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• SUBDIVISION EXEMPTION AFFIDAVIT Instructions: Please fill out the form completely and attach copies of documents as requested. The Claimant must sign before a notary public and submit this form, together with the requested attachments to the City Attorney's Office, 435 Ryman, Missoula, 59802. Requested maps and drawings may be hand drawn or based on copies of other documents. They are sufficient if they convey the information requested. Incomplete applications will be returned. 1. CLAIMANT IDENTIFICATION: McDonald Family Limited Partnership Claimant's Name 730 Clyde Street. Missoula MT 59802 Claimant's Address Claimant's Address (406) 728-1713 Claimant's Phone Number Dale McCormick. PCI Agent - if any P.O. Box 1750. Missoula MT 59801 Agent's Address Agent's Address (406) 728-1880 Agent's Phone Number Questions about this Affidavit should be directed to: Dale McCormick _ 2. EXEMPTION PROPOSED TO BE USED: Section 76-3-207(1)E - Divisions made for the purpose of relocation of common boundaries of five or fewer lots within a platted subdivision 3. ADDRESS OF PARCEL FOR WHICH DIVISION IS PROPOSED: 108 Jennie Court (Provide street and block number if an actual address has not been assigned.) 4. LEGAL DESCRIPTION FOR PARCEL FOR WHICH DIVISION IS PROPOSED: All of Lots 1-7, fraction of Lots 8-10. all of Lots 17-24. Block 23 Park Addition and vacated Streets and Alleys; Lots 20-24. Block 32 Park Addition and vacated Streets and Alleys in Section 14. T13N. R19W. (Give a COS number, subdivision name, lot(s) and block or a deed reference along with Section, Township and Range.) - 1 - ---PAGE BREAK--- • 5. LOCATION OF TRACT: Attach a vicinity map showing the location of the parcel. See attached map. If the parcel is zoned, state the zoning classification. R-VIII (Residential) See attached zoning standards. If the parcel is not zoned, what is the comprehensive plan land use designation for the parcel? 6. HISTORY OF TRACT: Is the parcel to be divided the result of a division that has occurred since July 1, 1974? NO If the answer is YES, identify the history of the parcel from July 1, 1974, including date, name of person dividing the property, the exemption used and COS. (If platted subdivision, it is sufficient to reference the plat or amended plat.) Attach a sketch that shows the parcel as it currently exists. Show the location of existing structures. See attached Boundary Relocation Exhibit. Are you aware of any proposed division of the parcel as it existed on July 1, 1974, that has been denied approval? If so, please identify and describe. NO 7. UTILITY SERVICES AND ACCESSES: Identify all private accesses, parking lots, water/sewer services, or other private services that exist. Attach copies of sewer service and water service utility cards. [Sewer service cards may be obtained by visiting the Public Works Department at 435 Ryman, Missoula, or at http://www.ci.missoula.mt.us/pasweb/. Water service utility cards can be obtained from Mountain Water Company, 1345 W. Broadway.) Location of water/sewer services crossing or adjacent to boundaries will need to be field verified. See attached Sewer Service and Water Service Utility Cards - 2 - ---PAGE BREAK--- If the proposed parcel will be subject to restrictive covenants, please set out the book and page where the covenants are recorded: _ How will access be provided the parcel being created and the remaining parcel? Existing access from Gilbert Avenue for proposed Lots 6, 7, 8, and 9 will be located in a proposed 28' wide public access, emergency vehicle turnaround, and utilitv easement and will be unaffected by this boundary line relocation. 8. CLAIMANT HISTORY: Has claimant divided any real property any place in Missoula County by use of an exemption after July 1, 1974? NO If the answer is YES, please list the divisions and state the date, COS No. or amended plat name and the exemption used. 9. INTENDED USE OF PARCEL AND ANY REMAINING PARCEL: Please state the intended use and acreage of each proposed parcel: All lots are intended for existing residential use. Lot 6 is 10,806 s.f.: Lot 7 is 8,219 s.f.; Lot 8 is 8,762 s.f. and Lot 9 is 8,318 s.f. This boundary line relocation would relocate Lots 21-24, Block 32, Park Addition. The remaining whole and fractional lots within the area described by the new Lots 6-9 are proposed to be aggregated. 10. ADDITIONAL INFORMATION FOR BOUNDARY RELOCATION OR LOT AGGREGATION: Number of lots affected: _ Number of lots remaining: _ Percentage of total area affected (disregard area of one lot for aggregation of lots): 100 % List names and addresses of additional owners, if any: None Relationship of parties: _ - 3 - ---PAGE BREAK--- Purpose of relocation: The existing duplex and single-family residences on proposed Lots 6-9 are straddling multiple lots in a configuration that has structures located in a way which is incongruous with the platted lots of the Park Addition subdivision. This boundary line relocation would allow the duplex and individual single-family residences to be placed on individual lots which comply with the zoning requirements of R-VIII zoning. It is understood that this Affidavit seeks approval of the use of an exemption to subdivision review to divide property. It is also understood that approval of the use of the exemption is not approval under zoning, health, floodplain, or other applicable regulations. Under penalties of perjury, we declare that we have examined this form, and to the best of our knowledge and belief, it is true, correct, and complete and is in compliance with Cllarr~ aod M;"oo'a Claimant's Agent Claimant Agent's License No. if applicable Claimant STATE OF MONTANA ) : ss. COUNTY OF MISSOULA ) On this ,J \ day of ~i ' 2~09. before me, a _~tary Public for the State of Montana, personally appeared 1\ t'rJIx;.kJ , known to me (or proved to me on oath) to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged ~she/they execute~)b.~ sa~e. ' l ' ey iJ"'i 1-1/ \ (SE L) ~ - - l'\I.Qt'!rY Public f r teState of Montan I',~Cl ~ Print Name \ \ . Residing at t V ~S.st. 0 Ie, My commission expires Atq \ JMl) I I - 4 - ---PAGE BREAK--- BOUNDARY RELOCATION EXHIBIT LOTS 13 THRU 24, BLOCK 32 0' PARK ADDITION AND THE z OF THE VACATED ALLEY IN BLOCK 3% L YTNC SOUTH 01 LAUREL STun. ALL 01' BlACK 23. INCLUDINC THe VACATED ALLEY, LYINC SOUTH OF RATTLESNAKE DRlYE, AND AU. THAT PORTION OF VACA TED CILBERT AYKNUr B£TWEEN BLOCKS 23 AND 32 AND ALL THAT PORTION or VACATED Dun STM8T SOUTH 01' BLOCK .13 AND f1{8 WI/2 or B£OCK 32. LDCATED IN TH8 SI"'/4 OF SIC, 14. T. t3H R. P.M." MISSOULA COVNTY. MaNTUA i! I ~ - - - ~ ~ _ " LAUmsTiiii------------- ~t ' ~ ~ • I ' ~ , [ _ ~ I ' I i I I -II - , " . " I ; ~ i . . / '~5TiEi"-"" ,t woe"" H I -C:J~ " , ~ ~ no;~~.j tLl U lOT' " 'i ~ - - ~ - _r i I I- ~ i . y --no no no L - IJ : } • = P'REPAR[D AT THE RtOUlST 01": PATRICK WcDONA.IJ) PC! PROJt CT: 7064- 03 IaS-67 cos:~ • S[mW8(R. 200II BAS1S Of' BtARlNG: ASSlN£O LE CEND I . : g~ r . o • <01.1' [ ' : • _ "Anw _N q g I/I( yo[ rhr (omprlo!W1I n{ rhis in!ormDlIDn Wid Jholl no/Ix htld ~ro"'lmbf~ [Of flie IlCW/lIC)' uf f/U;Jt '('curd, (m ---PAGE BREAK--- SANITARY SEWER CONNECTION - - F ~ PI I 1 NO. Lt.GA~ l c,t~ i ~lp[Er ADDR(S~ S l . , ',li\TrPIAl. - H .!I=I _ 1 '"F'E Dr or,;'lli 1 I o~J DI E TtOT" , ft: :It.TU~ " 1 r " , I I r I N,\L r - - rpU~IL[ ! ~ _ _ . 5' I , , I' 45 ' c[eanout 1 . 't 10' d I , 22' Gilbert WARNING: ~ ellr 0/ Mt:uoulu IS fl(}1 [{'Spml.'lbl" tor m~"nns VI gH(lIi/lllm 11li 11i~ aCCI"llr~ af the: (()l!1pil~nol1 0/ Ih'I/1l/onna/ion and shall '101 ~ hdd flccurml" txpt!lPtJ tm::umdlrom QIIymfi/mu on /hac m:ords by IIl1)'1lne Qn'Jilc/idd "tfiflC<.Iricn~· da«rkm mtthodJ Cs "/IIG):r to WfI! ""11t11fi/,,'Y _liM. ---PAGE BREAK--- Fro.:Mountain Water Co. To: 97280216 09/24/200809:19 #242 P.01S/017 Page 1 of 1 N AdnIs I 212s[:::JIGILBERT AVE DO CrlIIcII CUSlDIII8l' CllIIoIr...... I 01 T.!l1F88t T8II1t1Daber I I or DIIV orr# F=I 111111111 [ J l . ' I L- . COIIIrIllIDr: I ~ uf CB 10 MIlD Mea8Dra I lUI. of AC AlB: I I I I I I 21254 GIbert w E ce o TIPIile 1 ] CIIIJItO~tad By MBI Typa I ClIrIIIDI London: IerVD IIIzB I 1 11I11III (felt) I '41:00] ~=1~~rPlIIII~~ [ C: _ J O IIiBtIIIcB (flaU By ,ftUI Taps off from the 2" private lin=- Jenn.l.e~ Ct: J ' MaID Depth (flBU 1 1 IlimImDl: /EEHL _lhlt ClI(f1IIII _ _ _ • _ _ - - ' hPIIIOfSmIbla: [ 0 \:f-,F.c.ire:_H_Yd_ ra~~ M!"erPiI ---PAGE BREAK--- From:Mountain Water Co. To: 97280276 09/24/200809:18 ft242 P.012/011 Page 1 on N L.21051CJ [~ILBER2: AVE ! J 0 coatomar [ loillfut IlracIiDal: TIP NUmllII' [ [ or DIw 011# [ I TIIIJllta [ , [ [ I I .'BydraDt# I I L or L _I 1Ul00ACIJIpB; r- 1:11 b Meter PIt I .I # or l:II's m IBtch: I 1 21253 80 w E TIp Iba i I CI Lat I I I BY I , MIlo TWIll L . Clll'lllIIlIcallll: III'YIDaIlul r-----llIBbDcerreetJ [ sara I 1 ~ S IIrVfIII I . JIIb CInI Updahll o Trara.MaII BY I 1.nnl Commonts O • I U I _ i.The Iracer is allhe CB • bul nollo lhe hOUS,e MalDa-IUrutJ I SNG·L.i2 i i6Gilb~rtAv;'. ·J . . INa Iracer is localed in_Side the house. I , ~ .rsm: IIIIR I 1 . I LegeM: 0 Curl> Box LL Blow 0" I>