HomeMy WebLinkAboutSPI Application - 10/21/2002 MASON COUNTY
PLANNING DEPT, PRE-INSPECTION APPLICATION
P $7000 Fee Required
1. 8wner: Applicant--
9ite Address.- ;Z/00 Applicant- - o4a" .' Apli t Address:
canerAddress:— City-,57/wrA I S, eA--Zip
City:
St ZIP— Phone:
F hone:_(____ 2.- Parcel No. OOOLO
Legal Description: (,-Cfr 0 r At 0 f-r Alanner- GBM RAM PF PEIVE
r C V4 nOCT L21 120OJ2
A c, vjdL-w.
/1" 6. & 5%2. 3 I-ACCD PLANNIN
3. Furposeo Pre-Inspection ., flit 1"'LlO.L4-�-Wc-
n- iLl - ; -A
j A A-r!"-
Al
f-P47 If- /47D- 9AE9A-!
4. Jse of Building:--- 5X_A40ife-
5- D1:0 any of the following exist on or adjacent to property'?- slope saltwater L] lake 11
riverl] pond [] wetland [] seasonal runoff I. J other stream Ll season. n! creek
Directions to Site SZ-A S-61pax -154om'
If the infdIrmation 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 Sig nature.4
Date-
If you W014d like to be on site during inspection, please check here P(
Re-turn application to: Department of Community Development, Planning Division
P.O- Box 279
Shelton, WA 98584
(360)427-9670
Please in lude a $70.00 check or money order payable to Mason County Treasurer
When co II pleted, 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:
I
I
Please illu trate below the proposed building site in relation to water and property lines:
Departmental Review
(For Office Use Only)
Planning Department Findings:
-1- 45-D
�l rX i s77 AA�- ,20' NZ V6*" S C ► f
r
3 emcl z-cam fn
P/�ros�D �hG� PRooas�i ��
lSoa �
1
t 3z6 �
I
N
D(�M.J �'►E2 D
rD