HomeMy WebLinkAboutSPI2024-00044 - SPI Application - 4/24/2024 t �
MASON COUNTY SPi-'4 ,q--
COMMUNITY SERVICES
Building,Planning Environmental Hesltl%Community Health PLANNER t^
615 W.Alder St.—Bldg.8,Shelton,WA 98584
Phone:(360)427-9670 ext.352♦Fax:(360)427-7798
PLEASE PRINT $300.00 FEE REQUIRED
PLANNING DEPT. PRE-INSPECTION APPLICATION
Note:Pre-inspection does not survey lot lines and can only provide very general septic and water adequacy information.
1. Owner: l�pt t-� Ctvv e Y Applicant:
Site Address: 10-4-0 A,'11,/25 Lq tie Gccp fall Applicant Address:
Owner Address: T .014- L,-- City: St Zip
City: 1k4A-+Kq-- Sts�Zip Ph
one:( day
3
Phone: a �6w—0&2 day Email Address:
Phone:( evening
Oa S Legal Description:
2. Parcel No. -�_-COC'20
Parcel No. - -
3. �e of Pre-Inspection: -TO f�C . ty q t- T. C4 rAv a 624,1 T do On,-
tra-r �vQn r -Fci tSfit t G 9#rP f(_
4. Use of building: \SFR-
5. Do any of the following exist on or adjacent to property?: slope( ) saltwater( lake(X) river( )
pond( ) wetland( ) seasonal runoff( ) other( ) stream( ) seasonal creek( )
Directions to Site: J 1VUy ��Yi�l�>O _tL� 4_8010
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 devoopment of the site change after the time of inspection.
Applicant Signature: Date:
If you would like to be on site during inspection,please check here: r l
Return application to: Mason County Community Services,Planning Division
615 W.Alder Street
Shelton,WA 98584
(360)427-9670 ext.352
Please include a$300.00 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: ! 1✓�`�41 r ' Date: Ail/
MORE ON BACK SIDE
Rev. April 2021
r h
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
ILUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
Departmental Review
(For Office Use Only)
Planning Department Findings:
Mason County WA GIS Web Map
2200 5 025
220 51110'E-PHILLIPS LAKE LOOP RD
200551000 •
05510002
20 510090
1080 E PHILLIPS LAKE LOOP RD
200551000 7 =
220 55100022
1060 E PHILLIPS LAKE P RD
•
2 0055100021
0 E PHILLIPS LAKE OP RD
220055�020
1030 HILLIPS LAKE LOOP RD
2005 99999 •
20055 068
220055100019
1010 E PHILLIPS LAKE LOOP RD
•
2200 100018
'r
22005 00070
^f
2"nss10n4 7 y
990 E PHILLIPS-LAKE LOOP RD
r
22005510007 22 05510001
5100 72
4/24/2024, 103234 AM 1:767
_ 0 0.01 0.01 0.02 mi
LJ County Boundary FEMA FIRM Map
A 0 0.01 0.02 0.04 km
❑ No Filled
®• Site Address(Zoom in to 1:3,000) AE,
El Tax
FLOODWAY Tax Parcels(Zoom in to 1:30,000) Sources:Esri,HERE,Garmin,Intermap,increment P Corp.,GEBCO,USGS,
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri
■ AO, Japan,METI,Esri China(Hong Kong),(c)OpenStreetMap contributors,and
Contours 5 ft the GIS User Community
OPEN WATER,
Mason County WA GIS Web Map Application
Mason County disclaims accuracy,reliability,or timeliness of website info,not liable for losses from reliance on it.https://www.masoncountywa.gov/disclaimer.php