HomeMy WebLinkAboutPre-Inspection - PLN General - 2/4/2002 MASO 2 t30UNTY
PI;.ANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $70.00 Fee Required
l
1 . Owner: -Vca"; L-JA,?NE CV104t4sNq"/" Applicant:
Site Address: 71 IE Qj4,05,T&C Applicant Address: nSTA
Owner Address: M12_L,Jnfm Nic n1 City: (A,-J10(') St WA- Zip '?6S5Z
City: St L,�o Zip 9 4133 Phone: ( -�) ?(d C - C�- '2(-09
Phone: f ob) 7 � - Sze9 c.'11 Pl'.'VC_ 2. Parcel No. 3 2-Z.3S - 75 - /DI7%
Legal Description: 'F; M0L_ rE'-""
E p
Lo-t-- 17 A
Sew Q4MNC-'� PI o+ Lq -E
NG
3. Purpose ofPre-Inspection: _?'O ����r ��L �e,c,�s�la��fy C,
r1.� .- _ e -► I&I- 2.
0
4. Use of Building: t-) ,A Lcc=c_^e__ /,vk v De�rnratie ..rt- 1^cs tcle'L"c _
5. Do any of the following exist on or adjacent to property?: slope saltwater
lake river pond wetland seasonal runoff
other _ stream seasonal creek
Directions to Site: AMA. c�
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
... M i1i3, vicinity Ey vVi:iC h aiiC :t UIC ;0t UVa;UdLUd ill LhiS I(:SPdC_Jo,-1, OF
the laws regulating development of the site ang;e after the time of inspection.
Applicant Signature: L��" Date: 2' 4 ZUo Z�
Return application to: Department of Community Development,Planning Division
P.O. Box 279
Shelton, WA 98584
(360) 427-9670
Please include a $70.00 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:
Please illustrate below the proposed building site in relation to water & property lines:
Please illustrate below the proposed building site in relation to water & property lines:
1
v `n
r5'llP.L l0 4
�1r2w�
P� �r
Departmental Review
(For Office Use Only;
Planning Department Findings: