HomeMy WebLinkAboutSPI2014-00043 - SPI Application - 6/19/2014 --A A
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MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT Q $255.00 Fee Required
1. Site Address: ate- K0 ufe, �D `fd
Owner: . by) 0 t A)IA fCn41, Applicant: V u Yl rn e-it b en n e f.
z Owner Address: I Ili 1,5 e r ILL • Applicant Address:'I Yi
City: 11 ICICW ! a I p 7 � L city: p� stT Zi � � Ci 1IU� ham' St Zi 7�
3 Phone: day Phone: �-S',)`�I day
Phone: tor__)) q q 1 evening Phone: 605)2) 51 ?) evening
Email Address: fl 4-1 Y' GI h 0,,CCY-n Email Address: CAW CM
2. Par eel Ws -
Legal Description:(--)b UCV,n 1"11W V-0f q, sec l m(0_i OL)Y1�41 ID wp e)+
3. Purpose of Pre-Inspection: at trn 1 AL b
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4. Use of building: f r\ �CJLM
5. Do any of the following exist on or adjacent to property?: slope ()() saltwater( ) lake ( ) river ( }
pond( ) wetland ( ) . seasonal runoff(' ) other( ) stream QC} seasonal creek( )
Directions to Site: Ift
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 Signaturea/�' � Date:
If you would like to be on site during inspection,please check here:
Return application to: Department of Community Development,Planning Division
P.O.Box 186
Shelton,WA 98594
Please include a$255.00 check or money order payable to Masan County Treasurer.
MORE ON BACK SIDE
1:1Community DevelopmentlPACWD2012 Pre-Inspection.doc
Greetings,
Enclosed you will find an application for a Planning Department Pre-Inspection regarding our property
located at 18920 State Route 106, Belfair, WA.
I am also including a copy of the Geotechnical Report we requested on the property upon the
recommendation of Rebecca Hersha.
We currently live in Tennessee and have not yet been to the property. We will be in WA in August and
would like to be on site during the inspection. Could the inspection be scheduled sometime between
August 7 and August 13?
We can be reached at 253-318-8990 or 865-387-4473 or via return email.
Thank you.
Jannett Bennet
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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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(For Office Use Only)
Planning Department Findings:
I:\Community DevelopmentTAC\S M012 Pre-Inspection.doc