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Home My WebLink AboutSEP1975-0046075 - #bo 903 E. C4roliine OLYMPIC HEKt2H DISTRICT Permit No.. Port Anc elesi. Wash. SEWAGE DISPOSAL PERMIT APPLICAhdN .L•. Submit in Duplicate L-61 ` Builders M Courthdise x Port Townsend, Wash. DttL6 IZ715 a OWNER*�r ADDRESS S�° f �` ..'°:.`per-' E Dn=TtcNs FOR LOCATING SITE + APPLIG`ATION IS I EREBY MADE TO• Il+TSTA� SYSTEM L- PAIR 6=T1Nd SYSTEM TYPE 0 BUIMIN NO. OF DROOMS BASEMENT S E 5IL�E 3�%STA4.a DRAINFIELD LENGTH �\OWMH 2 DEPTH YV o"#LINES��EPTZC�TANIC DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE -0p r -2-31 t (o v c�c5 -i.)/ VA D-0 0 ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PIANS, LOCATION OR SITE, INVALIDATES THIS PERMIT UNLESS`'PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT. TINSTALLATION_ SIGNATURE OF APPLICANT APPR -/`� DATE INSPECTED BY O c SANITARIAN IS CCMMENTS: I CERTIFY OW 6 -?5 THE MANNER APPROVED BY THE -HEALTH DATE 0- rises$ TYPE ox rxnaT REAL ESTATE EXCLU TAR AFFimAM 'Y� � reoelpt ai�n d t'i.FASE = R6Vi4R8E Fbna No. 84 000IA CHA = irL43 RCW - C1tA1 M 458.61 WAC Fur Use a Trsa RMA MAPS (Uss Foran Na 84-00DIB for Repor ft TOM&* of fmsraa Of Bally OwnanhlP to ibe Dahxwt21m4 of Remros) TM AFFMvrr WILL Nor BE Acczv= UIV[A9S ALL ARBAS 1•-7 ARE FULLY 22MKZM 0 Nae„ Frank L. Woodruff ✓ ® Name Nancy M. Glaser _ M Grace 0 Woodruff Michael T. Hamden shat 824 Orant—Strealt. 4 street_ 90 Coursey Lane City Port Townsend state Wa, Zlp 9. 836th city Port Ludlow sus wa• zip89 365 AM"" 10 SM A4L PROPHM TAX RM ATW CORRBR.t'O 1M= I A TAX PAxm mumum Nam„ _ Nancy M. Glaser 6 Michael_ T._Haydeln 821-083-007 --r MCIAL DBSC wnoN OF mopkRrY srruviaD INz3 uNwcoRvoit ?Daeffe>rsan COUNTY ❑ OR IN crry of StaeetAddress pfpsoperty Ie bupzmW): 40 Coursey Lmne. Pert Lud7nw, Wa gM65_, PARCEL A: The south quarter of the northeast quarter of the southwest quarter of Section 8, Township 28 North , Range 1 east , W. M.; Except the south 330 feet thereof, Situate in the Coutny of Jefferson, State of Washington. PARCEL B: The east 20 feet of the West 97.40 feet of the north 60 feet of the south 330 feet fo the southeast quarter of the northeast quarter of the southwest quarter of said section 8. Situate in the County of Jefferson, State of Washington. 0 is this property c ..my: YES NO Ctaulfled or desip *W as rotta land? ❑ Chapter 64.33 RCW ( q� Clwlfled u current use I) daapan 84.34 firm ❑ and agrlculhald, or timbcr 7 from property tax to a noaprofk 04=1 ❑ o n? Chapter 84.36 RCW Sellmb Exampt Reg. No. — _ _ _ ` _ Revolving 1100161 vahraloa as hharlc El m wader? Chapter 04.25 RCW Prowq Typeh ❑ lead only ❑ land with stew building 9) lead with prcvltutely used building 0 lead with moblie home ❑ timber only O humus only PrhwJpal Un: 13 Apt. (4 + unit) ❑ residcatal 0 thnber O agricultural 0 commerelal/ladnstrlal ❑ other 3 (1) NOTICU OF CONTINUANC H (RCW 84.33 or RCW 94.34) If the new owrmr(s) of lad OW is clwWfled or deelzutad as eurreut use Or ft -4 WW wish to couflnuo the cWWIlcatlon or dv9VAioo of such land, tho new owwr(s) must sign below. If the new owner(a) do not dcslre to eo+uiauc Rich olats[ffcattm or desipnaton, 28 oomPenadnp or Wdltlond tax Calculated pummW to RCW 84.33.120 and 140 or RCW 84.34.10$ shall W due and pq vbie by the aeRer or tnRiefotor at the limo of sale. MM otwaty ahroeasor must determine If the land tran*rred gwlifles to eominue claWfloatioa or desigrrattm and must so indloato brdow, Skunturee do M ncmeWAY usem Cho land will remain to clawliloadon or desipwulva. If It ase longer gwallf 08, it will be mmwmd and the compcma lm toms win be applied. AU now owuers mast sign, Tido IvW O does Q dM not qualify 8rr gontinwnoe. Dara DEPM R L ) NOTICE OF COMPLIANCE (Chapter 64.26 RCW) ow=4) of=rty with apwm vdwtlon as bleode prepadtmre this q*o valuation the new own=(#)mustgip owner(s) do trot desist to continue such speeiel vahmton, aU tax calQUTAW punuant to Chapter 84.26 RC% sbdl be due le by the seller or trindhror at the time of sale or (3) OWNER(3) SIGNATURE DoseriPU- of tangible Mutual property it Included In sale (tluudme, gVII-ax etc.) If wnrmptlon olAIUMd, Hot WAC n mbcr and aWlaa lam WAC No. (Sod Bab) Bxplanwon Type of Document _ Statutory Warranty Deed Dare of Document _ . September 27, 1994 Oross We Price $ 108, 000.00 Pezv nal Property (dot) $ Tastable Salo Price ng- $ Ing- nnn-nn Fbwjso Bclse Tax State $ _ 1,022,40 L"d $ Dcllaquent Interest: State $ LOW s Dellaquent Poaalty: Stato $ Tbas1 DN $ IRE IS A $2W FEE FOR PROC89MNO TANS FORM W No TAX a DUE AFFIDAVIT I certify ander y�t9 of wider the lavra o[ the stab of V4ashlnQtoit t6Bf the tarego &M and Sigaamm of i mdDr/ABen Name (print) Fran L. Woodruff Grace OgWoodruoff Dab & Phice of signing O � _ signature of GmnUWAgentrno {F—Is_t,iyL,, NA= fit) Nancy M. Glaser & Michael T. Hayden Date & PImm of Signing '? U13Y; Perjury tR a cies C felony which Is punishabio by impriaanment In a state rortectiortal Inedtution for a maximumd not more than five ycara, or by!t fine in an amount fiitcd by the court of not more than five thousand doIjara ($5,000.00), both Imprisonment and fine (RCW 9A.20.020 (!C)). ?70RNaR•s use Fo* REV 84 000iA (v,93) (pD 12.1).93) COtITiV'I'Y TREASURER � 17/1 ADDENDUM NO. 1 TO REAL ESTATE PURCHASE & SALE AGREEMENT N0. 119646 DATED: 8/13/94' CONSENT TO DUAL (Limited) AGENCY ADDENDUM (For use with "In -Company" Sales Only). CAROL PLETCHER ("Salesperson") is a real estate salesperson licensed in the State of Washington and working as.an independent contractor with ERA OLYMPIC REAL ESTATE ("Agent"). ("Seller") owns a certain real property that is for sale, which real property is described or commonly known as: 90 COURSEY LANE_ PORT LUDLOW, WA. NANCY GLASER AND MICHAEL HAYDEN ("Buyer") may be interested in buying the Property. Agent either (1) now represents both Buyer and Seller,.or (2) represents one party now and has represented the other party in the past. As a result, Salesperson may possess certain confidential information about the Property, Buyer, and/or Seller. Agent, therefore, may be faced with a conflict of interest. Under the otherwise applicable laws of Agency in the State of Washington, if Agent represented Seller, Agent would be required to reveal to Seller whatever pertinent confidential information it learned from a prospective Buyer and vice -versa. In spite of this potential conflict of interest, both Seller and Buyer desire that Agent continue in its representation of both parties. Seller and Buyer hereby agree that Agent or Salesperson will not be obligated to reveal to one party any confidential or privileged information Agent or Salesperson may have with regard to the other party. Agent and Salesperson hereby agree not to reveal confidential or privileged, information about one party to the other. Thus, Seller, Buyer and Agent all hereby agree that Salesperson's and Agent's role from this point forward will simply be to serve as a conduit of non -confidential information and to otherwise facilitate a closing of the transaction in question. Seller and Buyer each may, if they find it necessary, consult their attorney. The parties hereby agree that should the transaction in question close,- the commission due Agent shall be paid.by the Seller. To the extent not inconsistent with the terms of this Agreement, the terms of any listing agreements now in effect between Agent and either or both of the parties hereto shall continue in full force and effect. (NW 1/4 17 -28N -IE)- O 0.86 a. JEFFERSON COUNTY ASSESSOR (NW 1/4 8-28N-fE) TWP28N 1279.09 AD RGE 1E 82108301TAX 54 JRNER 4.774 951400003 LOT 3 19.31 0. 921093002 NWNE sW 9.89a 1093001NEM I S* LESS TX 84 4.74 Q fan.79 I I I 430. at (QaAl2CE0> `�. 4.6 4.83 a. LE 55.03a�W I LOT 4004 LOT 4 � h — — _.._ _. — - 19.25 0. I W ppg I64n WITH EASE TAX AX49 W 821083003 1 �' OF S1/2 S1/2 NE 9W I 1287.49 � I 1298.08 7.00 a. I'� — m 961400005 430.01 480. 15.47 T 6 ieia I SCALE: 0. g 1"=200' I PORT 3 (REVISED) I 5.05 a. _� d 4 5 �" u - 5.27 a. 1.95 a. 128320 d 20200 �e 2 m (REVISED)_ LUDLOW 5.10 a. 480.01 15517 4 0. f :S 430.01 230 N O (� 961400006 • `-' n LOT 6 ".,*'1 7 -_ 6 19.12 a. a $2.110. 92 5.11 a. ` DRWN. Et &30 a TN PT LUDLOW 1/31192 TOW (NW 1/4 17 -28N -IE)- O 0.86 a. JEFFERSON COUNTY ASSESSOR