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HomeMy WebLinkAboutBLA2004-00074 - BLA Letters / Memos - 12/27/2004 pppppp� 3(f20(X1" 000-7q APPLICATION FOR BOUNDARY LINE ADJUSTMENT USE BLACK INK ONLY 1. APPLICANT'S N '-J 0 tf.y (4- S A,1714 <t `(t G ��7? 1 A Owner of parcel Purchaser of parcel Representative 2. APPLICANT'S ADDRESS: tS I I- -�.c�S�a lJ✓Z 3. APPLICANT'S TELEPHONE: home work 4. OWNER(if other than applicant) SURVE�R Name: q � Name: oA) Address: Address: Po ay 33k,', P61QU'A--', tAjyq- ge'l-sue Telephone: Telephone: 5.J ASSESSOR'S 12-DIGIT PARCEL NUMBER 1 qO - /S2)6 -kU7 -2-7 (of real property being divided) S y U 1 - SG - c, i o 7 6. ADDRESS OF SITE/DIRECTIONS Pi_A-T Or C�&7_ F-NA 7. AREA OF EACH RESULTING PARCEL l - 33,SY/ 9,f2 2- �3,7 4 L -- /3� /S,r 2 8. IS PROJECT"AWN EXISTING SHORT PLAT? NO ,/ YES , Short Plat No. IS PROJECT IN AN EXISTIN9,PLAT? NO YES V , Volume _Page 2- IS PROJECT"EXISTING LARGE LOT PLAT? NO YES , Volume Page IS PROJECT IN AN EXISTING SURVEY? NO YES , Volume Page 9. TYPE OF ON-SITE STRUCTURES (give lot numbers): +i o n't e- o LA evw-a-4 I o f 7&— P,4�z e a-c. Z (Show location and label each structure on map.) 10. SPECIAL AREAS OF YOUR PROJECT SITE (Show checked areas on map): CLIFF/STEEP SLOPE DRAW/GULLY WETLAND/SWAMP/BOG SALT WATER (name of waterbody) CREEK/STREAM (name of creek/stream) FRESH WATER (name of fresh waterbody) RIVER (name of river) LAKE/POND (name of lake/pond) tosy-1--�-K�- NONE OF ABOVE 11. HAS ANY PORTION OF YOUR PROJECT SITE EVER FLOODED? NO ✓ DO NOT KNOW YES If yes,when? Show area on map. 12. SHORELINE DESIGNATION(if applicable): REVISED 10-10-03 I:\PLANNING\CHARELL&RENECPAC\BLA-FORMS\BLA-APPLICATION.DOC REr ED DEC 21 2004 a LmNiNG DEPT- BLA# J o eW 4• S A-&,-rA BOUNDARY LINE ADJUSTMENT SIGNATURE PAGE NOTE: The owner(s)whose signatures appear below certify that they are the legal owner's of the prqperty encompassed by this Boundary Line Adjustment an Q�:pr we of Bound Line Adjustment th ' pro Y. r. tore (si� ) (signature) STATE OF WASHINGTON ) :SS COUNTY OF MASON ) ON HIS D Y personally appeared before me �YlIl' Gr , to me known to be the individual described in and who executed the within and foregoing instrument acknowledge that signed the same as free and voluntary act. GIVEN under my hand and official seal this gAday of , 20_&ycqc fill >c cT NO iJ'BLIC in an or the tate of W ngton, resi 'ng at i &BUS STATE OF W�$ ��� �� ) �►►►�\\����` :SS COUNTY OF MASON ) ON THIS DAY personally appeared before me to me known to be the individual described in and who executed the within and foregoing instrument acknowledge that signed the same as free and voluntary act. GIVEN under my hand and official seal this_day of , 20 NOTARY PUBLIC in and for the State of Washington, residing at Date approved: Director of Community Development BLA# Jc nti bl SrTt4 "PARCEL(4)" (Applicable only when an exchange is invol d.) Parcel to be transferred from PARCEL to PARCEL is legally described as: "PARCEL(5)" bsequent to this ansaction, the resulting single lot"PARCEL (1)", shall be desc ed as: 5,�V�F- A- c F© (,�� � G •4 t- S IF Ok "PARCEL )" Subsequent to transaction, the resulting single lot"PARCEL (2), sh a described as: I hereby certify that the land descriptions of this Boundary Line Adjustment are the full and correct descriptions. Date Approved: Director of Community Development BLA# Declarant(s)/Owners of original parcel: NAME MAILING ADDRESS CITY/ZIP CODE TO'R-AN -L,-A S AA r H 9J-/ I.C. iDc- -D k 6L)74 � y IN WITNESS WHEREOF,the parties hereto have executed this instrument as of the date first above written. DE TS A. Co lot a101yF`� / 0T 'r4/t�'�i i 0,9.?5-0 =A; //1,11t�1WASN`� STATE OF WASHINGTON ) :SS COUNTY OF MASON ) ON THIS DAY personally appeared before me":) �?�►'1 !� `4V�1 To me known to be the individual(s) described in d who executed the within and foregoing Declaration and acknowledge that_ (A signed the same as free and voluntary act. GIVEN under my hand and official seal this ay of "/ !0 , 20 0% 4' NO ARY PUBLIC in and for the State of W hington,resi ing at Date approved: Director of Community Development BLA# "PARCEL(4)" (Applicable only when an exchange is invol d.) Parcel to be transferred from PARCEL to PARCEL is legally described as: "PARCEL(5)" bsequent to this ansaction, the resulting single lot"PARCEL (1)",`shall be desc ed as: J fz- FL "PARCEL )" Subsequent to th transaction, the resulting single lot"PARCEL (2), sha e described as: I hereby certify that the land descriptions of this Boundary Line Adjustment are the full and correct descriptions. Date Approved: Director of Community Development BLA# Declarant(s)/Owners of original parcel: NAME MAILING ADDRESS CITY/ZIP CODE &vim y IN WITNESS WHEREOF,the parties hereto have executed this instrument as of the date first above written. � DE TS �o A. Cott i//i � pTq A. .p. iZ ��►�''%9-25-0a-=���— STATE OF WASHINGTON ) :SS COUNTY OF MASON ) r Sfm r' h ON THIS DAY personally appeared before me i To me known to be the individual(s)described in and who executed the within and foregoing Declaration and acknowledge that '4 Iy t-( signed the same as free and voluntary act. GIVEN under my hand and official seal this. hday of 11 20 NO ARY PUBLIC in and for the State of W hington, resi mg at ta j+vy, Date approved: Director of Community Development 1 ' DEPT.OF COMMUNITY DEVELOPMENT P.O.Box 186 Shelton,WA 98584 DOCUMENT TITLE BOUNDARY LINE ADJUSTMENT NO. Reference Number(s)of related documents Grantor(s)(Last, First and Middle Initial) SMITH,JOHN H./ILA E. Grantee(s)(Last, First and Middle Initial) SMITH,JOHN H./ILA E. Legal Description (abbreviated form: i.e. lot, block, plat or section, township, range,quarter/quarter) Lots 74, 75, 76 and 77, Block 1, Plat of Lost Lake Assessor's Property Tax Parcel/Account Number 5190150 01074;5190150 01075;5190150 01076 and 5190150 01077 The Auditor/Recorder will rely on the information provided on this form. The staff'will not read the document to verify the accuracy or completeness of the indexing information provided herein. JOHN SMITH BOUNDARY LINE ADJUSTMENT __—__ LOTS 74-77, LOST LAKE � LOCATED IN SECTION 1,T19N, R5W, W.M. " CURRENT LOTS MASON COUNTY,WA. r E CENTER OF SECTION FOUND MONUMENT 6 BTS N88.13'17•E --------------- N89'13Y7_E 141.10' 200.00' k1�170•►y J655' ---------7----7' 8.3 --- --' 6�6 O S82.30oo-F 59015001077 RKgy 28620'+/- s �� �19 tietiti N�*bObO-�v 13779.30 sq ft ��07 1 172 j4t,�'�,k' u�*F �o� 519015001076 001 ?7 B�. SEPTIC TANK 00 519015001075 S�i q��.F 13623.89 sq ft S 76 519015001074 16339.66 sq ft .�; IRON PIPE S2'�17yF OFF UNE J3I gp. 75 ���•1� 2.30' 17201.68 sq ft y� S74. i ' �vo'F 74 00 MON UMENf IN ROAD LAKE � 73VD R. f�U `*ebb-E EXISTING LOT LINES y PIPE N4TN SAS CAP 12993 �rsr�vA- -.w �` SITE ADDRESS- 1326 W. LAKESIDE DRIVE, SHELTON WATER-MASON COUNTY LOST LAKE COUNTRY CLUB WATER SYSTEM exvrREs PLAT OF LOST LAKE-VOL.4, PAGE 124 8-2-2004 DATE APPROVED i------ — _ 0 80 160 DONALD R. HURD, PLS DIRECTOR OF COMMUNITY DEVELOPMENT PO BOX 336 HOQUTAM,WA 98550 360-532-3129 JOHN SMITH BOUNDARY LINE ADJUSTMENT BLA# LOTS 74-77, LOST LAKE w LOCATED IN SECTION 1,T19N, R5W,W.M. MASON COUNTY,WA. NEW LOTS CENTER OF SECTION FOUND MONUMENT 6 BTS N89°13'17'E N_89.13'17•E ................. 200.00' s f,,------------------------------ - -- 141.10' K Otip•W ____ .� 26.55',,-- 79.37, • SHED CARPORT/SHED •�Q� 6�6 S8?°J0V0•E �46 ,N. 13155.38 sq ft qr '266.20 2'7 N7 NS L _� �� N79B.3psgft 1��•K jsfsSoZ� SAUNA/HOTTUB ;t� AD�.E o51 �bOVO iq 2q7• g�. .- H R ST4UMP-NAIL N- _ g$B?• �Y ?ry ^^ SEPTIC NEWICORNER S S W S ►e01 •DRAINFIELD LsSEPTIC TANK - GARgGE� qa, c 76 •� h00 D REBAR-NEW CORNER O ? - Jy DDRAINFIELD - -- --------- _ _ -'s �HOVSE IS s�g���•�y • ��ti, � 2.30 33541.34 sq ft IRON PIPE O bw OFF LINE S?4�b0•E 74 4 REBAR-NEW CORNER MONUMENT �1 _ - S IN ROAD ry rye, LAKE 73 PIPE WITH SAS CAP .` 129931 SITE ADDRESS- 1326 W. LAKESIDE DRIVE, SHELTON WATER SOURCE-MASON COUNTY LOST LAKE COUNTRY CLUB WATER SYSTEM PLAT OF LOST LAKE-VOL.4, PAGE 124 EXPIRES a DATE APPROVED 8-2-2004 DONALD R. HURD, PLS DIRE TOR OF COMMUNITY DEVELOPMENT 0 80 160 PO BOX 336 HOQUTAM,WA 98550 360-532-3129 BLA# DECLARATION OF SINGLE LOT UPON PROPERTY LINE ADJUSTMENT A division made for the purpose of adjusting boundary lines which does not create any additional lot,tract, parcel, site or division nor create any lot,tract, parcel, site or division which contains insufficient area and dimension to meet minimum requirements for width and area. PLEASE NOTE! THIS DOCUMENT DOES NOT CONVEY TITLE THIS DECLARATION MADE THIS i day of November, 2004 by JOHN H. SMITH and ILA E. SMITH, husband and wife, and as owners of the real property legally described hereinafter as "PARCELS 1, 2, 3 and 4". "Declarants as owners of the real property legally described hereinafter as "PARCELS 1, 2, 3 and 4" who wish to adjust the common property lines between said "PARCELS 1, 2, 3 and 4" without creating any additional lot,tract or site. The land described as Parcel 2 and 3 shall become a permanent part of and appurtenant to lands described as Parcel 1 AND Parcel 4 and together shall not be further subdivided without prior written permission of the Director of Community Development of Mason County. "PARCEL 1" Assessor's Parcel No. 51901 50 01074 is legally described as: Lot 74, Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington. "PARCEL 2" Assessor's Parcel No. 51901 50 01075 is legally described as: Lot 75, Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington. "PARCEL 3" Assessor's Parcel No. 5190150 01076 is legally described as: Lot 76,Block 1,Plat of Lost Lake,as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125,records of Mason County, Washington. Date approved Director of Community Development BLA# -2- "PARCEL 4" Assessor's Parcel No. 51901 50 01077 is legally described as: Lot 77, Block 1, Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington. "PARCEL 5"to be transferred from Parcels 2 and 3 to Parcel 1 is legally described as: That portion of Lots 75 and 76, Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats,pages 123, 124 and 125, records of Mason County, Washington, lying Southerly of the following described line: BEGINNING at the Southwest corner of Lot 76; thence North 42 degrees 20' 39"East, along the West line of said Lot 76, a distance of 30.57 feet to the TRUE POINT OF BEGINNING of said described line; thence South 74 degrees 00' 00"East 125.41 feet; thence South 09 degrees 02' S9"West 38.94 feet;thence South 61 degrees 37' 4 1"West 119.50 feet, more or less,to the Easterly line of said Lot 75 and the terminus of said described line. "PARCEL 6"to be transferred from Parcel 2 to Parcel 3 is legally described as: That portion of Lot 75, Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats,pages 123, 124 and 125, records of Mason County, Washington, lying Northerly of the following described line: BEGINNING at the Southwest corner of Lot 76; thence North 42 degrees 20' 39"East, along the West line of said Lot 76, a distance of 30.57 feet to the TRUE POINT OF BEGINNING of said described line; thence South 74 degrees 00' 00"East 125.41 feet; thence South 09 degrees 02' 59"West 38.94 feet;thence South 61 degrees 37' 4 1"West 119.50 feet, more or less,to the Easterly line of said Lot 75 and the terminus of said described line. Date approved Director of Community Development BLA# -3- "PARCEL 7"to be transferred from Parcel 4 to Parcel 3 is legally described as: That portion of Lot 77, Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington, lying Southerly of the following described line: BEGINNING at the Southwest corner of Lot 77; thence South 74 degrees 00' 00"East along the South line of said Lot 77, a distance of 172.00 feet to the TRUE POINT OF BEGINNING of said described line; thence North 16 degrees 00' 00"East 12.73 feet; thence South 66 degrees 35' 50"East 98.82 feet, more or less,to the Southeast corner of said Lot 77 and the terminus of said described line. "PARCEL 8"Subsequent to this transaction, the resulting single lot"PARCEL 1", shall be described as: All of Lot 74 and that portion of Lots 75 and 76, Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington, lying Southerly of the following described line: BEGINNING at the Southwest corner of Lot 76; thence North 42 degrees 20' 39"East, along the West line of said Lot 76, a distance of 30.57 feet to the TRUE POINT OF BEGINNING of said described line; thence South 74 degrees 00' 00"East 125.41 feet; thence South 09 degrees 02' 39"West 38.94 feet;thence South 61 degrees 37' 41"West 119.50 feet, more or less,to the Easterly line of said Lot 75 and the terminus of said described line. "PARCEL 9"Subsequent to this transaction,the resulting single lot"PARCEL 2", shall be described as: None "PARCEL 10"Subsequent to this transaction, the resulting single lot"PARCEL 3", shall be described as: That portion of Lots 75 and 76,Block 1,Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington, lying Northerly of the following described line: Date approved Director of Community Development BLA# -4- BEGINNING at the Southwest corner of Lot 76; thence North 42 degrees 20' 39" East, along the West line of said Lot 76, a distance of 30.57 feet to the TRUE POINT OF BEGINNING of said described line; thence South 74 degrees 00' 00" East 125.41 feet; thence South 09 degrees 02' 39" West 38.94 feet; thence South 61 degrees 37' 41" West 119.50 feet, more or less, to the Easterly line of said Lot 75 and the terminus of said described line. AND that portion of Lot 77, Block 1, Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington, lying Southerly of the following described line: BEGINNING at the Southwest corner of Lot 77; thence South 74 degrees 00' 00" East along the South line of said Lot 77, a distance of 172.00 feet to the TRUE POINT OF BEGINNING of said described line; thence North 16 degrees 00' 00" East 12.73 feet; thence South 66 degrees 35' 50" East 98.82 feet, more or less, to the Southeast corner of said Lot 77 and the terminus of said described line. "PARCEL 11" Subsequent to this transaction,the resulting single lot"PARCEL 4", shall be Lot 77, Block 1, Plat of Lost Lake, as per plat recorded in Volume 4 of Plats, pages 123, 124 and 125, records of Mason County, Washington. EXCEPTING THEREFROM that portion lying Southerly of the following described line: BEGINNING at the Southwest corner of Lot 77; thence South 74 degrees 00' 00" East along the South line of said Lot 77, a distance of 172.00 feet to the TRUE POINT OF BEGINNING of said described line; thence North 16 degrees 00' 00" East 12.73 feet; thence South 66 degrees 35' 50" East 98.82 feet, more or less, to the Southeast corner of said Lot 77 and the terminus of said described line. Date approved Director of Community Development