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HomeMy WebLinkAboutBLD2003-00531 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 T ( 60)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: LC� BLD03-00531 SITE ADDRESS: 3003 CAPE GEORGE RD Issue Date: 09/10/2003 a PORT TOWNSEND, 98368 Final Date: 01/31/2005 APPLICANT: JONATHAN MACLANE PHONE: PO BOX 294 (425) 788 9807 WOODINVILLE WA 98072 SUBDIVISION: Block: Lot: T29 PARCEL NUMBER: 002131004 Section: 13 Township: 30 N Range: 02 W PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 01/31/2005 j / f )( &A, • ' i ):)., CL d Cq,,y Q) \Cb Buildin Official ignature Date I:\F_BLD_Occupancy.rpt 10/29/19c 1110 LA03 00484 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00531 SITE ADDRESS: 3003 CAPE GEORGE RD Received Date: 8/21/2003 PORT TOWNSEND, 98368 APPLICANT: JONATHAN MACLANE PO BOX 294 PHONE: (425) 788 9807 WOODINVILLE WA 98072 SUBDIVISION: PARCEL NUMBER: 002131004 Block: Lot: T29 Section: 13 Township: 30 N Range: 02 W CONTRACTOR/ OWNER/BUILDER DEALER: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIO MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: TYPE OF IMP NEW SHORELINE: MAKE: BENDIX VALUATION 6,800.00 YEAR: SETBACK: LABOR & INDUSTRIES APPROVAL? 1982 SIZE: 52 X 24 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: 2 STORMWATER: YES__ NO Exist: 3 AREA Plat Conditions Prop: Prop: 0 Total: 3 Total: 2 Wetland Erosion Seismic Streams Routing Date: Flood Way Floodplain �' r,, ' F&W Landslide 2�p I Shoreline Aquifer - - - Type Amount Paid By: Date: Receipt: A Ill' :�r r /p VED Permit $151.00 MJA 08/21/03 58300 Potable Water Application $51.00 MJA 08/21/03 58300 SEP 0 2003 Total: $202.00 Jefferson County Planning & Building Depart ,,nt .r ' . . l/i A JEFFERSON COUNTMMUNITY DEVELOPMENT 621 SHERIDAN PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION • 1 NEW BUILDING 0 REPLACEMENT SIZE YEAR MAKE • - 1 COST ¢ 540 BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED :! ./i 4 t`"` TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL a TWO PARY WELL A" INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC PERMIT#SEP 0 Alternative Name of water system: IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE _ e ft BANK HEIGHT�_ft By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. SIGNATURE j?`4r2."---t1- —t, rr. - ,,. DATE � 1 NAME(PLEASE PRINT) FOR OFFICE USEONLY CONSISTENCY REVIEW FEE RECEIPT'# BASE FEE j ADDITIONAL SECTIONS • • CASH/CK# 33 SUBTOTAL • DATE 8pat/ 3 POTABLE WATER09 911/ROAD APPROACH TOTAL HkIl PLNCNTRIINFOBLD\FORMSIMOBILEAP:11/26/Ot • • MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360 379-4450 FAX 360 379-4451 PERMIT#: BLD03-00531 SITE ADDRESS: 3003 CAPE GEORGE RD Received Date: 8/21/201 PORT TOWNSEND, 98368 Issue Date: 9/10/20 APPLICANT: JONATHAN MACLANE PO BOX 294 WOODINVILLE WA 98072 SUBDIVISION: PARCEL#: Block: Lot: T29 002131004 Section: 13 Township: 30 N Range: 02 W CONTRACTOR/ OWNER/BUILDER DEALER PHONE: PROJECT DESCRIPTION:‘•d�' MANUFACTURED HOME INSTALLATION MAKE: BENDIX YEAR: 1982 SIZE: 52 X 24 THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 9/10/2004. REQUIRED INSPECTIONS: [LT Setback /Footing (CONTINUOUS FOOTING, SLAB or PADS USED): 1 1 [ ] Blocking/Plumbing:- ._— [ ] Zoning Approval: [ ] Septic System Approval: [ ] Final/Skirting/Vents/Porches/Steps: -2; -r HEALTH DEPARTMENT APPROVAL RE UIRED PRIOR TO FINAL INSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS CASE # BLD03-00531 1.) The application was reviewed by the Jefferson County Department of Community Development staff on September 9, 2003 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Susceptible Aquifer Recharge Area, Coastal Seawater Intrusion Protection Zone (SIPZ), Level 1 Landslide Hazard Area (slight risk). 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 6.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 7.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 8.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. • • 9.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 10.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 11.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 12.) A site visit was conducted by Development Review staff September 9, 2003. No defined top or toe of a slope exists in the vicinity of the proposed manufactured home. The Landslide Hazard Area mapping is due to the gradual slope encompassing the parcel. 13.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 14.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 15.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. • • 16.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 17.) The applicant is proposing to create or add 1,248 square feet of impervious surface and 3,750 square feet of land disturbing activities. The project shall comply with Minimum Requirement#2 of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction (see attached). BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 18.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 19.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements #1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington (attached). 20.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 21.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 22.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13)or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 23.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes rooftops, driveways, concrete, etc. 24.) The building height is not to exceed 35 feet. 25.) Minimum setback from Cape George Rd is 20 feet. Minimum side and rear setbacks are 5 feet. 26.) A minimum of two (2)on-site parking spaces are required for a manufactured home. 27.) This parcel is a legal nonconforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 28.) Cape George Rd is a county minor collector road identified as C622808. A shared road approach on parcel 002131021 was reviewed under RAP01-00225 serves this parcel. An address of 3003 Cape George Rd has been assigned to this parcel. 29.) An easement was recorded under AFN449951 granting access over parcel 002 131 022 (Tax 28)to Bay Ridge Court. 30.) A septic permit (SEP01-00177)was approved October 11, 2001 for a system with capacity of 360 gallons per day. 31.) The site plan as submitted with the building application on August 21, 2003 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated September 10, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 32.) This approval is for a Manufactured Home installation only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. • • 33.) Prior to building permit final inspection, the applicant shall provide documentation of an easement over parcel 002 131 021 to Cape George Rd. A Certificate of Occupancy will not be issued until the Department verifies the access being utilized has a proper easement. .BEN 0 RETURN ADDRESS L41SSTAT` 7F!f SH!NGTON MANUFACTURED HOME PLEASE CHECK ONE NaTITLE ELIMINATION APPLICATION licEnSinG E3TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine, imprisonment,or both.(:':C:46.12.210) D MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) %55108 1982 REXLI 52 X 24 MG3628A © LAND LEGAL DESCRIPTION ON PAGE REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE EN AFFIXED Li REMOVED 001 131 004 LOT BLOCK PLAT NAME OR SECTION/TOWI /`\ IARTER SECTION 13-30-2W 5\,NOr t Ja NW 1/4/NE 1/4 © GRANTOR(S)REGISTERED/LEGAL OWNER(S) COUNTY NUMBER NUMBER OF REGISTERED 1WNERS r JEFF'ERSON 2 NAME OF REGISTERED OWNER JSTOMER ACCOUNT NUMBER JONATHAN MACLANE NAME OF ADDITIONAL REGISTERED OWNER USTOMER ACCOUNT NUMBER NADINE MACLANE ADDRESS CITY STATE ZIP CODE PO BOX 294 WOODINVILLE WA 98072 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER FIRST FEDERAL SAVINGS AND LOAN ASSOCIATION OF PORT ANGELES NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 105 WEST 8TH STREET PORT ANGELES WA 98362 GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE _'-”--1-C%� 'L �;-:.-t-!" -•'' Signature of Additional Registered Owner and Title, IF APPLICABLE 'l_ae64nc "Aa2 _ NOTARY Skkb.'&7f#81'AMP4i .. I NOTARIZATIO CERTIFICATION FOR REGISTERED OW ER(S)SIGNATUR e'er y.,,CjCE J. 9.�k t- •f•gSIO/�/• 7 f61 # to of WCounty of _Signedbeforett on ed - ' p t`1OTA{�y '•1 fo .\ A :U 1111 : by''l i natur i W�••� �.I RINT AMEO R GISTERED OWN R 0 Y GENT iW'�� . pUBLIO �%: ,e "5r �- J PRIN NA OF REGIS ER O NER PRINT ME OF 0 i•Cd- C fi 1 19-08 .'�': 1 �^ 1 ....K_`C.' I 41-4-0 1/] Couy/O ale No.OR t ( (f1l4�,%,w",„`: ••' Tltle DEALPPO� /AGENTNOTARY AND: NotaryExpiration aate i I `f�i s 4 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMIT OFFICE CERTIFICATION I certify that: the manufactured home has been affixed to the real property as described. a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME 1. � lJ(TYPED�PRINTED) (uv11 # lG PERT OICE/PHO445o BLDG �� PERMIT 55 SI TURF/ OSITIO44, ^1 Vn�- ATE V miti pllr ` -D;,th 1,te. 19 4 0 5 TD-420.7 MANUF HOME A PL(R/2/02) (W)Page1of2 r ! MANUFACTURED HOME - FROM SECTION 1 TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) %55108 1982 REXLI 52 X 24 MG3628A 6 SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMIN ' ON OF TITLE/REMOVAL FROM REAL PROPERTY. Signature of Legal Owner and Title, IF APPLICABLE �---• L�1 l yoVir ``,>>tt11111U$ry/1 Signatur *`,A�iii13 F;.. finer and Title,IF APPLICABLE N 11.RRIft. ` O4b*. NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S)SIGNATURE • • stkOTAgy I Late of Washington Signed or attested - CO !Exp.02_16.07 I1` + County of CLALLAM before me on 4-04-05 A . )ji, U 8 L t G Q ` FIRST FEDERAL SAVINGS & LOAN �... ~ NAME OF LEGAL OWNER Signature �- � ...� C7 0 PRINT N NOT RY OR AGENT 4410P WAS0‘4` by SHA I LA ALLEN-LOAN CLOSER PY t S h t, 0C4 S - 4//iiiiillt0 I PRINT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY Title NOTARY County/Office No.OR AND: Dealer No.OR I IG9 10-- DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date D LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office PTN NW NW NE&GL 1 13-30-2W FULL LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF 0 DEALER'S REPORT OF SALE I CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. DEALER NAME(TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE PURCHASE PRICE TAX JURISDICTION/TAX RATE DEALERS AUTHORIZED SIGNATURE Y USE TAX EXEMPT Sale to a Certified Tribal member on the reservation(attach notarized statement of delivery). 9 COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) I certify khat the above application appears to have been completed correctly,and the applicant has sufficient documentation to proceed with the recording of this form. NAME(TYPED OR PRINTED) COUNTY OFFICENFS OPERATOR NUMBER SIGNATURE DATE 10 TITLE FEES FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX SUBAGENT FEES TOTAL FEES&TAX IMPORTANT: Once the application has been approved by the County Auditor/Vehicle I Licensing Office,take your application form to the County Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form, obtain a certified copy of the recorded form. APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees. Vehicle licensing subagents charge a service fee. For full instructions on completing this form for Title Elimination, Removal from Real Property or Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions. The Department of Licensing has a policy of providing equal access to its services. If you need special accommodation,please cal(360) 902-3600 or TTY(360) 664-8885. TD-420-729 MANUF HOME APPL(R/2/02)OR(W)Page 2 of 2 • • <1? • u1� o \; Caadoa 409 . 6I . . • cc • O .(. •-) cy) ` ,�e • CS • iId Loggn.g roac - N . 10\r\ O 0 . . _. O '....._. . . , , 0 . 0 . '1 . n .., • C Q� • O r • • • LO 0 N . N . `�, N CD 0 IL CN �0 00 CID C7):x° .. . • N Q • 1 11.' . 8 7' 0 o 0 o • m 4 M C� Q- 14. a' :. ! 444 > . u) . 0 0 o L_ - U ggW x '�►. N . i� — w, O 00 0 Q' [, o n1 1QS ° SC) ii S ` 0S +� A ti, 4) ` x' °, rY o o w .VJ ` .. 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