HomeMy WebLinkAboutSPI2005-00057 - SPI Application - 2/25/2005 MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT, $205.00 Fee Required
1. Owner: Applicant:
� LI r r v ®1 ye r N. c C_ a.
Site Address: `
Applicant Address: P 07 ,3yx -Z 3_Z
Owner Address: City: (Ife)t 0 n St Wa. Zip
City: 457 St Zip Phone:_( 36o)_ �} — 7gS3— day
Phone:_(_ ) day Phone:_(,,, ) 7 3J- le,�y evening
2. Parcel No. 3 ;Z13 - S'S - O Q01 C7 DO4 00, o O v 2
Parcel No. ?, 2 2 3 :X - s�S - 00 U 2 7 Email Address:
-A VEW C-arnm e�P �NJo r
Legal Description: tnJOr) dPr v't,- Planner:
SMP Comp.Plan Type of Use
Water Body
3. Purpose of Pre-Inspection: e b-yn ,n e ii"J O GI n r-
i Id C c c I, d e1^
-es, al a r T + rrn cL J0kA
�F r rr� fit ASS -
4. Use of Building: C-it (/,r CA M t A Y\i �b C_P h IL er
5. Do any of the following exist on or adjacent to property?: slope(y-) saltwater lake( river
pond( ) wetland seasonal runoff( ) other stream 04) seasonal creek
Directions to Site: f? N0 �r- d
D sIA f-i 0,-. F, d r r;kl- n t,
e r ,o 2 d rAe
Cat � ke e g4d
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.
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Applicant Signature: Date: A $�
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 279
Shelton,WA 98584
(360)427-9670
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
l:\PLANNING\CHARELI&RENEE\PRE-INSPECTION Revised: 11/15/04
Please illustrate below the proposed building site in relation to water and property lines:
Departmental Review
(For Office Use Only)
Planning Department Findings:
1:\PLANNING\CHARELL&RENEE\PRE-INSPECTION Revised: 11/15/04
NON RESIDENTIAL DEVELOPMENT
INITIAL REVIEW QUESTIONNAIRE
In accordance with Washington State's Growth Management Act, the Mason County
Comprehensive Plan regulates the placement, expansion or modification of commercial, indistrial and
public facilities to certain areas of the county. In the interest of saving you time and money P Y 9Y Y the
Department requires this initial review checklist to be completed and reviewed by this department
prior to the submission of any building permits.
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Applicant Name ferry DI tie►-, 7-� Daytime Phone # ( 36o 785�'S
Mailing Address C) 3�, (��l �� v n. V V a . j 8S l 2
Site Address /fie g, dadress het, it/v,�de►- v� � �� �n �n��n
Directions to Site v4 WJ dJ't BP A+idA — )sfi r+ +(" h 6 h
ga' rd r��d (2 and �,1. YYIc►n�ike u
Septic ✓ or Sewer
Water Supply (�
Tax,Parcel Number# 3 2 z - S' -f'O 4 l C�0 0.�! -7J
i
Legal Description (�,�,�hd� ✓��� �Uhc�h� sCP-IC�70n
Type of Develo ment J,)e t,t,)p tA )� k-�-t•� w -� ,rn i n ram,
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Applicant's Signatures `
Return to: Mason County Community Development R E C LE i V E D
P.O. Box 186
Shelton, WA 98584 FEB 2. 5 2005
OFFICIAL USE 426 W. CEDAR ST.
IUGA Approved By
Existing Commercial Date