HomeMy WebLinkAboutRLC94-1536 - RLC Application - 10/11/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Number
RLC#
Owner
Parcel Number' 51) -- C 6F t
1. Saltwater shoreline or lake 20 acres or larger? OT
�
Name of Water Body
❑ 2. Rivers, streams. or creeks with year round flow?
Type of Other Water
❑ 3. Rivers, steams or creek with intermittent flow but are within a clearly defined channel?
❑ 4. Lakes or ponds less than 20 acres in size? U"1
5. Wetlands: Areas that are inundated or saturated by surface water that under normal
circumstances sup ort vegetation adapted for life in such conditions; such as marshes, bogs,
and swamps. k '
11
❑ 6.. Slopes greater than 15% (8.5 degrees)? On Lan slide Hazard Map?
��% " t rl U�'s/1
❑ 7. Floodplains? � o� of Slopes
❑ 8. Seismic Hazard Areas? y!�
❑ 9. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated forest or
classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas.
Comments: '
FZ
At�tl�orizC<� Si��i�.;tu�e
Dale
J HOME OF_
��Tc)w n `L ountI`y_ Suite B• 16521 Highway 99• Lynnwood,WA 98037-3161
POST FRAME BUILDINGS Everett(206)258-4171 Puyallup(206)840-9552
Administrative Headquarters(206)743-1555
��^ FAX(206)742-1691 Toll Free 1-800-824-9552
owso o Contractor's Lic. #TOWNCPF099LT �_-
Quality: Our Future Depends On It.'
Site Plan
PI.,,EASE CHECK:
YProperty dimensions VSeptic and drainfield g
ccess to proposed building
C>7�xisting buildings ❑,Sewer lines of size
Proposed building Setbacks of proposed and let of property
❑Easements ,existing buildings odies of water
[?Main road with name ❑Floorplan
__ffwY �F�
Job name: L�oN SM t Job Site Address: ��t�W A 5Ra
Legal Description SeatA _ o- lg's NO
x &p�iEL N o' -fin - omen 94
r�
o.o
?RoPosR�
$�4
RE�t�NtE � W
R
0
0
1 �
d.o''
Owner has verified and approved the location of accessories,orientation of the building to the no nd verifies tha all tems specified in paragraph
B of the contract are shown on this drawing and vice versa. Customer signature: