HomeMy WebLinkAboutRLC95-0067 - RLC Application - 2/8/1995 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS
. AND CRITICAL AREAS CHECKLIST
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Permit Number '✓ " ( Lts/ RLCf!
Owner K, CA((S S T-WeS TeVV5a J665M
Parcel Number Z4 000 I 0
❑ 1. Saltwater shoreline or lake 20 acres or larger? U
� Name of Water Body
El2. Rivers, streams. or creeks with year round flow?
Type of Other Water
❑ 3. Rivers, steams or creek with intermittent flow but are within a clearly defined channel?
❑ 4. Lakes or ponds less than 20 acres in size?
❑ 5. Wetlands: Areas that are inundated or saturated by surface water that under normal
circumstances support vegetation adapted for life in such conditions; such as marshes,bogs,
and swamps. /At 1-
❑ 6_ Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map?
3% 1/GGV o� of Slopes
El 7. Flood plains?P
❑ 8. Seismic Hazard Areas? Uvv
❑ 9. Agricultural Open Space Taxation Program?m?
❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas. f�U( �
Comments:
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AmhowCd Sign::lt.ut' Date
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