HomeMy WebLinkAboutSPI2015-00050 Cancelled - SPI Application - 6/8/2015 RECEIVED
JUN 0 9 2015 400 50
426 W. CEDAR ST.
ACCEPTED B
MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATIO (Vial
PLEASE PRINT $255.00 Fee Required
1. Site Address: A i Ld &
Owner: \.Lkk�Q 16W A'1uS0►J Apphsafl.t: A-6 GAI-Ts z2bN
Owner Address: -✓A-M E Applicant Address: T_0 0X 4.31
City: Alk4 y,_ St ip a City: Q�PrMpap St UA- Zip !
Phone: (3�0 ) 777 - 'A 3 O S day Phone: (5&0) 1/ b- 0( day
Phone: ) evening Phone: :-z 4ju c- evening
Email Address: Email Address: j26 Z,=C/4 0 B vn41 ( . w-
2. Parcel Ws I Z 2--3 Z Q - C)D( 00 ,
Legal Description:
3. Purpose of Pre-Inspection: T 0 17�`t >`Q Yv1 lrt�yV T- o I-- e--Tt3 A-C
4. Use of building:
5. Do any of the following exist on or adjacent to property?: slopeklr saltwater lake O river( )
pond( ) wetland( ) seasonal runoff( ) other( ) stream( ) seasonal creek( )
Directions to Site: 4u.-ov 3 T'O CA QA- t El,_7 LQ CQ `1 P -"-D
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: (vJ Don JeCh 00trft 1b b-0- PJ4_0,,
Return application to: Department of Community Development,Planning Division
P.O. Box 279
Shelton,WA 98584
Please include a$255.00 check or money order payable to Mason County Treasurer.
MORE ON BACK SIDE
C:\Users\BLR—I.MAS\AppData\Local\Temp\XPgrpwise\2012 Planning Pre-Inspection.doc
Please illustrate below the proposed building site in relation to critical areas(slopes, streams, lakes,wetlands,etc.)
existing improvements,as well as property lines. APPLICATIONS SUBMITTED WITHOUT ADEQUATE
ILLUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
Departmental Review
(For Office Use Only)
Planning Department Findings:
c4l, SC&efL qA!?�e
3 it c0 UaR 61 MVzAa
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View (n-c
C:\Users\BLR—I.MAS\AppData\Local\Temp\XPgrpwise\2012 Planning Pre-Inspection.doc
Mason County Map Output Page Page 1 of 1
Mason County Map
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DISCLAIMER AND LIMITATION OF LIABILITY:
I he data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND
makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or
location of any map features contained herein.The boundaries depicted by these data are Roads Federal Lands
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability H19Rnays City of Shelton
or responsibility arising from the use of this map in a manner not intended by Mason County. Rivers$-Stroams [� covnty a undery(oNP)
In no event shall Mason County be liable for direct,indirect,incidental,consequential,
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits Parcels It
Commissioner Gstncts
or benefits arising from use of or reliance on the information contained herein
Sec9ions �r takes
0 2009-Mason County GIS
100 W.Public Works Dr Townships 4�r Puget Sound&Mator Lakes
Shelton,WA 98584
'RECEIVED
JUN 0 9 2015
http://mapmason.co.mason.wa.us/servlet/com.eSri.esrimap.Esrimap?ServiceName=amason_... 6/9/2015