HomeMy WebLinkAboutSPI N/A - SPI Application - 5/12/2000 MASON COUNTY
SHORELINE PRE-INSPECTION APPLICATION$70.00 Fee Re wired
pLEASE PRINT
nn Applicant:
1. owner: ............... �41,14
Applicant Address: Zi 3
Site Address: city:
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Owner Address: Phone: 01, q0 17e
City: ,i-verepAtfi-Sty—A ip parcel N .. ..................
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Phone: A-43pFf-V411-1
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Leg I Description:
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tion: -_(V Ew ................... '7-/
3. Purpose Pre-Inspection:
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A 4Pre LiD
4. Use of Building:
saltwater lake
of water on or adjacent to property? ff other
5. is there any type wetland ---. seasonal
river ______ pond ---
stream --- seasonal creek
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111 If A-)
Directions to 'Site: iq c:-
L_PIK C_ 0 Aj
CA 14/ Al
suiting from
then mason County must disclaim.any errors re
If the information is incomplete, ti -inspection reports remain valid only until
the original application.. Pre lot evaluated in this inspection.
deficiencies in ur irvffio vicinity which affect the
development changes occ
AeA_0� Date: 1"iL 01 r,"
"FM1_
Applicant Signature:
f Community Development,Plannllnm�
Return appQ�a�
lication to: Department 0
p.O. Box 578 MAI
Shelton, WA 98584
(360) 427-9670 OURWw"'011-CENTER
money order payable to Mason C
Please include a $70.00 check or m Date:
FOR OFFICE USE ONLY: Accepted by:
Please illustrate below the proposed buildingsite i n relation to water & property lines;
t) on Departmental Review
(For Office Use Only)
Planning Department Findin s: �' -C �