HomeMy WebLinkAboutSPI2015-00105 - SPI Inspections - 12/3/2015 RECEIVED
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DEC 0 3 2015 SPI a o 5- Dol
426 W. CEDAR ST, 1'01VW ACCEPTED BY CkJ
MASON COUNTY '
PLANNING DEPT. PRE-INSPECTION APPLICATI 4y) (,rC
PLEASE PRINT $255.00 Fee Required
1. Site Address: op'
Owner: .9 6-k W � I S `- Applicant: t
Owner Address: /y2 K I Z�; Applicant ,Address:
City: a(q yW Stog Zip (1C�3 City: W1,10 St A& Zip �
Phone: Qb'3) 01 1aI -cl 04 day Phone: (2M ) Ski `' b day
Phone: ( ) evening Phone: LW2 0755 evening
Email Address: Yl,Uo_e"r 6,<,LtiYt( �'� YI 't Email Address: �f9�Y1/�<�- 1;1�16 �c(3� ol,
2. Parcel#'s «2 Z 0 5 - coo 15
Legal Description: l.APiLAd Ui 16tL�Zi `� 1 1���( " s -I tLj4d
3. Purpose of Pre-Inspection: iVIt&lemad iri io ling am&-�k4 owd (AJb t1 11kC'
�r it i2 � S,_1- �- l�u iICl Ali v ('p! - �FifY� f✓�e�
4. Use of building: k &'n iAXYI
Sk1' w� Guy
5. Do any of the following exist on or adjacent to property?: sloe saltwater( lakeV river( )
pond ( wetland ( ) seasonal runoff( ) other( stream ( ) seasonal creek ( )
Directions to Site: �- Z OW-, kLkz, Uli r
UX-4- IAji Qdip rW crQ, txl 10- ,bu+ P, on Aaur►�
i.� u T lei N �-yte: hbLk+_ �+lY aaA2, 4 I AI LnLh;n� 67,rJA__,
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:
If you would like to be on site during inspection,please check here:
Return application to: Department of Community Development,Planning Division
426 W Cedar Street
Shelton,WA 98584
Please include a$255.00 check or money order payable to Mason County Treasurer.
MORE ON BACK SIDE
C:\Users\blr.MASON\Desktop\2012-Planning-Pre-Inspection.doc
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
ILLUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
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Departmental Review
(For Office Use Only)
Planning Department Findings:
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C:\Users\blr.MASON\Desktop\2012—Planning—Pre-Inspection.doc
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