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HomeMy WebLinkAboutBLD99-00308 Mobile Home - BLD Application - 4/23/1999 7 FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD PLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 27-9670 Belfair 360 275.4467.Elma 360 2-8269 Seattle 206 64-6968 APPLICANT INFORMATIO CONTRACTOR INFORMATION Owner t Contractor Name Mailing Addre s Mailing Address City 4SL}y-Mabl State _ Zip Code C11 5%LA City State Zip Code Phone(3C,o ) '�l�s�1�►7L5 Other Ph. Other Ph.(_) Lien/Title Holder ecoA.r'1�_eL ,�nt l4J 'RITke Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic__connect to Sewer System Name o f Sewer System Well Water System X _Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. cti ► _/ I_/ Uo n 1 5 Fire District Legal Description Site Address(Plea a incl de street name, street number a d city) Directions to site Will timber be cut and soldin parcel preparation? (Yes I -(U113N Ion Q,� ��'V>I- Is your property within 200' of the following: Body of Water(Name) -�1 ,r�- ••---2A�;1� &.a�t[ Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream14 Nopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model QAg 0-i Model Year 14ci4 Length__!1�_Width�_Serial No, o. of Bedrooms No. of Bathrooms__ Type of Heat Q9 tt,k%IQ, Purchase Price —Replacement Unit?(Yes/No) Installer Name ertification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMME 0 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 D T Y MMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. a resents that the information provided is accurate and grants employees of Mason County access to t cb r a str es for review and inspection of this project. Acknowledgment of such is by signature below: tam OWNER AFFIDAVIT-[certify that I am exempt from the requirements of the CONTRACTOR'S AFFIdW A2 em currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements repulatin jp� {�+�► 3 sued and all work q p q 1'Wdil�IsNifR!1�!'CI a S s conformance therewith. No changes shall be made without first obtaining shall be done in ges s all be made without approval. first obtaining approval. � ''11 � X Date 14 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by AIV Pf Elate Submittal Amount Duel Z6/ Receipt No. AT Building Department Occ Group Type Constr., Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ :.;:.::.::.:.;:.:::;:;;:.::.::.::::::::.:::::::::::::::::::::::::::::::::::::::...::::...... .... Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTALFEES PERMIT NO.: BLl7v"✓" y MASOnr.-ealu y BUILDING PERMIT APPLICATION 426 W.Cedar/PiO.Box 186,Shel*,,WA 98584. Shelton 7-9670 Belfair 360 275•4467 Elms 36D 82.5269 Seattle•206 64-6968 APPLICANT INFORMATI CONTRACTOR INFORMATION Owner ,.° LM it ftimidt Contractor Name Mailing Ad .:ess Mailing Address City State Zip Cade City Zip Code Phone( wp ) yE�S Other P .(.�6f�j 2�- Ph.( )' g y h L� Lien7Title Holder tr Contractor. Re # Address Expiration C SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Nanie of Sewer System Well Water System X Name of. Water System t I i PARCEL INFORMATION-12 digit Tax Parcel No. b t g / 5 I Fire District Legal Description + Site Address(Plea incI de street name,street number an city), makll Directions to site Will timber be cut aftd so in;parcel preparation? (Yes o I �u t3KQ►"�.. 1.. . Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream pes or Bluffs' . TYPE OF J013 Ne�nr Add- Alt Repair Other Use of Building Describe Work No. of Bedrooms _No. of Bathroorns SQUARE FOOTAGE-1 st Floor 2nd Floor „ 3rd Floor, I�;oft Basement Deck Other. sq. ft, `. Garage E`. i�ttached `Detached Carport Att a#1 Detached;T_ MOBILE HQEFORNIATION-Make x Moce •I Model Year::. Length"' .Width Serial No. Lilo. of Bedrooms ',1�,,,, No.of BafhrtYt� l " `• Type"bf HeatR Pu chase Priced RePI, ement Un (Yes/Nn) ', � � ' ; InstaWer Na ~�'�" a it'rcatiort No. •� • - � �, l r . ,• OTICE: tHIS i�1=RMIT EECOMES Nt1LL d.VOID IF WORK Oft cONSTRUCTIQ ;AUTHORIZED I'�i OT�t1ltEN�'4 ti111THIN,t$Q BAYS��w CONSTRUCTION WORK'IS Sl1SPENOED 4R ABANDONED FOR PEf210D OF 180 DAYS AT ANY ME AFi2 TFfiE WORK IS COMMENCEQ , PROOF OP CONTINUlATION OF WORK IS 8Y MEAN&,OF A PROGRESS INSPE't TION. The owner:or agent on owner's behalf,represents.t 0*" information provided is accurate and;grants employees of Mason County access to the above described property and structures for re��+leand , inspection of this project_ Acknowledgment of such is by signature below: � OWNER Al FLDAVIT-1'certity that I am exempt from the requirements of the CONTRACTOR'S AFFtDAVtT f certify that I am currently r stered Asa Contractor[Registration 1,aw RCW 18.27 and am aware of the ordinance contractor in the state of Washington and:that I.am aware of'. +furanale require for which this permit is issued and that all work will be done in requirements regulating'the work for whlchthis permit-is issue aN wott} conformance therewith.,No changes shall be made without first obtaining shall be done in conformance therewith. Nio changes shall be made withoa3l t.. approval. first obtaining approval. .,.,... , 'X Date ., X Date� T�. FOR OFFICIAL USE BEYONDTHIS POINT Accepted by Date 7 Submittal Amount,Due Receipt No. . Rt ' .:....:.CAI»}.. ..... Building Department ®r Occ, rou Type Constr. Planning Department ��&,kt)MA Zed&,"' Environmental Health Department i Public Works Department I" Fire Marshal Valuatioiri $ ' 1 } Building:Permit Pee . Site Inspectf'ol*i, .. a Plan.ReviewlFee' UFC Plan Review Fee Plumbing &Base Flee: w , Public Works Review Fee A. Mect7a�ical 8t Base`l^ee ' s Other i Wood/Gas/P iet Stove Fed; Ot#aer p halation Fee Pie P;a � mittal `� PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar*.O.Box 186,Shelton,WA 98684 I Shelton;360 427-9670 Belfair 360 275-4467.Elma 360 482-5269 Soattle 206 64-6968 APPLICANT"INFORMATIO CONTRACTOR INFORMATION Owners Contractor Name Mailing Addre s Y-t Day Wsk Mailing Address city _ State W . Zip Code City State Zip Code Phones( b* )�A*a'.Ja Other P ? Ph.( ) Other Ph.( Lien/Title Holder NuftuaA 511A LfAe Contractor Reg. # Address Expiration SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic 11iL Connect to Sewer System Name of Sewer System Well Water System 1K_Name of ; Water System PARCEL INFORMATION-12 digit Tax Parcel No. , 0 i 11,_/��/ Fire District_ Legal Description Site Address(Plea incl de street name, str et number a d city) Directions to site Will timber be cut and soldin parcel preparation? (Yes 0 1 1L I. your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream pes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HQME'INOORMATION-Make WAL Mode 1"1* b&j.1fiModel Year # Length _Width Serial N C.1 No. of Bedrooms__&_No. of Bathrooms_ Type of Heat, ii' Purchase Pri`e $ Repl ement U ?(Yes/No) Installer Na; Atification Ni NOTICE: THIS PERMIT BECOMES NUL64 VOID IF WORK,•OR CONSTRUCTION AUTHORIZED IS. OT COMMENCEID WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY'#ME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner of agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work'` conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval X Date X Date FOR OFFICIAL USE BEYONb THIS POINT 1(0 Accepted by Date Submittal Amount Due R Receipt No. Af'l?RQVE[�::i. Ot7�11 TAN°: 13E" ::;>;;:::...:::; E?ARfiONTAL:..Ems. ��.[�11�R: :. _..�1................_._........... Building Department 1 Occ Group Type Constr. Planning Department R • Environmental Health Department SJ:Iy/ff c�b 3 v Z.c7 Public Works Department Fire Marshal Valuation $ ` :::::.......................:::::.:... :... A :. t Building Permit Fee Inspects Plan Review,Fee C Ian Review Fee ` Plumbing & Base Fee Pu c orks Review Fee echa & Base Fee r C_Wv Wood/GasjPgIIet Stove Fee. { Other Violation Fee Pare Paid pt Subrrii tal ( ) TOTAL PEES PERMIT NO.: BLD " MASON COUNTY BUILDING PERMIT APPLICATION 7 Z 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATIO CONTRACTOR INFORMATION Owner AAt AMA A n ! Ltv Contractor Name Mailing Add re s Mailing Address City' l _ State _ Z. Code City State Zip Code Phone( VO ) -%#A 1 LS Other P .0 4f Z 7-370J Ph-L Other Ph.f ) Lien/Title Holder_2,01AIA611 1 re9 rlljf LlT1.► Contractor Reg. Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic- Connect to Sewer System Name of Sewer System Well Water System X Name of Water System I PA CEL INFORMATION-12 digit Tax Parcel No. / t / 06 lj _Fire District al Description 156[_-' Caw PLf9 Site Address(Plea a incl de street name,street number a d city) Directions to site Will timber be cut and sold in parcel preparation? (Yes Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream pes'or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached "Detached Carport Attached Detached ; Ia ake Model 0.4d loft 4L 21114.111Model Year,,,, �f Length Width Serial No. o. of ppIi is No of_Ba t4 •t s, Type of Heat r Purchase Price_,,,$ . . Installer NawI b rtification Na. NOTICE: THIS PERMIT BECOMES NULL VOID IF WORK OR CONSTRUCTION AUTHORIZED OT COMMENCEb 1rVITHIRI 1$U DAYS OR IF,, CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYI ME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT4 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT4 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that 1 am aware ofthe ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work' conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval, X Date X Date`!` FOR OFFIIC AL USE BEYONb THIS POINT l.1i ► Accepted by 'l�•-�t.. Date �J Submittal Amount Due ~ Receipt No. :: W.N#yRTMT ,:..:. ,... .:. : : :,:UitiilBit##;'Ii, ... .:... . .... ::.'.'. Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal ValuationK$. � y :: .. ................, ............ .........X';.............. r::::•::::::.v:::::::::::.�:::;::}:. w...:.........n•?♦ ....:.::::::.:i::::..,..rc::::.n............:.... ............ :. ............................r....... ................................... Building Permit Fee Site Inspection- Plan Plan Revib%Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee E Mecha al.& Base Fee Other a 41 -_ Wood/Gas/P llet Stove Fee; Other iolation Fe6 Pte-Paid lat Submittal ( ) TOTAL FEES I t , eC i Model:22-A-28 * 4404-16 Acwal Floor 51za:40-0"x 13'-4" Square Feet:533 WN -_i rand'. 6heAw � Master vawoaa n9 - - - -wutto c-ON- - 0pptt. Bedroom hn Lhdng Room Walk-A-Bay Kitce tub/ 00 -- 'h0 O _--- 10'-0" 4'-9" 12'-0" 13'-3" x � Model:24-A-28 r* 52x14-2B y 15 Actual Floor Size:46-0','x 13'-4" Square Feet:640 - ' opG.snack ear ;. 3 05-1 ., Master vawua ca d - - c i - - - -vautua CamM_ - - Opt Bedroom Kitchen Living Room Bedroom#'2 rs O.? 10'-0" 4'-10 12'-0" Model:24-J-28 * 52x14-213 Actual Floor Size:48'-0 x 13'-4 Square Feet:640 w.rk Uti1PEy 00 Kitchen' Master _ _ _ - _ _ _v_aunancewy_ Opt. Bedroom Walk-A-Bay Living Room Pining . Bedroom#2 vanc y mbi a�anewa r: 10'-0" 4'-10" 8'2" 13'2" VIC, p un r [ 10 f -47 oa A . , !' .,r1�_,'1.Yk - /+�4 S Y � a r•5W f�i �5��'.A"`T.: n e 7 � , s 3 F �`':.�'t t• J '' '� .R ��n.�`�'S v� _ ee t � � > ,n ,�g"��`,a f M K �# r ':Ak. +�*•�r�x' ,E"t<;'�r' xs��f3. 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'f it tr•� "� �S' J � aTrdr '^+ �• r # a 4�:, k � L� ' A `."aZr �' f".:.f$a ?' z^?',r1T, ; ..f Lat'+`�t . w '. `�`,_ S a x ]r ti � GsA +. a�-:. rC � t r �`''¢• ay r t 'lrl ,7 x1^fe'h'' a !'n ��!/2SG�-F �2� �� �G�(�'c�c� Pl�iu��✓ate.¢ y�o BUILDING P T ow�, DATE _ 4 /rA Plaaaer Area Z Zit -- 9 L — lSGOYS Parcel # CHECKLIST FOR PROPOSED CONSTRUCTION Comp Plan Designation UGA RAC RCC RA For IH Yes No { ] ] Within 200 FT of,. SMp designated shoroline, . wetiands, etc. Where? [ ] ] Located near possible Critical Area, ,What Ki_ ? (Wetlands, Streams, Lakes, Slopes) [ ] [ ] RLC already done? [ ] [ ) Proposed Construction within 'floodp .ain [ ] [ Eagle nest C I [ Six year moratorium ] [ ] Multi-Setbacks hjcwMy 'WieA/cQ E ] [ ] State 'road access needed Rzq Ul YecA [ ] [ ] Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) ( '] ( Mobile Home or RV Park MASON COUNTY PER`ASSOTANCE CENTER Mason cowry efr.1u 4M w.cedar P.Q.Box 16B 9Mit o,WA 9ese4 (360)427-9670 Belfair(360)275-4467 Elma(360) 482-SM Seatde (206)464_BM June 24, 1999 Timberlake Community Club Inc 2880 E Timberlake Drive W Shelton, Wa 98584 RE: Raymond and Ione Siegler site Parcel No. : 22018-51-00045 Site Address : 50 E Carr Place To Whom It May Concern; On April 26, 1999, The Siegler' s made application to this office for the placement of a new manufactured home. In reviewing the plot plan submitted, the applicant was told a variance was required. On May 14 , 1999, a building setback variance was applied for. Submitted with the variance was a copy of an approved Timberlakes Architectural Permit . The Siegler variance was approved on May 24 , 1999 . Enclosed is the plot plan upon which approval was granted. The placement of the ribbon footings was approved on June 3 , 1999, by Dana Herron, Mason County Building Official . The footings were determined to meet the requirement of the approved variance. This office has been notified that Timberlakes has issues with the placement of this unit. We were also informed that Michelle, apparently the office manager of the Timberlakes Community Club, indicated to Mrs. Siegler that Mason County has an obligation to Timberlakes to require that the applicants obtain Timberlakes approval for building permits and variances . Mason County' s responsibility is to the applicant and verifying compliance with county adopted codes and regulations, not to individual platted association groups and/or their covenants and restrictions . According to our records, Mrs . Siegler is in compliance with county regulations and codes and has abided to date, to the condit'.ons of the variance approval . During the process of vai:ia.nce review, consideration is given to the architectual associations recommendations however, a decision for approval or denial is based upon additional information and association comment is minimal in the decision process . The form for association recommendation was developed and included in our variance packets as a method by which to notify associations of proposals within their plat and should be considered a courtesy extended" from Mason County to the individual groups involved. Since Mrs . Siegler included a copy of the architectual committee approval and Timberlakes Permit, it goes without saying that you were already informed of the proposed development . This notice is being sent to clarify that Mason County does not require submittal of Timberlakes Permits prior to issuing building permits, we will however except those permits in lieu of the signed variance form. If a person has received a permit from Timberlakes and then submits a variance request to Mason County it is deemed sufficient that. Timberlakes has knowledge of the proposed development . - If you have any questions regarding this notification, please contact me at (360) 427-9670 ext 356 . C nc emi Gri y Building Inspector/Code Enforcement c c�.POW Betty Wing, PAC Director Ione Siegler, Property Owner/applicant Rob Wilson-Ross, Attorney for Timberlakes May 14, 1999 Tammy Griffey,Code Enforcement Mason County Building Department Shelton,WA 98584 Dear Tammy, I've attached three copies of a revised plot plan for the building permit application for Raymond&Ione Siegler. As you can see we were able to move the manufactured home forward towards the street and gain additional room from the property line. Hopefully,this revised plot plan meets your criteria. I have also attached a check for the variance fee and attached a signed variance form. Please call me if you need any further information. Washington Home Center has ordered the home and I am concerned that the building permit will not be processed before the home arrives. Thanks for all your help. It was my understanding that you will give me a letter to forward to Timberlakes regarding the revised plot plan. v DD fgAY b 1993 PERMIT ASSIS'KE CENTER May 5, 1999 Betty Wing,Director Permit Assistance Center Mason County Building Department 426 W. Cedar Shelton,WA 98584 Dear Betty, On April 27th,I hand delivered the attached copy of my approved permit from Timberlakes.Covenant Committee-to the$uilding'Department. The Building Department told me they didn't need a copy of this approved permit;and they returned my letter and the permit to me. At this time,I would like to formally request that the attached copy of my letter to the Building Department and the letter and approved permit from the Timberlakes Covenant Committee be permanently placed in my building permit file as documentation that my son and I have complied with Timberlakes Covenants. Sincerely, Ione M. Siegler Attachment PS My building permit is under Raymond and lone M. Siegler,Parcel No. 22018/51/0045. t r April 29, 1999 Building Department Mason County 426 W.Cedar Shelton,WA 98584 The Timberlakes Board of Trustees has approved my application for a permit to place a manufactured home on my lot at Timberlakes. I've attached a copy of that permit approval. Please file the copy of the Timberlakes permit with my Mason County building permit application. If you have any questions or need further information,I can be reached at 360-427-9670 Ext. 423. Sincerely, lone M. Siegler Attachment c: file R TINS-. H NIT'Y CLUB [NCO 2880 E. TIMBERLAKE DRIVE W. • SHEIXON, WA. 98584 • (360) 427-8928 � 3� April 27, 1999 Raymond&lone Siegler PO Box 926 Shelton WA 98584 Re: Division 3 Lot 45 Dear Member, Your request for a Timberlake permit has been approved. The permit is enclosed and must be placed on the site in plain view of the road. Suggest you place the permit in a zip-lock bag. If you have questions or concerns please contact this office. Sincerely, The Timberlake Board of Trustees I I TIMBERLAKE COMMUNITY CLUB INC. ######################################## ARCHITECTURAL PERMIT Permit No.(19-0,.Q & Date y 7 Expires )v Purpose XC'l;I *- Owner Mailing Address Division c _ Lot�� ` Approved by 1 _ a. April 13, 1999 Terry Reinsdel 2 2 0 W Hammy Haamna Dr Elma, WA 98541 Dear Mr. Rei'nadel`, This letter is in regards to your application to construct a storage building on your property at Lake Arrowhead. Also inclosed is a Notice to Applicants that explains that Mason County is subject to an .Order. of Invalidity imposed by the Western Washington Growth Management Hearings Board on January 14th of this. year. Unfortunately„ the Order of Invalidity does affect your project as proposed. Your project can not be approved by the planning Department at this time for the following- reasons: 1) Your application was submitted after January 14th 1999 . 2) No claim of vesting was made at the time of application. 3) 'The use of the building is` non-residential and not residence is on the site or being applied for. 4) The application does not otherwise appear to meet the invalidity exemption criteria as described in RCW36.70A.302 (enclosed) . This department ,is hopeful that the currant situatton.will be , resolved in a timely manner. You are welcome to reapply at such time. If you have any questions please call me at extension 270. sincerely, Gary Yando, Director Dept. of Community Development