RV-26-00008 Shain Variance File - Laserfiche WebLink

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�,gcnocs...'ro �o��E �``•--,T HBc�``�By HZTTZTgB COUNTY DEPARTMENT OF PUBLIC WORKS ROAD STANDARDS VARIANCE APPLICATION ATION Application for:Road Variance$1,075.00 Payment Method:�CheclUb/�0 Cash O Credit Card Owner Name Beau and Kassidy Shain Permit# 7l(n 00001?� Mailing Address 730 Teanaway Heights Dr.,Cie Elum,WA.98922 Phone Number 509-3048814 C E 1 ED Email Address Kassidykauzlarich@gmail.corn Applicant Name Same p� C Mailing Address M 26 � TAMP Phone Number 61 r�17AS COUNTY Email Address -- )EPT OF PlJRLl WORKS Variance Request Information Applicant to provide supporting documents and an area map. 1.Property Tax Parcel numbers: 2.Narrative project description: See Attached Sheet 3.Provision of road standards for which this variance is requested and the way in which you wish to vary from the standards: 12.04.04.050 Reason for the variance request: See Attached Sheet 4.Proposed Mitigation for requested variance: _The owner will build the driveway on to their property as a hammerhead that meets the IFC appendix D design. 5.Are there any other pending applications or issues associated with this property? Yes X No If yes,describe: Application is hereby made for permit(s)to authorize the activities described herein.I certify that I am familiar with the information contained in this application,and that to the best of my knowledge and belief such information is true,complete,and accurate.I further certify that I possess the authority to undertake the proposed activities.I hereby grant to the agencies to which this application is made,the right to enter the above-described location to inspect the proposed and or completed work. Signature of Authorized Agent:, Date: -� Signature of Land Owner of Record: Date: *� 411 N.Ruby St.Suite 1 TEL (509)962-7523 Ellensburg,WA 98926 FAX (509)962-7663