HomeMy WebLinkAboutSPI N/A - SPI Application - 5/3/2000 MASUIH UUUM I Y
SHORELINE PRE-INSPECTION APPLICATION
$70.00 Fee Required
PLEASE PRINT !�
Applicant:
1. Owner: ?i 1� �
Site Address: Applicant Address:
Owner Address: k1 City: St-�'�Zip �+ ?r-
City: _ St--Zip Phone: .OL4 G C 3-cat K�
Phone: ( 1 2. Parcel No. l22 -'S0 - Qr1®
Legal Description: —
ection:
Pre-I s 6 �( �
44
3. Purpose of p
4. Use of Building.
5. Is there any type of water on or adjacent to propeasonal runoff saltwater
lake
other
river pond wetland
stream seasonal creek
ley
Directions to Site:
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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
develo ment changes occur in the vicinity which affect the lot evaluated in.this inspection.
Applicant Signature: Date:
Return application to: Department of Community Development,Planning Division
P.O. Box 578
Shelton, WA 98584
(360) 427-9670
Please include a $70.00 check or money order payable to Mason County Treasurer
FOR OFFICE USE ONLY: Accepted by: Date:
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Please illustrate below the proposed building site in relation to water
-� & property lines:
Departmental Review
(For Office Use Only)
Planning Department Findings:
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