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1. Name, mailing address and day phone of land owner(s) of record: <br />Landowner(s) signature(s) required on application form. <br />Name: ANDREW J. SCHMIDT, AND MICHELL SCHMIDT <br />Mailing Address: 390 MISSION VIEW DRIVE <br />CitylStatelZIP: ELLENSBURG, WA 98926 <br />Day Time Phone: 609-899-3812 <br />Email Address: ANDY@WARDRUGH.COM <br />2. Name, mailing address and day phone of authorized agent (if different from land owner of record): <br />If an authorized agent is indicated, then the authorized agent's signature is required <br />for application submittal. <br />Agent Name: <br />Mailing Address: <br />CitylStatelZIP: <br />Day Time Phone: <br />Email Address: <br />3. Street address of property: <br />Address: GAME FARM ROAD <br />City/State/ZIP: ELLENSBURG, WASHINGTON 98926 <br />4. Legal description of property: <br />LOT 1 OF BOUNDARY LINE ADJUSTMENT SURVEY AS RECORDED IN BOOK 35 OF <br />SURVEYS, PAGE 7, UNDER AFN 200804070103. <br />5. Tax parcel number(s): 684834 .4� <br />6. <br />Property size: 25.65 <br />_(acres) <br />7. Narrative project description: Please include the following information in your description: describe project size, <br />location, water supply, sewage disposal and all qualitative features of the proposal; include every element of the <br />proposal in the description (be specific, attach additional sheets as necessary): <br />2OF3 <br />N <br />