HomeMy WebLinkAboutSPI2008-00006 - SPI Application - 2/13/2006 30
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MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT -$221. Fee Required C
1. Owner: fl6bf iiAell I-" Applicant:
�f A — site Address: t: A � Applic t ddr ss: r v, ,s 13 S '•
Owner Address: 0 i t� City: C►; ��Y- St��l. Zip
City: A St WA. ZiA4 Phone:(, )�'?� ,24K - %A ' e?ioday ✓/r11�^�
Phone:(��2A day ;P 01 7 CY j r' . d W C'r a 1
Phone:(_) evening Planner: "r
Email Address: SMP COMP.PlakUrALType of Use
Water Body, h n
2. Parcel No. l -I- *2,!a
Parcel No. A F
Legal Description: e t a F 5 6v.- Piet ' - 4 7,s �L
3. Purpose of Pre-Inspection: / �%Ut 1D n N g �?t�► �fJC�S 5%�1 E. 8 t,t U Y r)
4. Use of building: 9 e�►C"&r%r e
5. Do any of the following exist on or adjacent to property?: slope(saltwater lake( river
pond( ) wetland( seasonal runoff( other( stream seasonal creek
Directions to Site: AIW V 3 S v►t'l SJ'jJ 14,f- 0;'l rW n �r e ui
g- / _,wt ie k, a& <4 re4 47q it' 7-V,7Le r
If the information is incomplete, then Mason County must disclaim any errors resulting from deficiencies in the original
application. Pre-inspection reports remain valid only until development changes occur in the vicinity which affect the lot
evaluated in this inspection,or the laws regulating development of the site change after the time of inspection.
Applicant Signature: � Date: / Jo 0
If you would like to be on site during inspection,please check here:
Return application to: Department of Community Development,Planning Division
P.O.Box 186
Shelton,WA 98584
(360)427-9670
Please include a$225.00 check or money order payable to Mason County Treasurer
When completed,this form becomes part of the parcel file.
FOR OFFICE USE ONLY:Accepted by: Date:
MORE ON BACK SIDE
Revised: OM8/07
Please illustrate below the proposed building site in relation to critical areas (slopes, streams, lakes,wetlands, etc.)
existing improvements, as well as property lines. APPLICATIONS SUBMITTED WITHOUT ADEQUATE
ILUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
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S'Art mental Review
A r O ice Use Only)
Planning Department Findings:
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REEE 345) FR, 833
SHORT PLAT OF A PORTION OF THE SOUTH HALF (S' ) OF THE NORTHEAST
QUARTER (NE4) AND THE NORTH HALF (N' ) OF THE SOUTHEAST QUARTER,
SECTION (30) , TOWNSHIP (22) NORTH, RANGE (1) WEST, W.M.
zinort Plat444249
'
APProVed...------.. SEP
WARNING. Mason County has no responsibility Planning Direct
to build, improve,
maintain or otherwise service the private roads contained
within or providing service to the praRerty described in
the short plat.
R[.CCii w4�
REED ;HE "
Al.'7I r() !' >"A GOUNI Y
rLL; I C. BROTCHE
SELLER: Richard Merrill
2835 Marie Place 85 SE P 5 P Z I
Poulsbo, Washington 98370 1
REQUEST OF b
PLANNING DIRECTOR C1
P pl rt (� E Si 5 E 510�?9 v'
\f� �RSEWN`1'- Su'etl EV � �QuSk 2 Z25 j05
VOL,z , PAGE 16,91 y
AUD►ra2's N0,3216
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SCALE: 1" = 100' gg 40 IS G 1�
R RD �- M022IS
Basis of perimeter bearings and distances of
c total tract: Survey recorded in Volume 2 of
Surveys, page 108, under Auditor's File No.
321604.
No. 47432