Loading...
HomeMy WebLinkAboutBLD04-01759 Final Garage/Pole Bldg - BLD Permit / Conditions - 8/4/2005 D C) CD CD m 3 m r N o c� -4 m v C c 0, m D D o '� o C O N (n CL n T W -1 n Z v z 3 co C 0 CD 0�! o,• g m 3 n o � z * CD C13 .. Z a co 3 Z O m ccmn n) a O o 00 CA3 (D O � N002 � c o D co N M > D g Z O �� O rtmv Ow � mZ WO Wp C) zmD eo Drn Z C z w X - CD o 1 p z 90 Z m a � �a Wzo -I CD m m m o a o ° D D -0 (a -» CL m O r w CL tnZm `� 0 0 0 - ZQ N � -n O) -• O) r N ? y ai ai CP o 00000 (D O w m W g OCOO ic d � ' o Z x CD X. 0 0 —I ao -^ X r C C _ d 0 n Z o o O0ool< Zv 00 Z C co cn � o (� `' ,n 0 o m m r �j p O fl;• O O y 0 G o o m m R CL-0 � 3 2 � Z m m 2 8 (AC C < o zz CA) D '� I<I7 n °) :3 co N N .-o T oo a * 0 n m O 0 = cm W m N CD ic CD m C m x 1° ') O CD CD m m m -n N W m �I `° m fD �' < CID 3 o CO) CD (o m 1N10 0 S :E o co C) 0) :3 �' W U) 3 m r, � n0 _0 '` m � � moo n Z rn y D� d O @ C:_ 7V7 St c0 t�0 00 d O CD m m O O O O O i O A A A A W O _0 m W OWi C < 0r w rnd. n 0 O A c�'ic cr 0 O � co 3 Um.) o a N -4o (3) ' -4 0 C2'C2'C'N'N ;a W N cD N 'N'N'N'N'N W O N N ~ p pi p� 0 CD i p'p eo O ~ V A A v U7 O C." A A tO N N W p rnCD N C) A Xo � X � d D X � 0 D X5 �• � X $ D X� cnD X � � v � Xrt � XWv � 7 CD O n_. — n1 — N ? C1 n " W n N W -OD .< (� N =-0 CD cn n -D v, mCS v 9 3m and ° • O CD C (� O CD O — ° n ? O N O CD Q P- NM Et O < 'D O C O cn 3 C CO N D O CD N O 3 n N 7 CDD O CD o Cp CD _ 7 O o C<D O N C N I' � CD C O N ID °; p n. 0 n :-3 CD y O < N Cll D CD X O =h N N 3 n+ -s O 2 O q� n 'O f� CD 01 O n ° ma < o' (p o 3 ca mom ccW ° cn3 � 3 � m - � tT w * j O — 7 Cn =. p O� C11 0 C CS j ° ° N 3 0 O CD CA O �+ 7 Cp O w cn p 3 N .« 7 0 (D — o 'D CD ': Cp .a_ O 0 CD 0 C) � CD 0O = — o CSD O 3 O nNi 7 y n n N CU CQ O O CS o n. _ CD n v O CD O Cn n O (pD Cn 7 a) n �• C C Wi n. " c pp fpn C 0 CD CD .-. p O _ w C 7 CD O p o O rn cp n X < 00 `< N _ .. CO O 3 O ca .< o << CD C O C �' n CD 3 3C:r �� ° ° ° n rn '0 ° FA CD s� D �' c inn COcD CD CD a. 0' N CD < = p O D .. .-. o -0wmm' � u `< ° 3 Qv 3 :3 3w W �3n yO — SN CDo CO N !2. =rCD N O D CD n C a ° ° N (O n Ow n ca CD (a ° c °: o o. m(D o CD moo CL n o _ p O o ° O CD cc C :3 m p CO CD p _0 (D O v V! O Z N CD ° � 0 "D N -0 O w < cn O CA CD O 1:2O ? O 3 7 — O N O 7 CD o -, ' 3 p = 0 (D Q O p p O` 7 m CD O O -acr cD o Q - CD3 CD 3 ° oQ CD - � 3 ° O O CD CD •< CD n :3 -0 0)CD n`< w N (D (D -�, 3 p O w 3 n nnj ca 0 0 0 v CD O • o m CD n cc p C ° o c� CD l< 3 ° � -0 ° w ncn o -a CD ° Qo' �CD v 3 c j0 0 CD CD " O O O 0 CD = N S C9 (a 0 0. 0•O :3 0 CD 0 O- O > > ,« C7 — 3 CD ,m N N CD p o cn n sll CD m CD 7 CD -yp Iz CD c CD. D -+. d 0 � �`�O w cOn Q. cn ° cD vo ° a a � Xc CD Cr > w � CD n ° ? o c ai cn v .. rn o CIL -n 8 O 3 cn (D U 3? o N o O o — 3CD WN CD CD 3 -< N CD X o 0 oj no ( CDN w ° n 0 o cc �•D C NCD CD o C ow :3NN r nn CD 0) (D CD wca ( n CD m 3 .y. CL 7 n -p -, N p (D O coN W CDC y = CU CD Cc O." 3 O CD ° 7N« < -6 O a cn D CS O O O• d! ? -n n n� O n1 O m 3 j �. �, n Q C D c> fn n 7 CO N O CD (D D N '" C= 3 -0 o O CL CO CD 3p rt 'a .-.CD cn 0 p D O O O O y CDCL CD N N CD CD W Cn 3 .. cc 4n D O d (D .� 3 �� � 3 n ° CL (CDD 0 << 3 C (D vCD v -0* n --0 v ? n ° o q0 CD (nQ o cn 3S C- 0 C s 0 0 ? O• n) CD CAD D O " = CD 0 3 m w 3 cn o > j v r► o n 0- N n N W O — CD p Q CD O O< CD N O 0 "• c 0a nv cw 03 v � ° cc 0 °, wo N � c � oc aim COC?pw CD � n CT ° m cD CL -+ n ° ? O. c n 5 CD o 3 c 3 - Ch 3 n •< Cc X 7 0 N 7 0 C 3 o � y CD o ° �. cn o ° m o < CD 0 RL ox 0d o � ° `< n 3 o 00 CA -+. p CD i -! C o O O � Cv N O s N p o 0 O ° 0 O c = 7 p w p n ° ? 3y, O C 7 0 0 W O cpj cn 3 rt S n -i W O n 3 0 O CD CD A CD C CD 3 0 � CD O. 0 n CD cr CD Ep 3 c0 (pD m m CD -, W 0) v v N O O CD Xm o xy � w fD ° X � 0 Xc c01i = X60 � o � ' 3 0 = (D ° y (AD C. n io 0 0 SOD O OCD y CD . N n rt�. 7 y (D 0 t� CD '� O O — 6 O o 3 cc C C O O O � 0 0 m M CD p) < 5• 0 3 -4 (D O 0 (asu� ao °< 6-0 C (D .' n �CD -o nm 0. CD n-0 m m oDmce. to 0 m o W sm �• o 0 0 vv � 3 � ? d �' � cn a � rn 0CL0 -� � v o s CD n =r o a 5 c am : 0 cl to CD m = O c < On O ffCD 0 = S Co Cy m l< d S CD y cCL v 3 � CD0 �'v y < d � � cmi � c o � t�n w+ 0 � m w o =r Oc =, 0am <. c ? o n " � CD Cc 0 c � v CD, o a CA� N. 3 m Qm -- 0 o - �m—, oa vaiQ 3om cc - y Q CD O , O < (D CD O m w 3 CD N O O O .. d (D (D 0 a n 0 3 CD EF� 3 C1 n C m N 7 0 C m Q. � O Cn O �+ rn N Q- N � �+ .-► .ma y n � "O_ C O. CA O ;w O .� 00 � C '0N j' HN N3 (DCDm 0CD 0 - o. 0 fD (�D "° m � � O = -- m O ° O (D (D CD < _. p� "O `G " (D O C 3 N D 0; o � m o m N cy " 3 m y 3 � fD � m fD O C. O rt O O C (n (p m 0 0 o N o _ 0 3 (n � < m O 3 m 0 m 7 fl 0 3 o O n g o CD O 00 0 3mv (no CL 0 CD 3 omw -. 3 iv — E. ° � � m n � o a � m -4 EIPcm mcUDCCD , av (aCDo 0 ° moo � � � o ? cr a < =KCD vm c m � a m s ° n n n o � y c °� Dm gm m ° ° v°, 00 < omm coo W � 0 7 -o -b O- n -h ° (D m — c 3 ° (0c �� _0"_ o ° o � W oU) c' m3 .� moo Q m '0 (D Q w O m C1 N CD -" -n m O co CD O Z ,10� (o c0 wcnmv � O CDD •-•�CC COC' O mCCDD �' CD 0-co cr bF SN y CAD ( 0 CL j y-► (D n 7 N -0 9. m 0) .+ -1 T r Zf 0 0 0o- 3 0. mmo m3 -° m " c (a :3 go cr Er (n C CD 8 m � � m vci O-+ c0 �fQ m n 7. 0 (U S Q � � C C Cn N `< r" o -n 0 7 3 o C M = O� m 0 0 (a 0. CD C- O ma y+0 S(Q n 0w3 _ Cu �. N 0 N O N .-. N o = O �' 6 0- 0 Oni =r0 N m-0 0 CCD (D O v,. _ "r w m O- S rt O O n C (D y n ° n v O 0 CD m CD 7 O CL In 0 -0 M* Or CDCc O v CAD DCD SO OU •• M. = CU 'il0 " ° Cc CD Cu _ -0 0 CD CD CD Q >CD CL � - N O a r = C CD !/i c O "0 N m o 'O m C CCD O or w n S S y M -0 p�j N o -0 p 4i -n -- cm m m v 0 0 -0 .. Cili m ° v m nD m nm 0 m � CD � n 0 0 = CD n � CD c m -. � nm h CDCD 5 soo m � 0sw � 0 Nov own N (D n y m N m 0 n 0- 0 0 cn � O N -0 Om 3 °� m 30 0) COD � = n �. � - O n. n Ca vi N o N O .O« fl„1 y V! m ° y O O fn r. _. 0 0 0 O O _0 O (D c O (n 0 CD 6 O ff — N c n C �. CD N tn. CL 00 m Q = 0 < Cl1 S m O c rt 0 m : 0 a = N CD N (yD o N CO O 00 O 0 0 m e (D O C1_ O " — 0' ° v c o � m m C7 CD .� 0 0 - 0 o N v o a, m'� w sm 0• m 3 � � 3 CU ° 0 0 N tT y m CD C O N n w. °, ° .c33 Cam 0cr0 W� 6 : v M � � _N CD sv =r v 0 0 "v a � < m m o m m y vm vvM r o N � 3 fn. CD cn- m CD CD b o § / o co 0:) k % \ \ § CID ? E CD K � \ m k =r > � o B0 m co � k � § � R : E 2 ka § § \ E m , K � RQE . � ] \ 00) CY kki\ m § E 0M J § 8 ? (D �2 0 2 ® 7 # m » n � § E / � k \ 0 CL � K� \ e \ ° ■ 5 ƒ 0 $ ƒ :3 @ . n CD 0 § J :3 H o - � c m Z > S U) g C 0 \ C . � CL k0 (1) # % :3 CD � 0) -0 CD 'a 0) a � - a o § � d ¢ / � ] � � n REF o 7 c ] ƒ E % 0 - \ E w k \ k � cr w / 77 0 E: E - @m 3 CD E E (D e :3m C £ 0 3 CD CD ! $ 9 / a f £ / CD / 2 2 § \ . » . B > \ / Lc C . i % 7 7 � � � / k � 0 2 % � k K@ cn cc gig 0 CD \ " / f 7w ] � 0 • o CD 2-0. ¢ 8 CD % @ E n m % E \ A § C CD0 / g = # _ m ] 7 R = \ � 0 � K �- � 7Eq 7 x § & m < 7 ] �k � 2 CD � E � CD\ \ m CD E REJ E Cee 0 \ / A \ 7 R % E % 0 0) m CLCLo o E 7 £ tu ° 0 k 22D 0 CO) » � 0 ' CD a 3o f % CD / . 0 % 5D CD CD ® 7 2 § § Cl) # :30 2 0 n0 a 3 [ \ 2 or ^ « 2k 0 g 0 o / 0 / . � E E ) :CNdRETE .ME� NICAL ' NiANIIFACTIIRED HO -, ,.. 1VLE.. �ps l Setbacks Date::- '± B y Ribbons . �,. : .:,. �5Tnte- l2 L Dy By RLs . GasPp ;: Date •:. ....:. Foundation,waux B y. Date` B q Set-up Date. B INSULATION . Date B' B G I Slab Insulation Floors Final «_ Date By -Date By Date By FRAMING walls FIRE DEFT Dateil Z9 , By tak Date- ' B y Date B PLUMBING . Attic OTHER Groundwork Date By,- Date )-Zllqk B 1_*Mi WALLBOARD NAILING D W Y. Date By s Date By FINAL INSPECTIQN 'rater trine Date By 7W . � -Date By wit J6►ct�' 7zvv bate BS►$Y �"�� 011 LS m 3.Acks • ss P�� .Ya .•8 _7 ice'. fA © ►mac. . *IG( �� . , fi N CD z Ap t2:3 ems' rn • V i o i MASON GUUN I Y PERMIT NO.Dij 6 BUILDING PERMIT APPLICATIO{ I 426 W. Cedar• P.O. Box 186, Shelton,WA 985841 Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (39M 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 'frIL ',W&I 5/!W Company Name �""•` � � "`' • ` Mailing Address I-L/' G o^' s f Mailing Address 41 7 y1 s a 7S,,,t yA N City a4'X�'/ state_ 4__Zip Code 2 City a State A&d Zip Code s S3Y� Other Ph. Phone 3 g y - 7ri- 97d L Other Ph. 79/-30rk Phone 3 Lien/Title Holder Contractor Reg.# sey",r s c o rz-°, Exp. Za/z �/z°°f E mail address E Mail Ad ss Drivers Lic.# DOB s Lic.# c a ?/r DOB SEPTIC/WATER SYSTEM INFORMATION - ect to New Septic Existing Septic Connect to Water System NameoPffater System Well Water System me of Water System PARCEL INFORM - 1 Digit Parcel No. Jazu -to Fire District Legal Description Z 2- o -- a o 0 Site-Address (Please include street name, street number and city) Directions to site — v - Will timber be cut and sold in parcel preparation?Yes AI �. Is property within"200--c&,Saltwater _Lake River/Cfeek P Wetland. Seasonal Runoff Stream SIopQPbr Bluffs > 15% l F-eT his p cmit submittal he result of a Stop Work Notice,Correcti Notice or other en Vent action. es/No E O JOB - N �e Add Alt Repair Other PRIMARYRESIDENCE ❑ SEASONAL is Building - l�fr�� Describe Work No.o Bedrooms No.of Bathrooms—Square Footage- 1 st Floor 2nd Floor 8rd Floor Basement-� Deck Covered Deck Other Sq.ft. Gars- Attached Detached Carport Attached Detached MANUFA&FURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of rooms No.of Bathrooms Type of Heat Purchase Price$ Re lac ment Unit? Yes/No Installer Name l Ce ' 'cation No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in-the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS.BY MEANS OF A PROGRESS INSPECTION. X Date:. 1 Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS P6INT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES urnrivrm Building Department NOV Planning Department Environmental Health Departmen Zoo - odSS Public Works Department ZQp _ bo0 Fire Marshal FEES Building Permit Fee ,' Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Z2 Violation Fee I AIA C7 Pre-Paid at Submittal Valuation$ 30 TOTAL FEES 11/03/04 WED 13:11 FAX 2538849589 BIZLINKINC 10001 cn z ., - C) c�3 G') D m cu C) � ► ' � . < 00 n O n �� O Z z � cry s -,� O Ipp CIO Ob NO �. H 1 Look Up a Contractor,Electrician or Plumber Search Result Page 1 of 1 Topic Index Contact Info - Labot and Industries ,cgr� �' 1i a Lirar►sig Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Your search for Name: 'SHEARER Et SON' found 1 records. Click on License#in the License column to view details. Page 1 of 1 License Name UBI city Type Status SHEARSCO7209 SHEARER Et SON CONSTRUCTION 601495314 TENINO CONSTRUCTION ACTIVE 1 1 Start a new Search About Lai I Find a job at L£tl Informaci6n en espariol I Site Feedback 1-800-547-8367 lowWashington State Dept.of Labor and Industries. Use of this site is subject to the laws of theqqMwM state of Washington. Visit access.wa.gov Access Agreement Privacy and security statement Intended use/external content policy Staff only link 1 E l i 1 https:Hfortress.wa.gov/lni/bbip/search.aspx 11/30/2004 PyoN.srgrFp� MASON "COUNTY c DEPARTMENT OF COMMUNITY DEVELOPMENT o A°u 9= Planning Division o T Z P O Box 279,Shelton,WA 98584 N Y boy (S60)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION November 15, 2004 ERIC HANSEN 4804 - 20TH AVE NW GIG HARBOR WA 98335 Parcel No.: 122324001090 Project Description: GARAGE/POLE BUILDING Dear Applicant: You have submitted a permit application (case no. BLD2004-01759)for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 294 if you have questions. Sincerely, i Charles McCoy Land Use Planner Mason County Planning Department 11/15/2004 1 of 2 BLD2004-01759 NOTIFICATION OF INCOMPLETE APPLICATION 11/15/2004 Case No.: BLD2004-01759 Comments: SIDE YARD SETBACK: A review of the site plan indicates that the location of the proposed structure does not appear to meet the required 20' side yard setback for Rural Residential 5 zoning. See enclosed Rural Lands Development Standards chapter of the Mason County Resource Ordinance Section 1.04.220. You can either move the location of the garage to meet the 20' side yard setback, or you can apply for an administrative variance that will allow you to reduce the side yard setback to Was indicated on your site plan, but no less than 5'. In order to approve this variance, you must meet criteria #1 and one criteria from #2. The fee for this variance is $90.00. An application has been included for your convenience. Please submit any changes on a new site plan. If you have questions or require clarification, please contact me. 1 a 11/15/2004 2 of 2 BLD2004-01759 ►d �n �d �d qd tG r N N N N N W W W W W N N N N N 0 0 0 0 0 O O O O O U U U U U ti7 b7 W ''b `d b a a n ova ova oo cro CD co CD CD cD a• CCD D C CD CD CD rD Gd y O O � � a b .r o c� o o th p tNi� o tNi� tNi� O O O U O W W W W W J� N Oo .A •P O, N N N N N O O O O O O O d uj V00i O O ? f t W � � W n CYN O � vWi � A O O rd O ti N C J U O C NO U O O O tA e,� a Prepared by: UVb ,MASON COUNTY RESIDENTIAL PLA4S UBMITTAL CHECKLIST Owner's Name: $ �tj h Date: G Reviewed By: Documents: `:Building Permit Application Completed G-Planning Intake Checklist Completed, _mite plan includes:Allowable building area,roof overhangs,decks,etc. —Fire Apparatus Access Road info required? Y"+Nv' _Energy Code Application Form-HEAT FUEL TYPE 411+ _Mechanical/Plumbing Application-WATER HEATER FUEL TYPE _Engineering Included&info transferred onto building plans:Design criteria:Code referenceilm snow load 2 , Seismic Zone(circle one): D 1 or D2 ; Calculation incl(circle): Vertical Yes / No ,Lateral Yes / No Construction Tans:_3 COMPLETE SETS L_� — laps Legible recognized Scale _Elevation Views _ oss Section Foundation Plan _woof Framing Plan _Floor Plan-Use of Rooms Noted _ g me cov. g -moor Framing Plan-all floor levels including loft,crawlspace,etc. Plan Details: Roof framing details,truss lay-out may be needed I Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required)- Floor framing: Floor joists: ,Floor beams: Window headers. Typical header: / Foundation:footing size,reinforcement V Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required,see details) Non-Conventional Framing-Foam Core,Logs,etc.?(Engineering is required) Point loads trace to footings below? Slab insulation shown Landings at all exits? Heated By Furnace-Location of Furnace Fireplace/Stove Information Shown-Fuel Type? Window Sizes Marked on Plans Braced Wall Panels(BWP)[also referred to as shear walls]Reference 2003 IRC Section 602.10: Braced Wall Panels(BWP)Marked on Plans? YES(continue below) NO(lateral analysis included?) 4'Exterior BWP's located at comer,OR check option below: 4'panel within 8'of corner with 1800#holdown ,or 2'corner panel and 4'BWP located within 8'or comer R602.10.5(see detail),or 2'8"Alternate BWP(ABP) 4'Interior Braced Wall Panel(IBWP),within 8'of comer,not to exceed 25'o.c. EXCEPTION:spacing may be 35'o.c.in order to accommodate one single room not exceeding 900 SF,length of wall shall be V required length multiplied adj.Factor from Table R602.10.11(25'-30'use factor of 1.2,30+'to 35'use factor of 1.4) Continuous footing required under 2-story structures in D2 or see exception in 602.10.9. IRREGULAR BUILDINGS R301.2.2.2.2 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1)Exterior braced wall line or BWP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line. 3)End of BWP extends more than 1 ft.over an opening more than 8 ft in width below. �v 4)Opening in a floor or roof exceed the lesser of 12 ft,or 50%of the least floor or roof dimension. 5)Portions of floor level are offset vertically 6)Shear wall lines do not occur in two perpendicular directions. 7)When a story above grade is includes masonry or concrete construction(exc:fireplaces,chimneys,and veneer). When this applies the entire story shall be designed.In accordance with accepted engineering practice. COMMENTS: Mason County Permit Assistance Center Planning Intake Checklist Owners Name: Date: ® c Project: C C 61 d Review By: Commercial D t: YES NO Comments: Planner: GB RAM TC�Li eNorth a Plan: Arrow Property Dimensions. 2/ X C �� �d Streets and Driveways Sho Road name: XAU Existing Structures shown with setbacks 9 . Well Location,Septic and Drain-field Shown with setbacks POPO entify all surface water( n o wetlands,etc.) BmPhy(slopes) � � Z U�a Sl roposed Structure,Setbacks(Direction/Setback): 1 F: / R: L / k&S 1: / S2: .� Utility and Drainage Easements: Yes . No (if yes enter condition#5022) Other Easements. o Accessory Appurtenances o County Access Permit Needed(add condition#0010) o State Access Permit Needed(add condition#0020) Standard Conditions to be added to all Building permits that planning reviews:#5019 and#0700 .Shoreline and Planning Info Setbacks: Shoreline: Slope: Shoreline Designation: Comprehensive Plan: Rural Zoning: ❑ Not Applicable ❑ Agricultural ❑ RR 2.5_ "5 10 20 C Urban ❑ In holding ❑ RI W ❑ Rural ❑ LTCFL ❑ RC 1 2 3 0 Conservancy 0. Rural ❑ RI . ❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC Hamlet ❑ RT ❑ Urban Growth Area ❑ NTR ❑ Unknown ❑ Unknown Water Body(type-of water if unnamed): SEPA: Yes No Unknown Flood Plain: YES. NO Unknown Map# Aquifer Recharge: YES NO Unknown Map# Tags/Cases: RLC/SPI Case: b=Year L7ev.Moratorium:YES' NO Eagle Nest Tag: YES NO Other YES NO Addressing: Check box if needed b Reviewed by: Rmioek 07-12-04