Form 62 0021e (W) - Application For Designated Forest Land Parcels With Same Ownership
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1
2
3Application for Designated Forest Land
Parcels with Same Ownership
Chapter 84.33 RCW
File with County Assessor
County
Parcel Numbers(s):
Notice of Approval or Denial
Application approved
Application denied
All parcel(s)
Portion(s) of parcel(s)
Date of approval/denial:
Owner(s) Name and Address:
Owners notified on:
Fee returned
Yes
No
Date:
Assessor/Deputy Signature:
APPEAL: A denial of an application for designation as forest land
may be appealed to the County Board of Equalization.
Legal Description:
Sec:
Twp:
Rge:
If a question below is addressed in your timber management plan, please indicate this after the applicable question.
1. How many acres is your parcel?
2. When did you acquire this parcel?
3. Give a brief description of the timber on the land or, if harvested, your plan for restocking.
4. Do you have an existing timber management plan for this land?
Yes
No
If yes, describe the nature and extent to which the plan has been implemented or changed.
5. Is the land used for grazing?
Yes
No
If yes, how many acres are used for grazing?
6. Has this land been subdivided or has a plat been filed with respect to the land?
Yes
No
7. Are you and is your land in compliance with the restocking, forest management, fire protection, insect and disease
control, and forest debris laws described in Title 76 RCW?
Yes
No
If no, please explain.
8. Is all or part of the land subject to a forest fire patrol assessment as described in RCW 76.04.610?
Yes
No
If no, please explain.
62 0021e (w) (8/23/11)
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