HomeMy WebLinkAboutOTH Address Requests - 3/1/2019 MASON COUNTY
RECEIVED
COMMUNITY SERVICES MAR 01 201;
40 Building,Planning,Environmental Health,Community Health
615 W. Alder Street
Address Request Form/Application
Name: Sean "d (� ' r-& 1,x kif'ur Phone: 3(yQ �1 I-S K7 0
Mailing Address: � � � � �lV
City: Ein �t iy— State: v Vg Zip: Prefer:Mail o e-Mail tification icicle One]
E-Mail Address:S_ Li\FLWf-1(& N_% .
Parcel Number._1222-1 — q 3 - RD 3V (12-digit number)
SITE MAP: PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE
ROADWAY YOU WILL BE BUILDING ON IF THE ROAD INTERSECTS YOUR LAND. LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AND
NOTATE WHERE YOUR DRIVEWAY IS/WILL BE LOCATED ON THE PARCEL AND NEIGHBORING DRIVEWAYS.
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❑ Application fee: 185 due at time of submittal The Mason County Addressing Ordinance
❑ Make checks payable to:Mason County Treasurer requires you to post your new address
❑ Mail application to: within 30 days of assignment.
Mason County Permit Center It must be placed at your driveway entrance
Attn: Addressing Division clearly visible from the road in reflective
615 W. Alder St contrasting material.
Shelton, WA 98584 Address must also be posted to any structure
within 30 days of its erection in a contrasting color,
Addressing questions?Call(360)427-9670 ext. 365 visible from the roadway or driveway.
SECTION IS FOR OFFICIAL USE OIVLYw»»»»»»»»»»»r»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»
YOUR NEW ADDRESS IS: H H V I C;tV'-
RECEIVED LOGGED INO( TIDEMARIZ-� FIRE DISTRICT �2_ —
BILLED PAID RECEIPT#
Rev.12/27/18
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Geotechnical Development Notes; N
Lot#l;Standard construction for moderately sloping ground
(<40%)outside of Hazard Area(s)&Buffer(s). w F.
t Lot 92;Standard construction for moderately sloping ground
outside of hazard area buffers. o r
Lot#3:Standard construction for moderately sloping s
t N ground outside of hazard area buffers.
Lot#4;Standard construction for moderately sloping
ground outside orhazard area buffers. w
1 50'Hazard Untyped Stream
Area Buffer
Boundary
T
E Victor Ridge Road HAZARD AREA ro
30'Access Easement (hatched) p y
25'f pnt Y
Building Se Victor Road 25', nt Yard
Lines gullt�Ing Setback 20'ggttle Yard
9 Lines \ Bpi ding Seiba V�-
f 1306.d8' ..
—_ ___ 944.08' I cNv. \ /" ' 00
t----------------- — — A— 1321.70'—.—N — \� f N I 47
20'SideYard bl ---'—`—��--- ---- n
b Building Setback
o Lines eo I
t r 11 100'Well \ 01 I C�•n b
t---- 891.05'--- —,-- I L—._Ladii----- 1321_95' - -� — c�v rr � P m
—�
HAZARD AREA Cc N
` (hatched) f w
TA
mot. 165'Stream Setback
�0
g Buffer Lines ay�tc' r r Q
50'Hazard 8
Area Buffer
ao 0 V' f Boundary
�+A CISTl by '
SCALE: 1' 300' ti
0 I00 200 300 S'p