Loading...
HomeMy WebLinkAboutSPI N/A - SPI Application - 4/18/2000 04/13/00 THU 09;48 FAX 3604277798 MASON COUNTY BLD 3 /01�kly) �001 MASON QOUNTY RESOURCE LANDS & CRITICAL AREAS CHECKLIST b PLEASE PRINT' *70.00_Pee.Iieguired Applicant; A' NC s Parcel No. IZ� APptioant Address: y/ kll4e 4!S City: Legal Description: SrczXe,y S Phone: - Owner Name of afferent froln app a t: ``''�� q 2-— SCS`77 U) .. Purpose of Pre-inspection: �z � �C� S l U Sty c��>`v��S o__ ©��✓ 'zS Use of Building: A7,Y56 vsA C <lyc , Do any of the following ixist on or within 200 feet of the property: saltwater �. lake river/stream pond wetland seasonal runoff ?< slope Directions to Site: qc@W- ,fly gi J141,T ) Ce.WA... t)� A-e.. 3 _ Please Illustrate in the box below the',proposed building site in relation to property lines, significant natural features, slope grade and direction and topography for inolude on separate sheet): North Arrow e This chaddlet is designed to sadist an applicant for a Building Permit, On-S'ite Scwaae System Site Evaluation and Disposal Permit,Access Permit, Land Modification Permit,Boundary Line Adjustments, Land Segregations, Hazardous Waste Permit,or Shoreline Permit in determining whether their property is affect by regulations under the.Moson , Cowty Interim Ordinance 177--93). This checkiist Is an important opportunity for Identifying SA&in the permit process whether there will be any environmental regulations afFacting the proposed development. If tiie Infomvtlon is incomplete,then Masan County must disclaim any errors resulting from deficiencies in the original application. Pre-inspection rep" n valid only until developMent changes occur in the vicinity which affects the lot evaluated in this in on. =APP[rloant Signature; Date: Rot=appiloation to: Department of Community Development Kenning Divkion 411 k 6tWP.0,.boor 678 8lalton,WA 086" 1360)42 .0070 pieeae mate d,eoke or money onhm payable to Mason ooenty Tiooeurar VMan aer"Oeted,thle form bom mac pert of the permit oWioao'on. 7 04/13/00 THU 09;50 FAX 3604277796 MASON COUNTY BLD 3 R 002 Please illustrate below the proposed building site in relation to critical area & property lines: Te cFq ` tN :=, a f i Departmental Review (For Office Use Onhr) Planning Department Findings: +I\ZA �4 to"T)&+ I