HomeMy WebLinkAboutShoreline Permit - SHR Application - 3/19/2014 A
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Building III—426 west Cedar Street
P.O.Box 279,Shelton,WA 98584
(360)427-9670—Ext. 352
SHORELINE PERMIT APPLICATION
PERMIT NO. SHORELINE SUBSTANTIAL DEVELOPMENT
SHORELINE VARIANCE
DATE RECEIVED SHORELINE CONDITIONAL USE
SHORELINE EXEMPTION
The Washington State Shoreline Management Act (RCW 90.58) requires that substantial developments within
designated shorelines of the state comply with its administrative procedures(WAC 173-14)and the provisions of the
Mason County Shoreline Management Master Program. The purpose of this Act and local program is to protect the
state's shoreline resources. The program requires that substantial development(any development of which the total
cost or fair market value exceeds $5,718.00 or materially interferes with the normal public use of the water or
shorelines of the State be reviewed with the goals, polices, and performance standards established in the Master
Program.
Answer all questions completely. Attach any additional information that my further describe the proposed
development. Incomplete applications will be returned.
APPLICANT: kA/11-e- •k
ADDRESS: LYJ
(city) 1" (state) (zip)
TELEPHONE: I /540 ✓ V S-4/ D— d
(home) (business)
AUTHORIZED REPRESENTATIVE:
ADDRESS: (� f� 5 l.LI .
(street) PIRCEIVED
(city) state) (zip)
TELEPHONE: MAR
An 1 8 2014
PROPERTY DESCRIPTION: 426 W,CEDAR ST
General location(include property address,water body and associated wetlands—identify the name of the
shoreline):
l Cc a4 Leo;�—
✓lT Vll�u>�
C�-t-
Legal description (include section, township, and range to the nearest quarter, quarter section or latitude and
longitude to the nearest minute. Projects located in open water areas away from land shall provide a longitude
location)—include all parcel numbers:
ti
OWNERSHIP Contract
Applicant i Owner Lessee Purchaser (Identify) Other
Owner:
(stre
(city) (state) (zip)
DEVELOPMENT DESCRIPTON
Development(identify and describe the proposed project, including the type of materials to be used, construction
methods, principle dimensions, and other pertinent information):
A7 Lf/�G itE1
"-dL'd IA4-P� -
Use(identify current use of property with exist improvements:
Crc�v►�,�-�, our �����c� — c/��ss l�u� �Reason for requesting development:
ACKOWLEDGEMENT
I hereby declare,to the best of my knowledge and belief,the forgoing information and all attached information is
true and orrect.
(appl' t or authorized representative) (date)
I:\PLANN INGICHARELL&RENEE/SHORELINEPERMIT.APP REVISED: 01-05-2005