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Home My WebLink AboutSEP1973-00132Map Output Page 1 of 1 ArcIMS HTML Viewer Ma .r'"w.I"n.."{ t �t t� ■ Ltd ❑ Y r rX�Y, I� too f - re �-._ 12M FOR INFORMATIONAL PURPOSES ONLY - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its (lection. Mon Nov 28 11:15:57 2005 http://gisserver/servleticom. esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 11/28/2005 903 E. Caroline Port Angeles .73 43 OLYMPIC HEALTH DISTRICT Permit No.13 __ �7i • - SM1AGE DISPOSAL PERMIT APPLICATION Submit in Duplicate Builder Court House Port Townsend Date y'] 47 W PHONL 7 O�dNER ADDRESS d DIRECTIONS FOR IAEA NG SITE APPLICATION IS HEREBY MADE TO: INSTALL Nal SYSTEM REPAIR EXISTING SYSTEM t4t8'F'3BUILDING NO. OF BEDROOMS2. BASEMENT SITE SIZE NAME OF INSTALLER "I., �� -_ DRAINFIELD LENGTH&k iIDTH I LDEPTH #LINES -SEPTIC TANK SIZE 4 0 e) DRAW A DETAILED PLOT PLAN BELOV:►. SEE INSTRUCTIONS. ANY CHANGE IN BUILDING OR SE? -AGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS — PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMERT. DATE OF INSTALLATION SIGNATURE OF APPLICANT PLANK APP ED ✓/ DATE (Y 7 INSPECTED BY�� ® `-' l ! 3 SANITARIAN I S COMMENTS: I CERTIFY THAT T %YSTEM .. AS IDTST4LLED IN THE HANDIER APPROVED BY THE HEALTH DEAPRTMENT ,�/� DATE P "lam i! Ali! r � A � � � � i PLEASE T1$pE OR PRINT REAL ESTATE EXCISE AFFIDAVIT This form is your receipt when stamped (PI.EASIi SEE REVERSE) by cashier CHAPTER 82.45 RCW - CHAPTER 458-61 WAC FOR USE AT COUNTY TREASURER'S OFFICE �7t (Use Form No. S"WIB for Reporting Transfers of Controlling interest of Entity Ownership to the Department of Revenm) Name: ALVIN J. HARRIS, as his separate estate Name: GLENN F. ALDRICH AND SHARON M. 0 Street: 2107 SUNRISE DRIVE ALDRICH �, City/State/Zip BREMERTON, WA 98310 Address: 43 MOUNTAIN VIEW DRIVE City/State/Zip QUILCENE. WA 98376 3. ADDRESS 1*0 SEND ALL PROPERTY TAX RELATED CORRESPONDENCE Name: SAME AS NO.2 ABOVE Address: City/Statc/Zip; 4 LEGAL DESCRIPTION OF PROPI Street Address (if property is Improved ALL TAX PARCEL NUMBERS: 995400-084 riv - COUNTY o OR IN CITY OF SEE EXHIBIT W, ATTACHED HERETO AND MADE A PART HEREOF. SEE PAGE 2 S Is this property currently: Ya No Classified or dm*nmd as forest land? [ ] IX1 Chapter 84.33 RCW Classified as current use land (open pm farm I I [Xl and agriculture, or timber)? Chapters84.34 RCW Exempt from property tax as a mnpfont I I 1X1 organization? Chapter 84.36 RCW Seller's Exempt Reg. No. Receiving special valuation as historic I I PQ property under? Chapter $4.26 RCW Property Type: ❑ land only O lard whh new building ❑ land with previously used building 01 land with mobile home CJ timber only 0 building only Principal Use: D Apt. (4 + unit) 10 reaidendat 13 timber E3 agrlculirtrd 13 commercWhrdusuial O other .. . 8 (1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34) If the new owner(s) of land that is classified or designated as current use or forest land wish to continue the classification or designation of such land, the new owner(s) must sign below. If the new owner(s) do not desire to continue such classification or designation, all compensating or additional tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84,34.108 shall be due and payable by the seller or transferor at time of sale. The county assessor must determine if the land transferred qualifies to continue classification or designation and must so indicate below. Signatures do not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the compensating taxes will be applied. All new owners must sign. This land 11 does 11 does not qualify for eontimrame Date (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) If the new owner(s) of property with special valuation as historic property wish to eommue this special valuation the new owner(s) must sign below. If the new owner(a) do not desire to continua such special valuation, all additional tax calculaad pursuant to Chapter 84.26 RCW, shall be due and payable by seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE 6 Description of personal property included in gross selling price, both tangible (eg; furniture, equipment, etc.) or intangible (eg; goodwill, agreement not to compete, etc.) If exception claimed, list WAC number and explanations. WAC NO. (See/Sub) F.xnlanration Type of Document STATUTORY WARRANTY DEED ✓ a Date of Document September 27 02 ✓ ? Gross Selling Price $67,0W.00 Personal Property (deduct) $ Taxable Selling Price $67.000.00 Excise Tax State 857.60 Local $335.00li Delinquem Interest: State $ Local $ Delinquent Penalty: $ Total Due S I.M.60 A MMM OF S2.00IS DUE AS A PROCESSING I= AND TAX'. 7. AFFIDAVIT 1 Certify Under Penalty Of Perjury Under The Laws Of The State of Washington That The Foregoing Is True And Correct (See back of this form.) Signature of r^t V Grantor/Agent ( �n , r 11 .'1.f A. Name (print) ALVIN J. HARR /�, Date and Place of Signitxg -. {I��OIm— 1% L(AdbiA/ Signature of Grantee/Agent Name (print) dMN F. ALDRICH Date and Place of Signing —2 % —0 tt PERJURY: 0 PERJURY: Perjury is a Class C felonry which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.0200 (IQ). /n la-di-da �" 0956 6 0 REV 84 0001a (3-18-99) (PD 08-01-01) 9957 95660 i t/DP/L002 3392.60 MnkBs ; FOR TREASURER'S USE ONLY LASER PRINTED FORM o Nuyk /ice - • REVENUE REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt n EASE •TYPE OR PRINT CHAPTER 82,45 RCW - CHAPTER 458-61 WAC when stamped by cashier. SEE BACK PAGE FOR UsEATCOUNTY TRn URM'sOrrlcE (Use Form No. 84 -=IB for Rgxming Transfers of Controlling Interest of Entity Ownership to the Depaztment of Revenue) THIS AFFIDAVIT WILL. NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED ec Name �v/AJ 1422/$ w Name ALV/tI . r ) 1gt?_Ml-S Sa eel �I �7 1;1.1 AJ )?4 :1),n City/St-OP Street 1 Q r /V City/Sm-Mp d2ef'VI --5,4 l tet/ rT iTp SEND ALL ADDRESS �PROF'ERTY TAX RELATED COQRFSPONDENCE Name S "LA,*A .7 L:Z>ez `mac'a ALL TAX PARCEL NUMBERS Q (] C0UNTV T0Ui9URI.3t PIACI : ASSESSED VALUE IF TAX EXEMPT Street City/State/Zip , C P_tj-e_ I ® LEGAL DESCRIPTION OF PROPERTY SITUATED IN ❑ 11NINWRPORATFSI COUNTY ❑ OR IN CITY OF Street Address (if property Is improved): 01 ® Is this property currently: YES NO Classified or designated as forest land? ❑ ❑ Chapter 84.33 RCW Classified as current use land (open space, farm ❑ ❑ and agricultural, or timber)? Chapter 84.34 RCW Exempt from property tax as a nonprofit [) C3 organization? Chapter 84.36 RCW Seller's Exempt Reg. No. ------ ---. Receiving special valuation as historic [] ❑ property? Chapter 84.26 RCW Property Type: ❑ land only ❑ land with new building ❑ land with previously used building ❑ land with mobile home ❑ timber only ❑ building only Principal Uset ❑ Apt. (4+ unit) ❑ residential ❑ timber ❑ agricultural ❑ commerciaUmdustrial n other _- 0 (1) NOTICE OF CONTINUANCE (RCW 84.33 OR RCW 84.34) 1 f the new owner(s) of land that is classified or designated as current use or forest land wish to continue the classification or designation of such land, the new owner(s) must sign below. Iftho now owner(s) do not desire to continue such classification or designation, all compensating or additional tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34. 108 shall be deur and payable by the seller or transferor at the fine of sale. The county assessor must determine if the land transferred qualifies to continue classification or designation and must so indicate below. Signatures do not necessarily mean the land will remain in classification or desipation. If it no longer qualifies, it will be removed and the compeosadag taxes will be applied. All new owners must sign. This land ❑ does ❑ does not qualify for continuance. Date DEPUTY ASSESSOR (2) Na110E OF COMPLIANCE (Chapter 84.26 RCW) If the new owner(s) of property with special valuation as historic property wish to continue this sprsial valuation the new a ) most at below. If the new owlleK8) do not desire to continue such special Val on, all additional tax calculated pursuant to Chapter 84.26 RCW, shall be due and payable by the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE Description of personal property included in gross selling price, both tangible (eg; furniture, equipment, etc.) or Intangible (eg; goodwill, agreement not to compete, etc.) If exemption claimed, list WAC aumbarr and ex lanation WAC No. (Sec/Sub) 7 t Explanation Type of Document Date of Document "'-21 - Gross Selling Price S-- �- Personal Property (deduct) $ Taxable Selling Price $ Excise Tax: State $ Local $ Delinquent Interest: State $ Local $ Delinquent Penalty $ A MINIMUM OF $2.00 IS DUE AS A PROCESSING FEE AND TAX. E AFFIDAVIT I Certify Under Penalty of Perjury Under The laws of The State of Washington That Is True And Correct. (See back page of this form). Si of r Gran r/ Nam Date and Place of Signing: Signature of GrantealAgem Name (print) Date & Place of Signing: Perjury. Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximutlIgmt of not more than five years, or by a fine in an amount fixed by the court of»nt more than five thousand dollars ($5,000.00 or by both i fine (RCW 9A.20.020(1C)y (^�( REV 0400011(3-1949)(PD 1-28.02) :. FOR TREASURER'S USE ONLY(: ,_Q _t)n COUNTY TREASURER 9(16,7 9BRar&/Mm 0 W ;eCA SF 8023 3 . URGENT! Called You TO Please Call DATE ��'� ( _ TIME `{ ` 5 Returned Your Ca ❑ whileou Y were out was Here To See You ❑ ,. Will Call Again ❑ Wants to See You ❑ M TELEPHONE NUMBER OF ME' G , SF 8023 3 DIRECTIONS FOR LOCATING SITEi,' AN APPLICATION IS HEREBY MADE FOR APPROVAL OF THE ABOVE LOCATION FOR A STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM. RESIDENCE COMMERCIAL BUILDING OTHER NO. BEDROOMS aL BASEMENT r- SITE SIZE SOURCE OF WATER %z ✓ TYPE OF SOIL DEPTH TO WATER TABLE DRAW A SKETCH in the space belowq indicating location of building in relation to other buildings, property lines, well, streams or other bodies of water. Indicate proposed location of sewage disposal system. 01 -A V --==4 f SOT I MR L-1 N E. M®DVk-�k HWE OQ v J i A#T F_ j ' zr v" ;N _ A \t� to of Site Inspection ''' ' '«y APPLICANT IS SIGNATURE Approved" Disapproved Sanitarian • See reverse side for remarks. THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT, A SEPARATE PERMIT IS NECESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK ANP DRAINFIELD. 903 East Caroline OLYMPIC HEALTH DISTRICT Court House Port Angeles Port Townsend BUILDING SITE INSPECTION APPLICATION Submit in Duplicate OWNER.� ADDRESS % 7/ �'il �� .SCG: DATE LEGAL DESCRIPTIONr DIRECTIONS FOR LOCATING SITEi,' AN APPLICATION IS HEREBY MADE FOR APPROVAL OF THE ABOVE LOCATION FOR A STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM. RESIDENCE COMMERCIAL BUILDING OTHER NO. BEDROOMS aL BASEMENT r- SITE SIZE SOURCE OF WATER %z ✓ TYPE OF SOIL DEPTH TO WATER TABLE DRAW A SKETCH in the space belowq indicating location of building in relation to other buildings, property lines, well, streams or other bodies of water. Indicate proposed location of sewage disposal system. 01 -A V --==4 f SOT I MR L-1 N E. M®DVk-�k HWE OQ v J i A#T F_ j ' zr v" ;N _ A \t� to of Site Inspection ''' ' '«y APPLICANT IS SIGNATURE Approved" Disapproved Sanitarian • See reverse side for remarks. THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT, A SEPARATE PERMIT IS NECESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK ANP DRAINFIELD. •Ali ?ort Townsend, Idashington August 4,, 197,2 Mr. and Mr:;. R. 11. Doyle -° 3?093 Beach Drive Seattle#: Washinz;ton = 3e: aJtq in rp@ctirtu–Cote 88 anti, 89 arrow Cresi€ Ranch Dear Mr.-and ;yrs. Doyie A site inspection of yourpr;_„,e .arty was made August 3• IM. So lop, holes indicated the ' soil to be €ati#`actory fc�r tia;'itsall'.tion of a Septic tank and drainfield pro+oided that '.�, on the h',g herd yatem be 3ocat�ee ground- at Ieaat 75 ftback from the crreejt, %0 ft. in from propefaty lines 10 ft. from water line's and l� eft from foua«+ dations and in an area which will.-no tbe . parkdA or driven upon. Please fill out the enclosed sheet with a'drawn6 that: as �tlose to E .scale as .possiblee depicting the Proposed building .and 'dr nfi Id .., locations. qty next trap downto - ( SnOW—Creeks Randli will bsA�gu� '1? and S would be glad to meet °with you on ,t,he site ::if ., s ' � ?iartse let pas.ibl,e. ” F me know.. r Znclo.,ctd is ` addi tional df6rmation. If you have �tny qu'6' oxo; conments please contact thie office. Sincereiy Randall M. Durant District Sanitarian RMD/as r Encl. 3 it Screen' 01 Parcel # 000995400118 Geo Cd 280201005351 SNOW CREEK RANCH LOTS 89(ALL),88(PTN IN SE CORNER BRDY LINE ADJ) Mode INQUIRY Auto Roll' OFF Nbad Cd 2815 * Taxpayer Cd HARR 0200 HARR, ROBERT L T/P Chg Dt * Title Owner T/P Chg Usr Tax Code 0351 Status Tx TAXABLE Land Use 1101 MH-REALW/LND Affidavit 39801 Vol/Page / C/U Code S/C Cd B I I n A 1