HomeMy WebLinkAboutSPI32005-00026 - SPI Application - 2/2/2005 Mf) P, � LO - OM44�1
MASON COUNTY w Z l
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PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $205.00 Fee Required
1. Owner: C-7,�yF.-A1 "/GL iA Applicant: Wd LT
Site Address:7S8 Pogo A40/CG D Applicant Address: 3(.:L PUiA/7ff5' ,OP. E�
Owner Address: 14 3 O WOOPI-.4 uy 6 R.ST► NE- City: St Zip 99-59,e
City: tit y"P!A St 11/.4 Zip 6 ito Phone:_( 3Coy) ;�� 9-f9/ day
Phone:_(1po ) da �Phone:_ 4'z4, &-766 evening
2. Parcel No.
Parcel No. - Email Address:f A U",A14 /qy3( hWV7 IA f.4
Legal Description: 40.7 I F D #/� Planner:
ft/27ST�N� viM ice"
.s Oh/ CO UAI-ry WA SMP _)0y%_7. Comp.Plan 1 Type of Use��
Water Body
3. Purpose of Pre-Inspection: A f rP-0 VA L /ZZS/,V EA1C" (20A1 S7nW GTI�
4. Use of Building: ) �S'/IJ 14P'JV clt�
5. Do any of the following exist on or adjacent to property?: slope(V_� saltwater lake( river
pond( ) wetland( seasonal runoff( ) other( stream( ) seasonal creek(
Directions to Site: FAII 5 /-1KI f f G �i A) G 90^P ---/ M/, O 116,C—
^O <5A-f T � 090 CoV6_ Fo& EAv7-j2Y. L, .d i
O P L Oy To ;- 13 6Fv196' v9 vC&X/T TO
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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 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: C %i Date:
Ijyou would like to be on site during inspection,please check here:
Return application to: Department of Community Development,Planning Division RECEIVED
P.O.Box 279
Shelton,WA 98584 FEB U 2 2005
(360)427-9670
426 W: CEDAR ST,'
Please include a$205.00 check or money order payable to Mason County Treasurer
When completed, this form becomes part of the parcel file.
FOR OFFICE USE ONLY: Accepted by: Date:
MORE ON BACK SIDE
I:\PLANNING\CHARELL&RENEE\PRE-INSPECTION Revised: 11/15/04
Please illustrate below the proposed building site in relation to water and property lines:
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Departmental Review
(For Office Use Only)
Planning Department Findings:
1:\PLANNING\CHARELL&RENEE\PRE-INSPECTION Revised: 11/15/04