ - k •- •� .►t. !ire JiAJJRESPONSIBLE OFFICIAL: AA A ��, TITLE: .it 1 J1 P(tiynjr ,( DATE: 1 (1.q0 COPIES: to.4,,, Applicant 0 Public Works Department ii!, •epresentativ 0 Health Department Vg Assessor's tk Other: Dale 1- re) fey.. ctvc_k‹ • 9 C -. 4 V ls9\<-1,=�. Lcln-��ccG ( (2) ) Dear Applicant: e)C-‘ J P C1C 2(f) Thank you for your recent Boundary Line Adjustment application. We have processed the application and it has been approved. FURTHER ACTION IS REQUIRED ON YOUR PART TO FINALIZE THE PROCESS. Below is a list of actions pertaining to Boundary Line Adjustments. F Only the checked items pertain to your specific application. Please complete these requirements in a timely fashion. It should be noted that the Assessor's Office will not consider the new boundary lines as official until the following steps have been complet d. ( SIGNATURES9 Before you attempt to file the documents at the Court House, please be certain all owner's signatures appear on the Statement of Intent and have been notarized. (PI/TREASURER'S OFFICE Please take the enclosed documents to the Treasurer's Office located in the Jefferson County Court House and pay any excise tax required. A minimum fee of $2.00 will be charged for an xcise Tax Affidavit.* ( AUDITOR'S OFFICE Please take the original Boundary Line Agreement Statement of Intent form with any Exhibits and Deeds to the Auditor's Office located in the Jefferson County Court House for recording. Fees are assessed on a per page basis. The first page is $7.00, additional pages are $1.00 each.* (LrY OTHER REQUIREMENTS ; e cc's ' = -4A----,.- b C' k::-/- j -t:., !t3AC OK"62.. CZ_ L_)<-(- , Please contact Heather Van Etten or Michelle Grewell at the Permit Center, (360)-379-4463 , if you have any further questions. Note: * Fees are subject to change without notice. Filed for the Record at Request of THIS SPACE RESERVED FOR RECORDER'S USE When recorded return to: jump. FAT �2rc.4 . A. L Ar.! S( ,v C. p riri r a s a• r 3 3 TO ( R.0 AC) ['ii-y. 3 (Z.. I N 1V 0/- States, 7.ir rnrip \, 1 A . / 8 3Z 0 BOUNDARY LINE ADJUSTMENT STATEMENT OF INTENT THIS RECORDING IS FOR THE PURPOSE OF ASSISTING WITH A BOUNDARY LINE ADJUSTMENT PURSUANT TO RCW 58.17.040(6) . IT DOES NOT CREATE ANY ADDITIONAL LOTS, TRACTS, PARCELS, OR DIVISION AS THE LAND DESCRIBED HEREIN SHALL MERGE OR BE INTEGRATED INTO ABUTTING PROPERTY PRESENTLY OWNED BY THE PROPONENT. NOR DOES THE BOUNDARY LINE ADJUSTMENT RESULT IN ANY LOTS, TRACTS, PARCELS OR DIVISION WHICH CONTAIN INSUFFICIENT AREA AND DIMENSION OT MEET MINIMUM COUNTY AND SANITATION REQUIREMENTS FOR WIDTH AND AREA FOR A BUILDING SITE. Parcels involved in the adjustment are currently legally described as follows: PARCEL A: APN (o OZ- Z34- oz9 , Lcb-r No. l of (D 1 51-IEr2.' S St-}0,2.7 PL.-AT A s P r=r2_ V 0 1.- ( o i S N o n. i r-,c...Ar s i . i B t r /./ GDc.,v' -r-- L o -r- 3 i S ►_c . Z 3, T a i 2:3- \-"/.11V-1. n.■ . PARCEL B: As 171,4 93c„,- oc.o— Io ;i i_or I of (3/-oc.rt I R.-� r o( Biz, n.,n.)onl- W o l—CD I AS P l-.z. VOL-- . 4 o r Pc_A.T s P. 77 / /•/ Gov ' r L 0 r a, S E C Z 3, T zce r■l.i (Z . Z .i W. M . PARCEL C: APICI Cool- z. 34 -oi -, ALL- oP Cov'T L.or 31 5L . z3, T ZC. N. 2. z�/. L`1 i r•r L. N(o rt i r-+ C. F T E+E. D i s r-► s ra' S Sr+0,e--.7- PL-i..-I- C. SEE AF n/ 3 9 15/7) • PARCEL D: Boundary line subject to adjustment described as follows: (New legal descriptions) , EG Es 14i, , T 5 1 4 2.. The nature of the adjustment is described as follows: _ C3y Or_PC> 5, APN (...,0Z.- 2.34-012- IS To aF Or ✓+ rEi la,,...., i' Sor,vEtD -t'o A9L15 C,oa. - Z 34 -oa9 -f- APN 93C.-000 -/ 0/ . (proponent's signature) STATE OF WASHINGTON ) COUNTY OF ) On , 19 , personally appeared and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this isntrument, and acknowledged that he executed it. WITNESS my hand and official seal this day of 19_ Notary Public in and for the State of Washington, residing at This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review ivision. Al(Al 11, 1 JkLuit,,Q . Ll1 � Assistant Planner Date • Ex14 t (, ( —r' 1 9.83 a. ;:'. j , , . err 1 `ti: =® 1 • LOT ID o� 18 : 2 Ch. 10 ..: 9 J r- 2 9 . • / 2 Ch . CV .4 ; 8 • Y ,. Y7 II". 2 Ch. 7 . 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'i /cJASN / ^-1G7-0 ' VOL PAGE . , b9•38151'7 ' .:,.: •: <: OF°FPI !_ a(�`::41. REVENUE arwn r►+isaaacNCR:)GCN 'i••, ,•(;• TLE' COMPANY SiT1995 W 12 AN ID 514 Filed for Record at Request of JEFFERSON.t OUNTDY A TOR B AFTER RECORDING MAIL TO: 1 rY it)A-guro,,,_ 6t4Ai 6 . e2kovvv.. (Gk., , lv.A gx32 ) . • R-45437 FORM 1-68(3-e4, Statutory Warranty Deed THE GRANTOR s Sharon G. Lake a single person and Raymond G. Lundquist a single person, each as to an undivided 1/2 interest . for and in consideration of' One dollar and other Valuable consideration • in hand paid,conveys and warrants to Dale E. -Evert & Fenje Evert, husband and wife and . Patrick A. Lansing and Virginia A. Lansing, husband and ife Each as t an un- the following described real estate, situated in the County of' JEFFERSON divided l/e 1 ntere State of Washington Legal description is attached hereto on Exhibit "A" and incorporated herein by this reference. 4..t-1 I.f3 t T " A" JEFFERSON COUNTY EXCISE TAX t s o NI T�G. Aft, No. --� Cy 2_E- •-/ pzs o F 1 Date Paids�12 c( Amt. �_i JS' 1-+E N= By `rtglAt / •�:[�1��lit' • R. 0'14 Si- -.,;:rc„...c.,...".0.,:.......40 S �o.... I Dated this / day of May 1995 u) #,,� 'UBUO = 9�t i `14 0 r By .__4W„ . By ��s.t`WA` By .. . .... ... By ∎∎••"‘Itt STATE OF WA GTON STATE OF ASH1N ON ••,_ B. M III i a.,, %%%%.. '99,„ COUNTY OF D COUNTY OF 4l :tt../. � On this day persona ly appeared beQS}.:74, ,,flt--;;;;Iss*No...._&:;44.4.,14&-.",-..!. N , •.A,. On this day personally appeared btsfore me .�tSharon G. Lake S N -.:. ; . gayman.d...G.,....Lun.d:quist tome known to be the individual dcscrib'dd ' ';ndi L\ ' ,:17;4,me known to be the individual described in and executed the within and foregoing huff ut hlt4� 4..4>'-'4'.)::: ..9 ,`O=::! ,.'Who executed the within and foregoing instrument, acknowledged that she..., signed tt a. ,•..� C? d a ' owled he ►i r free and voluntary act and ,f0 �C��' i ged that signed the same uses and purposes therein mentioned. 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S H t N v I ON( • • EXHIBIT A n • • • That portion 'of Government Lot 3, lying Northerly of the following described property: Beginning at a point 1,316'.3 feet North of the Southwest corner of Government *Lot 3, Section 23, Township 26 North, Range 2 West, W.M. , ; thence South 77° 30' 15" East, to a point on the meander line of said Government Lot 3;- thence North along said meander line, 150 feet; thence North 77° 30, 15" West, to the North line of Government Lot 3; thence West along the North line of Government Lot 3 to the Northwest corner thereof; thence South along the West line. of Government Lot 3, to the Point of Beginning. . • TOGETHER WITH tidelands of the Second Class, as conveyed by the State of Washington, situate in front of, adjacent to and abutting thereof; • EXCEPT a 150 feet wise strip conveyed to the State of Washington for highway purposes, by deed dated September"6, 1958, and recorded under Auditor's File No, 159105. • Subject to • EASEMENT AND THE TERMS AND CONDITIONS THEREOF: DISCLOSED. BY : •Instrument recorded under Recording No. 10591• - and-as amended by Agreement recorded under Auditor' s File No. 106392 . PURPOSE : Use and service of water supply AREA AFFECTED : Portion of said premises EASEMENT' AND THE TERMS AND CONDITIONS THEREOF: • GRANTEE .: Wesley F. and Donna R. Gallagher PURPOSE : To construct a private road for permanent ingress and egress to the property owned by the °4 grantee AREA AFFECTED : Portion of said premises extending from Tog County .Road • DATED : Undisclosed RECORDED • : May 28, 1971 • RECORDING NO. : 208990 • Situate in the County of Jefferson, State of Washington. • • • • • • • • • • • VOL 527 FA., 8019 N E- Q IL 0 O 25' SO' /oo' iso � 0 , V) SCALE: Z) 0 3 O Fo � � ,z L} -7 9. 7 6 l Q J in Ae 1a d7i A`'t..6r1 1'.S� 0 %o I \ - N m 0 0 0 !:Q0 u U 92.29 190.00 N85'00' 00 "W . a =0v N0 3/4 •, P, of LOT 2 VOL 0 0 U CD 0 ti 60.32 283.31 ¢ 4\ N89'04'58 "E 5/ 305.,(9 I OF Dr L.S . 113 104 Ps R OF I SHORT �DL I S -y - 4 5 PL A T SHOR 7- P �. ZO -1 S P. 161 LATI 6p. A,4 o CASE NEN r S-77130'IS,, 7709 S1S rot AFN 2og99oN 2748) I � _A *2p3 Z8 3 -95 FOtEST Sjce cr_ IJIoM. /'1 =ovr+o ALV M. 3 '.fi'� Ste/ CO2 L.ov' T L o T FIELD PROCEDURES: THIS SURVEY WAS PERFORMED BY FIELD TRAVERSE USING A 3 SECOND LIETZ ELECTRONIC TnTAI RTATTnN THF7nf) 11 TTP AMC) gTFFI TAPP AUDITOR'S CERRTTIFICATE 7 FILED O 1 995 O IN L 11R0 TSUIRVEi S DAY -PAGE OF � �V � ON THE REQUEST OF: ARNOLD C. WOOD DEPUTY JEFFERSON COUNTY AUDITOR ACA S. I SURVEYOR'S CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SURVEY MADE UNDER MY SUPERVISION IN CONFORMANCE WITH THE REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE REQUEST OF: G P�.T A. LANSINGs ON9 -/9.5. // -30_95 EDS) 32 w e 0 O M O to 0 t7 ry 237.93 LOT 1 BLK PLAT OF BRINNONWOLD VOL 4 OF PLATS P. 77 APN 936 - 000 -101 A 13 245.21 Foz T3.L.a N89'04' 58 "E 2aMOVE 'THIS r Ap� AC>D Vats �7 120 119. N�`S�3.3 q �2�234, I ' S /2 "F 38/S 012 7 I APN 602- /06•(993/5 cog AaN . 23 8/s47012 I� =�� L.g. 43.5 OT29 I 84 R I GARAGE , s `SHOR T 1 ILL �� N D l /P•� Fos�1c)L B�GP cePo`° T'O� I 75 75 ' 1 /r 173.10 N89'04'58 "E No:#rN L.tAt= or w �o TILor 3 :7 1 �^ I 1 z I I I /1r9 0) 1 N,3.35 2 "I,/ PFouNO 1 (n. z I APN 602,23 4_ SAT 374 1 7 7 I 029 I 501 33 HOUSE v I VO 14- 0 F oz v2v` S �2gGC° S 77O / 9 TN �°,� Q� Of WAS,y P�� 1/ =55 S>>2g9 � 59 "F o /o 839 /C3 ' 3Z I'• 9 9p.55 SHED 't -- 2.jt•"- FovivO ��� 2ejA2 aC ••�LCrN C. s. loa 99 ( Gov'r Lo^r 3) SE7q- SE' /4-, Sa=c -noP4 Z3,T z� RECORD OF SURVEY OF: re. ZW T' wI w v� L O O I'7 M I O I� It7 M - z r� I Z ! 23 I d I � 75 �! 7 75 01 1J c 31}0 Id ,I =1 s 0 t I 2 ' -�+-� - - 7 S- 7 S ►I �a LL 0 _ 0 cI0 � IM I!n U. �► e Q pz MI -- O M Z I a F Q F 0 Z4 r� z v F �'. W U1 4 J of Q t J 0. 0 ^i 0 7� al (it z: o �I a Q �I Q OI . I �J LEGEND O SET 5/8" REBAR 6 CAP "A.WOOD PLS 23911" LOT I OF D,s"ee,s SHo2T rt_AT Vel. -. t of S.P. P l eta L,or I I3LIC I ar4tm"Or+ WOL-0.1 VOL. 4 of P1_.eTs P.77 /1nt0 Af= 351517 SET 3/8" REBAR FOR SURVEY STATIONS Q_GG.OMO s OF SEFFE.2Sou (2-O. �l.16.. Nz:�� 7 MAP d SURVEY BY: WOOD SURVEYING INC. JOB NO.50<0 EXPIRES 1117/ ')g �•-'' ('� 2155 DISCOVERY ROAD PORT TOWNSEND WA.98368 •. 1- jiTtZIG IG� A. .I-vI R. CaIM1A �i. L.A�ISINV PHONE 360 - 385 -5968 FAX 360 - 379 -5659 LOT 1 BLK 2 0 D No n O O O O O _ 9z% O V 00 17 �,At Q•. 4•,y- pp N 33. 93'E UN� µD~ O.Z9' FROM •�r L. 191 02 LpLG. FOS�fror/2B . a =0v N0 3/4 •, P, of LOT 2 VOL 0 0 U CD 0 ti 60.32 283.31 ¢ 4\ N89'04'58 "E 5/ 305.,(9 I OF Dr L.S . 113 104 Ps R OF I SHORT �DL I S -y - 4 5 PL A T SHOR 7- P �. ZO -1 S P. 161 LATI 6p. A,4 o CASE NEN r S-77130'IS,, 7709 S1S rot AFN 2og99oN 2748) I � _A *2p3 Z8 3 -95 FOtEST Sjce cr_ IJIoM. /'1 =ovr+o ALV M. 3 '.fi'� Ste/ CO2 L.ov' T L o T FIELD PROCEDURES: THIS SURVEY WAS PERFORMED BY FIELD TRAVERSE USING A 3 SECOND LIETZ ELECTRONIC TnTAI RTATTnN THF7nf) 11 TTP AMC) gTFFI TAPP AUDITOR'S CERRTTIFICATE 7 FILED O 1 995 O IN L 11R0 TSUIRVEi S DAY -PAGE OF � �V � ON THE REQUEST OF: ARNOLD C. WOOD DEPUTY JEFFERSON COUNTY AUDITOR ACA S. I SURVEYOR'S CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SURVEY MADE UNDER MY SUPERVISION IN CONFORMANCE WITH THE REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE REQUEST OF: G P�.T A. LANSINGs ON9 -/9.5. // -30_95 EDS) 32 w e 0 O M O to 0 t7 ry 237.93 LOT 1 BLK PLAT OF BRINNONWOLD VOL 4 OF PLATS P. 77 APN 936 - 000 -101 A 13 245.21 Foz T3.L.a N89'04' 58 "E 2aMOVE 'THIS r Ap� AC>D Vats �7 120 119. N�`S�3.3 q �2�234, I ' S /2 "F 38/S 012 7 I APN 602- /06•(993/5 cog AaN . 23 8/s47012 I� =�� L.g. 43.5 OT29 I 84 R I GARAGE , s `SHOR T 1 ILL �� N D l /P•� Fos�1c)L B�GP cePo`° T'O� I 75 75 ' 1 /r 173.10 N89'04'58 "E No:#rN L.tAt= or w �o TILor 3 :7 1 �^ I 1 z I I I /1r9 0) 1 N,3.35 2 "I,/ PFouNO 1 (n. z I APN 602,23 4_ SAT 374 1 7 7 I 029 I 501 33 HOUSE v I VO 14- 0 F oz v2v` S �2gGC° S 77O / 9 TN �°,� Q� Of WAS,y P�� 1/ =55 S>>2g9 � 59 "F o /o 839 /C3 ' 3Z I'• 9 9p.55 SHED 't -- 2.jt•"- FovivO ��� 2ejA2 aC ••�LCrN C. s. loa 99 ( Gov'r Lo^r 3) SE7q- SE' /4-, Sa=c -noP4 Z3,T z� RECORD OF SURVEY OF: re. ZW T' wI w v� L O O I'7 M I O I� It7 M - z r� I Z ! 23 I d I � 75 �! 7 75 01 1J c 31}0 Id ,I =1 s 0 t I 2 ' -�+-� - - 7 S- 7 S ►I �a LL 0 _ 0 cI0 � IM I!n U. �► e Q pz MI -- O M Z I a F Q F 0 Z4 r� z v F �'. W U1 4 J of Q t J 0. 0 ^i 0 7� al (it z: o �I a Q �I Q OI . I �J LEGEND O SET 5/8" REBAR 6 CAP "A.WOOD PLS 23911" LOT I OF D,s"ee,s SHo2T rt_AT Vel. -. t of S.P. P l eta L,or I I3LIC I ar4tm"Or+ WOL-0.1 VOL. 4 of P1_.eTs P.77 /1nt0 Af= 351517 SET 3/8" REBAR FOR SURVEY STATIONS Q_GG.OMO s OF SEFFE.2Sou (2-O. �l.16.. Nz:�� 7 MAP d SURVEY BY: WOOD SURVEYING INC. JOB NO.50<0 EXPIRES 1117/ ')g �•-'' ('� 2155 DISCOVERY ROAD PORT TOWNSEND WA.98368 •. 1- jiTtZIG IG� A. .I-vI R. CaIM1A �i. L.A�ISINV PHONE 360 - 385 -5968 FAX 360 - 379 -5659