HomeMy WebLinkAboutShoreline Pre-Inspection - SPI Application - 6/26/1998 TIP ► D l
335- MASON COUNTY
f SHORELINE PRE-INSPECTION APPLICATION
PLEASE PRINT $".00 Fee Required
1. Owner: PHILP HENDERSON Applicant: P TT.p uy mnE:FSON
Site Address:20251 NORTH SHORE ROAD Applicant Address, 432_Ruer1ake dr_ E
Owner AddressSAMF AS n v12- City: MEDINA S8n1A• g .A R n _ �_
City: St Zip Phone: 4-2 A-5 4- 6 9 6 4--
Phone: W) 427-54 9 AGENT 2. Parcel No. 32207-50,-0091 0
Legal Description: OL•YMPIC BEACH S 1 /2 TRACT 26 S 1 /2 TAX 915 DX R/W I
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3. Purpose_ of Pre-Inspection: SHORE LINE SET BACK FOR MEW Homp �
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4. Use of Building: RESIDENCE Q
S
5. Is there any type of water on or adjacent to property?: saltwater X lake =�-
river pond wetland seasonal runoff other
stream seasonal creek ,t
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Etions to Site: FROM BELFAIR TAKE THE NORTH SHORT Rrn_ To AnPT?.q
0251 N. SHORE RD
P
EE ATTACHED MAP
SITE IS OPP OF THE BEATEN TRAIIp
LEAD YOU IN AT YOUR CONVINENCE e.
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if the information is incomplete, then Mason County must disclaim any errors resulting from b
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.
Applicant Signature: Date:
�T
Return application to: Department of Community Development,Planning Division
P.O. Box 578
Shelton, WA 98584
(360) 427-9670/1-800-562 5628
Please include a $44.00 check or money order payable to Mason County Treasurer
FOR OFFICE USE ONLY: Accepted by:w_ � Date: 6,A66
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Please illustrate below the proposed building site in relation to water & property lines:
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Departmental Review
(For Office Use* Only)
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Planning Department. Findings:
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