1. Master Application Form
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1 1. Master Application Form
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3 PROPERTY INFORMATION See Attached Site Address See Attached Legal Description , , , , , , , , Assessor s Serial Number 4,576,384 SF ( AC) (see attached for individual lots) Lot Size (square feet) Zoning/Comprehensive Plan Designation See Attached Existing Use of Site (If more than one lot, attach separate sheet with full description of each lot RLD-6, IND, OFF, CRB (UL, ML, OP, GC) DEVELOPMENT PROPOSAL Installs approximately 4,100 linear feet of eight inch to 24-inch Proposed Development Action sanitary sewer main with manholes, 800 linear feet of sanitary sewer force main, and a sewage pump station covering about 4,000 sf. None Previous Project Name and File Number(s), if known February 9, 2016 (File No. PLZ ) Pre-Application Conference Date and File Number, if applicable Master Land Use Application 2
4 Exhibit A Property Information Owner, Address and Lot Size obtained from Clark County GIS. Zone Obtained from Ridgefield Comprehensive Plan Assessor s Serial Number: Property Address: None Property Owner: Leigh Renee Asset Management Trustee Owner Address: Kamph Drive NE, Albany, OR Legal Description: S41121 Section 21 T4N R1EWM Lot Size: 109,336 SF (2.51 AC) Zone: RLD 6 (UL) Existing Use: Vacant Assessor s Serial Number: Property Address: None Property Owner: Leigh Renee Asset Management Trustee Owner Address: Kamph Drive NE, Albany, OR Legal Description: #82 Sec 21 T4N R1EWM 2.51A Lot Size: 109,336 SF (2.51 AC) Zone: RLD 6 (UL) Existing Use: Vacant Assessor s Serial Number: Property Address: None Property Owner: Cedar Springs NW Development LLC Owner Address: 3002 A NE 112 th Avenue, Vancouver, WA Legal Description: #43 of Sec 21 T4NR1EWM 2A Lot Size: 87,120 SF (2.00 AC) Zone: IND (ML) Existing Use: Vacant Assessor s Serial Number: Property Address: 5297 N 10 th Street, Ridgefield, WA Property Owner: Cedar Springs NW Development LLC Owner Address: 3002 A NE 112 th Avenue, Vancouver, WA Legal Description: #64 Sec 21 T4N R1EWM 6A Lot Size: 261,360 SF (6.00 AC) Zone: IND (ML) Existing Use: Single Family Residence w/ Accessory Structures Assessor s Serial Number: Property Address: 5473 N 10 th Street, Ridgefield, WA Property Owner: Boyatt, Claude Edward Jr. Owner Address: Sungrove Circle, Riverside, CA Legal Description: #69 Sec 21 T4N R1EWM 5A M/L Lot Size: 217,800 SF (5.00 AC) Zone: IND (ML) Existing Use: Single Family Residence w/ Accessory Structures
5 Assessor s Serial Number: Property Address: 5601 N 10 th Street, Ridgefield, WA Property Owner: SCGRAF LLC Owner Address: Schuck William D, 2 N Cascade Avenue, Suite 1280, Colorado Springs, CO Legal Description: #29 of Sec 21 T4NR1EWM 44.1A Lot Size: 1,920,966 SF (44.10 AC) Zone: IND (ML) with EMUO Overlay Existing Use: Single Family Residence w/ Accessory Structures and Pasture/Farm Land Assessor s Serial Number: Property Address: 5915 N 10 th Street, Ridgefield, WA Property Owner: Bloemke Monte R Trustee Owner Address: C/O Bloemke Colleen R Trust, 6024 N 10 th Street, Ridgefield, WA Legal Description: #24 of Sec 21 T4NR1EWM 4.04A Lot Size: 175,982 SF (4.04 AC) Zone: OFF (EM) Existing Use: Single Family Residence w/ Accessory Structures and Pasture/Farm Land Assessor s Serial Number: Property Address: None Property Owner: PeaceHealth Owner Address: ATTN: Laurie Dougher, 1115 SE 164 th Avenue, Suite 332, Vancouver, WA Legal Description: ADJ Lot 1 SP A Lot Size: 938,718 SF (21.55 AC) Zone: CRB (GC) Existing Use: Single Family Residence w/ Accessory Structures and Pasture/Farm Land Assessor s Serial Number: Property Address: None Property Owner: PeaceHealth Owner Address: ATTN: Laurie Dougher, 1115 SE 164 th Avenue, Suite 332, Vancouver, WA Legal Description: Adj #11 & #21 Sec 21 T4N R1EWM AC Lot Size: 755,766 SF (17.35 AC) Zone: CRB (GC) Existing Use: Allen Creek and Riparian Buffer
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