HomeMy WebLinkAboutSPI2006-00044 - SPI Inspections - 2/24/2006 w 3 dig 0
B 2 W MASON COUNTY
PLEASE PR1.
PLANNING DEPT. 6E-INSPECTION APPLICATION
$205.00 Fee Required
1. Owner: P-N O �Kz P
�L� o�_ DHNS a�� � Applicant:
Site Address: S rvr�i/`2isy�c,�,r X iP�fj3 ZL Applic Address: Dx / Z y,52
Owner Address: • ram. 13v,4 L z Z.y City: /q 'U-a- St (�4-zip 1 ye l
City: ;57A.G(irly a✓ St Lzip l J'Sr y Phone:(3G o ) _q /V,r 4, e C� day
Phone:(3G0) 4t•Z7.3!702.- day 2S3 (loOG ;7-31-3
Phone:( evening Planner:
Email Address: SMP Comp. Plan Type of Use
2. Parcel No.S a Water Body 0 13 - 50 - OUO g
Parcel No. - - U
CEIVED
Legal Description: TR L/oT'
3. Purp of Pre-Inspection: IN �2' vr.[= �l�r« ,� eJ';--
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4. Use of building:
5. Do any of the following exist on or adjacent to property?: slope saltwater lake( river
pond( wetland( seasonal runoff( other( stream easonal creek( 1
Directions to Site: /1-7ke :a &,,
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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: Date: ,1/2%lld,-
If you would like to be on site during inspection,please check here: (� ��z?7� eih'L'�i C�S3)e,06,-;L3l3
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Return application to: Department of Community Development,Planning Division j'u ncv✓�'
P.O.Box 186
Shelton,WA 98584
(360)427-9670 % ��t�y
Please include a$205.00 check or money order payable to Mason County Treasurer 312-d/Q T
When completed, this form becomes part of the parcel file. 17'v( h-e—
FOR OFFICE USE ONLY: Accepted by: Date:
MORE ON BACK SIDE
1APLANNINGTACTRE-INSPECTION Revised: 01/17/06
Please illustrate below the proposed building site in relation to critical areas (slopes, streams, lakes, is, etc.)
existing improvements, as well as property lines. APPLICATIONS SUBMITTED WITH ADE.. E
ILUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLIC
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Departmental Review
(For Office Use Only)
Planning Department Findings:
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