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GENERAL APPLICATION INFORMATION <br />1. Name, mailing address and day phone of land owner(s) of record: <br />Landowner(s) signature(s) required on application form. <br />Name: Cie Elum Pines East & West LLC <br />Mailing Address: PO BOX 808 <br />City/State/ZIP: Cie Elum WA 98922 <br />Day Time Phone: 509-260-0462 <br />Email Address: pat@patrickdeneen.com <br />2. Name, mailing address and day phone of authorized agent, if different from landowner of record: <br />If an authorized agent is indicated, then the authorized agent's signature is required for application submittal. <br />Agent Name: Terra Design Group/Chad Bala <br />Mailing Address: PO BOX 686 <br />City/State/ZIP: Cie Elum WA 98922 <br />Day Time Phone: 509-607-0617 <br />Email Address: bala.ce@gmail.com/cbala@terradesigngrot <br />3. Name, mailing address and day phone of other contact person <br />If different than land owner or authorized agent. <br />Name: <br />Mailing Address: <br />City/State/ZIP: <br />Day Time Phone: <br />Email Address: <br />4. Street address of property: <br />Address: Reecer Creek Road <br />City/State/ZIP: Ellensburg WA 98926 <br />5. Legal description of property (attach additional sheets as necessary): <br />6. <br />7. <br />Tax parcel number: See attached packet <br />Property size: 120 acres <br />8. Land Use Information: <br />Zoning: Ag -5 <br />Comp Plan Land Use Designation: Rural Residentia <br />Page 2 of 3 <br />