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HomeMy WebLinkAboutSHR2004-00011 - SHR Application MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Courthouse Annex P.O. Box 279, Shelton, WA 98584 (360) 427-9670 THE SHOR TINE PERMIT APPT I ATION PERMIT NO. :-5* ' '. €`'' SHORELINE SUBSTANTIAL DEVELOPMENT SHORELINE VARIANCE DATE RECEIVED SHORELINE CONDITIONAL USE The Washington State Shoreline Management Act(RCW 90.58) requires that substantial developments within designated shorelines of the state comply with its administrative procedures (WAC 173-14) and the provisions of the Mason County Shoreline Management Master Program. The purpose of this Act and local program is to protect the state's shoreline resources. The program requires that substantial development(any development of which the total cost or fair market value exceeds $2,500 or materially interferes with the normal public use of the water or shorelines of the State) be reviewed with the goals, policies, and performance standards established in the Master Program. Answer all questions completely. Attach any additional information that may further describe the proposed development. Incomplete applications will be returned. APPLICANT: f�Cl d- ,ACQU L aL ADDRESS: I pOS i' Ant I� wA V (Street) MAN NATI"A►.I KA N GAS � (City) (State) (Zip) TELEPHONE: (Home): 1>35-S�9-q �� AUTHORIZED (Business): REPRESENTATIVE: NST' SIEVE bQAD ADDRESS: W1-7 Q I< fZ.D L_TQ (Street) t-UA � TELEPHONE: (Home): q26-Is o (State) (Zip) PROPERTY DESCRIPTION (Business): 9��_i O -- �4�,n�OSZO CELL) General Location (include property address, water body and associated wetlands--identify the name of the shoreline): op GRAPEyIEW LO�a 2 / E 2►�n�,-< ��� Legal Description (include section, township, and range to the nearest quarter, quarter section or latitude and longitude to the nearest minute. Projects located in open water areas away from land shall provide a longitude location): Include all parcel numbers. C L 001 -1- F 60V T LOJLPT SEC ON W SE 1� OF N 1 OF OWNERSHIP Applicant Owner Lessee Contract Purchaser (Identify).__ . _ Other Owner: (Street) (City) (State) (Zip) (Revised 8/99) The Shoreline Permit Application Page 2 DEVELOPMENT DESCRIPTION Development (identify and describle the proposed project, including the type of materials to be used, construction methods, principle dimensions, and other pertinent information): REMo\OE EARLY(P2-. ►9c-n?) lo`x AA' nAtib Ho4i- ANC P/-)rID COvErZ. AND R PLAc WITH Srnuc n 22' xy-%A I)V W iT1-1 amcwl CA2P 2T 1Yv0 PATiO CnyF2� piS(10A)LEC.T F12Omr NA2F� b F — -TANIc- ANP 1NSiA ► �x� SfAnC, cy�;�� Fo2 /�►�V Use (identify current use of property with existing improvements: REs I DEA)C.E O/V PfLOPEfLT�/ 15 OCCUP I ED Ft?!< TtM E Mori LE WOM 1 t USED Fog n"QaT S A (,S Zy FAMI!=Y, A RICi LTU2A TYPE &)iLD1N6 is USED Fog 5ia1ZA6E OV BOA — 'VEHICLES�I©COLS CGT Reason for requesting development: 70 U 261ZAD /�r�t PrI C ACKNOWLEDGEMENT I hereby declare, to the best of my knowledge and belief, the forgoing information and all ched informatio is t e and correct. (Applicant or Authorized Representative) (Date) ........................................................................................ TO BE COMPLETED BY LOCAL OFFICIAL Identify and describe existing features of the site and surrounding area: If proposed structures will exceed a height of 35 feet above the existing grade level, indicate the location of any residential units that will have an obstructive view: If a Conditional Use or Variance is requested, make reference to the appropriate section in the Master Program: Revised 1/03 srg SRG ` THE SHORELINE PEMIT PROCESS Page 5 Publication cost is the responsibility of the applicant. Final permit processing will not occur until advertising fees have been paid to the newspaper by the applicant. The Shelton-Mason County Journal will bill the applicant directly. I /WE understand that I /WE must sign and date the attached acknowledgment indicating and that I /WE understand that is MY/ OUR responsibility. I /WE must submit the signed page as part of application in order for it to be considered as complete. _ ��►o-2aoy DATE . ACI,--/�ACQUEI.In)t HoLL OWNER RO N5T STr<iJE. P7oA 0 APPLICANT THE SHORELINE PERMIT PROCESS Page 6 LIST OF ADJACENT PROPERTY OWNERS WITHIN 300 FEET OF YOUR PROPERTY BOUNDARIES FOR CONDITIONAL USE AND VARIANCE Addresses are to be obtained from the Mason County Assessor's Office, Bldg. 1, Second Floor. WELCH, RALPH 1N Pwmb ,P-iCHARD A PO Lox 1-70 6351 E Gi2ApEViEVJ Loop 12D ALLYNI WASH gB52_4 ALLYN, UJASH 98s21 3ACKdEL1?A3 TH JOLLiFF MAQ<,HA2T, CLIrF 56 19 N E 51 M p5on1 5T 6,111 E G P--)P EV 1 1=W Loop 2_D p0i2TLAA)0, 0R- 9-72-i8 AL.LYM/WASH 9852q ROBERX 4-D02.►S SWAM60A) WELLS FARGO 40ME MC)IZT-GAGE $W.AN50117 R.EVC13L I-RUST MAC X 25oo2.-co)1 IO i 5 5 29 5 nt PI.._ RTTN � 3 i L_ 1,40LD I A)6 DE5 Mo'/QES, WA 96i98 F F10M C CAM pv5 DE-5 M01NE5 TA 5o37-8 ALL EF G !.D N -B21 22 R0D1VEy+MARGA2ET GIZADDor1 LEO+PEGGY rv»P_T1N Po 60x ,106 pp Box 21 1 ALLY/NJ,WA 98521 ALLYNj WA 9F352.y MATLi Er PjL j CHE2yL L, .31 LL AnN0E25or,1 Po Zox z 1�,I 616 HA2ZO2 UJA 1)8335 IMMEL ,JOHN P 63l E C2oNQ01 ST RD ALLYA), WA 985 29 JOHAJ ,-DEg}31E. L ITT1E 108941 E SUTHEli-AND w/V SCOTTTSDALE-, AZ �S2h2. HARMONFAMILY L,L,C, A WA kMTD UASIL)Ty CC) CIO 3530 NE 165TH ST SEATT' E,WASH 98155 RYAN,ELEA/uOPZE A P,0- IBOx 10 2, CI-ARENDON I41LLS)1 L. 60S19 Revised 1/03 srg