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Application for Land Classification under RCW 84.34 (0002)
1 • THIS FORM MUST BE FILLED OUT AND FILED WITH THE COUNTY ASSESSOR IN TRIPLICATE FOR ASSESSORS USE ONLY Copy 1 - Legislative Body ,, Copy 2 - Assessor Received by .4-r�. . •� Copp 3 - Applicant Date `ylial /._If' Amount of Fee % 5 , c O Transmitted to echo Ite of Transmittal ')u1 )1 (q7?' APPLICATION FOR LAND CLASSIFICATION UNDER RCW 84.34 OPEN SPACE, AGRICULTURAL OR TIMBER LANDS CURRENT USE ASSESSMENT Name of Applicant NORMAN P. OORTHINGTON Address i+l1R ,,,qt 27th Avanfa, Olympia . Washin ton q o1 Property, Location Jefferson County2 Washington Interest in Property: Fee fl.rr XX Contract Purchaser Other (Describe Interest) ?\TcynP Legal description of land to he c1a-; .. i_fed: (Include map of property showing location on all improvements) '"i"?9t p rti cr of the F,1 of the SE of Sec. 17 , Twp. 2 8N., Rge lW.,. W. Y . , lyirt_r east of the right-of-way of the existing Q,uilcene-Center county .road, ;* EX E�'TI7 RAI of any other public Road. jrnnwn a� t.r-n�7ii-y R��;� �r�2 : �s:S.�'i1'�, 1� �. This application may cover more than one parcel , and/or land on which appurtenances necessary to the production, preparation or sale of the agricultural products exist in conjunction with the lands producing such products and/or parcels of one to five acres, which are not contiguous but which otherwise constitute an integral part of the farming operation. Lands with current use of (1 ) open space, (2) farm and agricultural, or (3) timber land may be listed on the same application but a legal description must be shown for each classification. Total acres in classification request 4/.38 acres Is the land subject to lease or option or other agreement which permits any other use than its present use? Yes No X:X.. (Attach copy of lease or option or other agreement) Describe completely the current use of each parcel of land in classifcation request Tir"ber growinz _Purposes only Describe all present improvements (Buildings, etc. ) 7o improvements • -1- If application is made for farm and agricultural classification, check which of the follow- ing categories apply: A. Farm and agricultural lands of twenty (20) or more acres. B. Farm and agricultural lands of five (5) or more acres but less than twenty (20) acres. Lands which are in category B must have produced a gross income of $100 ,or more per acre per year for three of the last five calendar years. Attach documenta- tion showing the land has achieved this production level. C. Farm and agricultural lands of less than five (5) acres. Lands which are in category C must have produced a gross income of $1,000 or more per year for three of the last five calendar years. Attach documentation showing the land has achieved this production level. I declare under the pecalties for perjury that this application and any attached documents have been examined by m :, and to the best of my knowledge constitute a true, correct, and complete statement. I hereby agree to furnish such additional information as may be required by the Legislative Body concerning the current use of the land to be classified. Owner or Cont t Pu)chaser(s) Subscribed and sworn to � g before me this 28th I101RIPi. NT r. VV ZNGTOW- of April. Notary Public in and for the State of Washington. - Residing at Cal ymp i a FOR GRANTING AUTHORITY USE ONLY Date Received By Amount of Application Fee Application for Classification: Approved ; Approved in Part ; Denied Owner Notified of Denial on Agreement Executed and Mailed to Owner on Land Areas Approved for Classification: Conditions Imposed: Signed Agreement Received from Property Owner on Agreement Transmitted to Assessor on • )71 , 01-44-dv Signature of ranting Authority -2- Department of Revenue PTF 80 - . . 0.,,/ /7 774/1":, 07-47-4, A-- 1,-.4). it14 .,„.,..,„ ? ., / . . Pit er Npfly ;,,. „, ,,./. I - 1 / „‘ q i / ,. ,,, i I .,- / ,, it ?, .. . / ,-;,,.. , I ,f , e 1 I ii' bt.p 1 i i 4i.' -I lei ; •,,,, 1,' .1 , ,,, i i r ;P , , c ., 4 i i ,. , il).$ / . (' / c , I el ., / /i 1de / ,.J titflt . t I 1 I C.N1‘ 1 • 1 ,4/) : ‘ ,.''. , ,.,. ..,, .., ,......, ....--... ...„ .„,,..... 4.„.. \ •Or,,Ij`'-'.1.; i' , g e *-- : $ I t4 \ \ ) 1 c:1! „ ..., , -,„ is 1 N NN, ,,,, ' Nk. 1 \, ,A-0 I ' ;• .,, ,. /i, /... i . • 1,. i if. i . „ i fl„1 1 IIii i 4 7 il ,_.,,,,,,fr :::::.;, R ,t 4 p • THIS FORM MUST HE FILLED OUT AND FILKD WITH THE COUNTY ASSESSOR IN TRIPLICATE FOR ASSESSORS USE ONLY Copy 1 - Legislative Body Copy 2 - Assessor Received byt, ,-`,{� Cops' : - Applicant. Date 4t (972 Amount of Fee C-L Transmitted to 6, IDate of Transmittal S-- f�7r APPLICATION FOR LAND CLASSIFICATION UNDER RCW 84.34 OPEN SPACE, AGRICULTURAL OR TIMBER LANDS CURRENT USE ASSESSMENT Name of Applicant NJRIVIAN Y. WORTHINGTON Address 408 East 27th Avenue, Olympia, Washington 98501 Property Location Jefferson County, Washington Interest in Property: Fee O'o,rr XX Contract Purchaser Other (Describe Interest) `'One Legal description of land to he cla" i.fed: (Include map of property showing location on all improvements) That prtion of the 7?; of the SE` of Sec. 17, Twp. 28N., Rge 1W. , W.F::. , lying east of the right-of-way of the existing Quilcene-Center county road, known as County Road #12 ; {CFO T'_-TG R/' • of any other public Road. This application may cover more than one parcel , and/or land on which appurtenances necessary to the production, preparation or sale of the agricultural products exist in conjunction with the lands producing such products and/or parcels of one to five acres, which are not contiguous but which otherwise constitute an integral part of the farming operation. Lands with current use of (1 ) open space, (2) farm and agricultural, or (3) timber land may be listed on the same application but a legal description must be shown for each classification. Total acres in classification request 47.38 acres Is the land subject to lease or option or Q,ter agreement which permits any other use than its present use? Yes No ' (Attach copy of lease or option or other agreement) Describe completely the current use of each parcel of land in classifcation request Timber growing purposes only Describe all present improvements (Buildings, etc. ) 7o improvements • -1- i If application is made for farm and agricultural classification, check which of the follow- ing categories apply: A. Farm and agricultural lands of twenty (20) or more acres. B. Farm and agricultural lands of five (5) or more acres but less than twenty (20) acres. Lands which are in category B must have produced a gross income of $100 ,or more per acre per year for three of the last five calendar years. Attach documenta- tion showing the land has achieved this production level. C. Farm and agricultural lands of less than five (5) acres. Lands which are in category C must have produced a gross income of $1,000 or more per year for three of the last five calendar years. Attach documentation showing the land has achieved this production level. I declare under the penalties for perjury that this application and any attached documents have been examined by m :, and to the best of my knowledge constitute a true, correct, and complete statement. I hereby agree to furnish such additional information as may be required by the Legislative Body concerning the current use of the land to be classified. Owner(s or Contract Pur ) aser(s) Subscribed and sworn to before me this 28th .N VvURTHINIiTu, day of l, ,; 1� 9 72 .3,- t No ary Public in and f the State of ,Ash1,7gtnn. - Residing at :.4lgrripia FOR GRANTING AUTHORITY USE ONLY Date Received By Amount of Application Fee Application for Classification: Approved ; Approved in Part ; Denied Owner Notified of Denial on Agreement Executed and Mailed to Owner on Land Areas Approved for Classification: Conditions Imposed; Signed Agreement Received from Property Owner on Agreement Transmitted to Assessor on • 00(AA � Signature of Granting Authority -2- Department of Revenue PIT 80 1 I 1.. -i. 5 e c., coil /7 7 to 2°' '104". _ et/1"6:i /Ple i /, 1411;04,, ,./711/40.4,-,41,01. Cgw,*,tti, 11004 IA '_____— ,. 1 / poie V, cf" 40 0 / +. / tie tfr i /i ,ff ,e. i 4 I ...g/ / / 1 / i I it ' 01114 1 F f 8 t e i I I ili.,t1 I 1 ‘,,t / " "t o 1' I( it 1,4 0 I P .108 / / ti \‘1. \ 44 1 i I i i I /i A\ 1 I i A\ 1 1 __.. L, ....„ . ill tN ,,,,.,.,,,„_ t , t it I i 13 \ ...a 4,.. i, i 4 -,,,.,,, 114 ; T I \i .j • ) N. , t I N,. i• \ ; i.VO4,' ' 1 I iti ttli I 1 , , I i I ; ,,y 4 41 .8 i ) / l' 1 f ' I 1 i 1 ' :f j i ro i ,! , a i- J.7 '4 it , hit 34; 1 " *4' 5 c-.*A. ,i • THIS FORM MUST HE FILLED OUT AND FILED WITH THE COUNTY ASSESSOR IN TRIPLICATE FOR ASSESSORS USE ONLY Copy 1 - Legislative Body Copy 2 - Assessor Received by ropy - Applicant Date 7� Amount or Fee ,a4.<--5:1—'" Transmitted to (Date of Transmittal -/ 7 APPLICATION FOR LAND CLASSIFICATION UNDER RCW 84.34 OPEN SPACE, AGRICULTURAL OR TIMBER LANDS CURRENT USE ASSESSMENT Name of Applicant NJRMAN 1'. W RTHINUT }N • Address 4.05 ast 27th Avenue. Avnpia. 'FaLhin tton 96501 Property Location Jefferson County Washington Interest in Property: Fee 07.ar XX - Contract Purchaser Other (Describe Interest) '°T©iIP Legal description of land to he. cla,.- i.r:ed: (Inclde map of property showing location on all improvements) That prtion of the FA. of the ;F of Sec. 17, Two::. r'ge 1°, ., .='.. . , lying east of the right-of-way of the existing ,uilcene-Center county road, knowr as County Road .g12; :{, "G r>/ 1 of any other public load. This application may cover more than one parcel , and/or land on which appurtenances necessary to the production, preparation or sale of the agricultural products exist in conjunction with the lands producing such products and/or parcels of one to five acres, which are not contiguous but which otherwise constitute an integral part of the farming operation. Lands with current use of (1 ) open space, (2) farm and agricultural, or (3) timber land may be listed on the same application but a legal description must be shown for each classification. Total acres in classification request 47.38 acres Is the land subject to lease or option or Qther agreement which permits any other use than its present use? Yes No " (Attach copy of lease or option or other agreement) Describe completely the current use of each parcel of land in classifcation request Tirber .growing, purposes only Describe all present improvements (Buildings, etc. ) '"ro improv'erients -1- If application is made for farm and agricultural classification, check which of the follow- ing categories apply: A. Farm and agricultural lands of twenty (20) or more acres. B. Farm and agricultural lands of five (5) or more acres but less than twenty (20) acres. Lands which are in category B must have produced a gross income of $100 ,or more per acre per year for three of the last five calendar years. Attach documenta- tion showing the land has achieved this production level. C. Farm and agricultural lands of less than five (5) acres. Lands which are in category C must have produced a gross income of $1,000 or more per year for three of the last five calendar years. Attach documentation showing the land has achieved this production level. I declare under the penalties for perjury that this application and any attached documents have been examined by oi, and to the best of my knowledge constitute a true, correct, and complete statement. I hereby agree to furnish such additional information as may be required by the Legislative Body concerning the current use of the land to be classified. Owner(s) or Contract Purchaser(s) Subscribed and sworn to before me this ;' th day of ry4Ai1, 19,7Z Notary Public in and for the State of ",ashirwton Residing at vl 7-1a.i n FOR GRANTING AUTHORITY USE ONLY Date Received By Amount of Application Fee Application for Classification: Approved ; Approved in Part ; Denied Owner Notified of Denial on Agreement Executed and Mailed to Owner on Land Areas Approved for Classification: Conditions Imposed: Signed Agreement Received from Property Owner on Agreement Transmitted to Assessor on • • / -t). 4' Signature of ting Authority -2- Department of Revenue PTF 80 • A. M. O'MEARA [3EORDE HUNTINOFORD WALTER A. KELLY CHAIRMAN MEMBER MEMBER 1 k Board of Jefferson County Commissioners 4' - 4 - t., , .,,„„ 4.--/Af. , COURTHOUSE I r 1.61 1 C PORT TOWNSEND. WASHINGTON 98368 :1_` 4 y r o 4 `:4 74 is June 7, 1972 �. ��-' `.A ....4 `.' Norman P. Worthington ' _ 408 East 27th. Avenue Olympia , Washington 98501 Dear Mr. Worthington; We are in receipt of your signed Open Space Taxation Agreement and have set the Hearing date for June 12, 1972, at 11:00a .m. in the Commissioners room, at the Jefferson County Courthouse . If, for some reason, you are unable to attend at this time , will you please notify the Board. Sincerely, ,� i A.M.O'Meara, Chairman • AMO/jb , A. H. O'MEARA GEORGE HUNYINOrORO WALTER A. KELLY CHAIRMAN MEMS[R - MCMC[R . 1] Board of Jefferson County Commissioners A nl COURTHOUSE ' .Ri1' Tit PORT TOWNSENO, WASHINGTON 9B3613 ►" P 44, ! May 12, 1972 Norman P. Worthington 408 East 27th. Avenue Olympia, Washington 98501 Re: Open Space Land Classification Dear Mr. Worthington: This Agreement is authorized by the Jefferson County Board of Commissioners in regard to Land Conservation. Please read the Agreement thoroughly, If you wish to comply with the stipulations therein, please sign your name on the back of the page on the line above "Owner" , retain one copy for your files and return the other two signed copies to the Board of Commissioners . Upon receipt of the signed Agreement, the Board will publish notice in The Leader and you will be notified of a Hearing date. If you have any questions, please feel free to call the Auditor's Office, or Jim Sofie, County Assessor, Sincerely, A.M.O'Meara, Chairman AMO/Jb Encl: , 11 ASSESSOR `' III OF JEFFERSON COUNTY ¢ _ PORT TOWNS END. WASHINGTON # " ' " a 4. x�r ..y: _' May 1, 1972 To: Honorable Board of Jefferson County Commissioners Subject: Application for Land Classification under RCW 84.34 Timber Land Current Use Assessment. 1. In accordance with Open Space Taxation rules, submitted herewith is application of Mr. Norman P. Worthington for your consideration. 2. Receipt for filing fee in the amount of $25.00 is attached. Respectfully, Jim Sofie Jefferson County Assessor JS/ae DISTRIBUTION GENERAL RECEIPT 1�° 8644 State _ State School—• —" OFFICE OF State Pk. Pkways -- -• JEFFERSON COUNTY TREASURER ' St, School Equal. ..-_, ,-,_,..._,_,__ _,- PORT TO W N S E N D, WASH. St. Hy. Safety State Game _, k._ State k'isheriee. 1-f:I 1- / 1 9 f- Motor Vehicle __ - R E C $V E D / ` • ' ` __.. Driver Education — FROM E t ' .7" 'j , C-�.43-?f x__,....`C. $ ,..,. d / Current Expense ... ....,, _ '--, ! ---t Sale Co, Prop. ___._ _._� _�� !! 2 J. P. Costs — -- . ----- ._..,.__.____.__.._.-__-__ _________ _ DOLLARS S. D. No. Gen. - •- _""_ FOR ✓--1. .i t,'. /r t. k. ,r `�y -, i r_. Institute -.�. r " W ' Law Library — '.'..�r�r*4/l%'.� for. S ' .'c cs< s _,--C--_,cat � city of P. T. e Port o1 P. T. • i``/.v1 ` P.U.D. No. 1 Deed Fee --_, Equipment Rental Cash__ $ T. B.Hospital_ TREASURER OF JEFFERSON COUNTY .__.�. Excise Tax Check_____# J.of P. Clearing.,._ _,._-$_. ®y as\c �rc�, _.. , � • Draft 'w_e`-,7 . ., DEPUTY TREASURER Receipt -_$ Warrant -$_ 3,000.--6/68-Leader Co. T I'AL !"e:,e/