Loading...
HomeMy WebLinkAboutSPI2014-00068 - SPI Application - 10/22/2014 RECEIVED OCT2 2 2014 sp, 2 0 _ 6 sib._ ACCEPTED BY __rL,,,_ MASON COUNTY PLANNING DEPT. PRE-INSPECTION APPLICATIO PLEASE PRINT $255.00 Fee Required 1. Site Address: 7 iCC e C---i �_'d _ Owner: N oy-b ee+ �Li sd- Uar� Da..m Applicant: )"os�'e� l�;/1;a rns !�►'� Owner Address: 5'7 1 to- to 1!&+ Av e- N E Applicant Address: �b E0,1- IC)2- City:S Sto Pt Zip 9 g105-9039 City: Si-I- ke a, St LJ A' Zip %58'f- Phone: (ZDb) 2oD -`�8 Z/, N Cr b Phone: (5(�O) q-Z6 -6511 day Phone:(fib) 79 5 - 570/ Lisa. eyeng Phone: ( ) evening Email Address: Email Address: I eo G� ��W C4 I I i atM5. CzYy, 2. Parcel Ws /222 ©DOZo Legal Description: S /2- 6 o.i4- L.o 4- 4 Tc�c. 41 l- <�, 3. Purpose of Pre-Inspection: Deb er'mi rl e. 4. Use of building: S rK 5. Do any of the following exist on or adjacent to property?: slope O saltwater(x) lake O river( ) pond( ) wetland( ) seasonal runoff( ) other( ) stream ( ) seasonal creek( ) Directions to Site: H w Ca rd fe.y i eJ Loep e4,, d ri'vc-ci 7100 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: Ifyou would like to be on site during inspection,please check here: (x) L erL, W 4 11 i alyt.o 426 -0 Sl i Return application to: Department of Community Development,Planning Division P.O.Box 279 Shelton, WA 98584 Please include a$255.00 check or money order payable to Mason County Treasurer. MORE ON BACK SIDE C:\Users\BLR—I.MASWppData\Local\Temp\XPgrpwise\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. Departmental Review (For Office Use Only) Planning Department Findings: MA --- C:\Users\BLR—I.MAS\AppData\Local\Temp\XPgrpwise\2012 Planning Pre-Inspection.doc ,�..---- ICI S-[ll� � _ � - � � � � ��� � ��x, � � I � � ��, � � ±�-45' +� � �� fi - - - rt � � }���. � i � i �1j�f-'� � ( � 1�v`�l�j I ���� 1 i ► � G-� � � +- - - -+ x � � - �. I - _ - ,. . � �zs' �_-�1 ���- �► s Mason County Department of Community Development/Planning Staff Itinerary Planner: Date: l4 Vehicle #: Name Address ETA 2. 3. TVT po 5. 6. 7 f $. 9. 10. 11. . 12. 13. 14. 15, 16. 17 Estimated return time: i o I ►S1'�l MA-PWf, To f�IMN /5�0"S�TBr4fK Mam Ll ATT�t�s ritilE / NEw ao,4'RIa,S� I 1 i APB 3s' i i s � ?-00 4- 4 I�ouy ar QGoQose� � BOAT-fir 2Z�c - - o!}W rv4 60 GAUSS - 5 L-c�o a �° 40 I i�clffil�MiWloNb to/fMMN .�-15�v"�grRtitK r�amEo � NEW OMMpVZ � I 1 I 1 b4� LEVELED V QN'N1P �MSE II 1 I xv° � {2J Ar I X 1 N boar i