HomeMy WebLinkAboutSPI2015-00106 Cancelled - SPI Application - 4/6/2016 RECEIVED RECEIVED
DEC 0 9 2015 DEC 0 9 2015 SPr 00I(OtD
426 W ,EDAR S7 ACCEPTED BY
M CC D - PLANNING MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $255.00 Fee Required
1. Site Address: 861 E Coulter Creek Rd. Belfair, WA 98528
Owner: North Bay Properties Applicant: David Overton
Owner Address: PO Box 1477 Applicant Address: PO Box 1477
City: Tacoma St WA Zip 98401 City: Tacoma St
WA Zip 98401
Phone: ( 206 )948-0554 day Phone: Same day
Phone: ( ) evening Phone: ( ) evening
Email Address: david(ZOvertonassociates.com Email Address:
Same
2. Pa:ce1 ff 12204=43-00020 U ytn
Legal Description: Coulter Creek Tracts N '/z SW SW SE (2
3. Purpose of Pre-Inspection: SxIvE 6001N& 1rmT e,►.t► ul L.'ev-c-- ce
4. Use of building: Residence
5. Do any of the following exist on or adjacent to property?: slope ( ) saltwater( lake ( ) river( )
pond( ) wetland ( ) seasonal runoff( ) other( ) stream(X ) seasonal creek( )
Directions to Site: From Shelton- Head east on HWY 302 Take left on Coulter Creek
Road Continue to the end of Coulter Creek Road, Drive through gate and rrncc bridge
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 development changes occur in the vicinity, which affect the lot evaluated in this
inspection,or the laws regulating development of the site change after the time of inspection.
Applicant Signature: Date:
lfyou would like to be on site during inspection,please check here:
Return application to: Department of Community Development,Planning Division
426 West Cedar Street
Shelton, WA 98584
Please include a$255.00 check or money order payable to Mason County Treasurer.
MORE ON BACK SIDE
/Users/Fontana/Documents/2015 Pre-Inspection Permit-Mason Cunty.doc
Please illustrate below the proposed building site in relation to critical areas(slopes,streams, lakes, wetlands,etc.)
existing improvements,as well as property lines. APPLICATIONS SUBMITTED WITHOUT ADEQUATE
ILLUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
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Departmental Review
(For Office Use Only)
Planning Department Findings:
/Users/Fontana/Documents/2015 Pre-Inspection Permit-Mason Cunty.doc