HomeMy WebLinkAboutSPI2005-00183 BLA - SPI Application - 6/17/2005 MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLFWE PRINT
$205.00 Fee Required
1. Owner: f i•,•, JCS f', Lo� A=t 2QD /? N.22/S
Site Address: 30 / ,or- e,N /#.Iaa tC z>k. Applicant Address: P0, Z/9
Owner Address: P.D. !3 o x !�9 City: Safe Cho,� St W Zip SS
City: /5 e C F4 /it Stt_Zip SS s L8' Phone:_( 36 a ) V 2 G -19.S's-Ff day
Phone:_36o Z 7-s-- Z day Phone:_( evening
2. Parcel No. / z330 - 3 Z - 003/0
Parcel No. t Z 3 3 0 - 3 z - n o Z y O Email Addre
Legal Description: PG L Z o!F B L/f o 3 -a o Planner: A n c nJOz-
o!r r/t zo of drL 3 sec 3a
7-Z3 N /2 f W w SMP Comp.Plan Type of Use
Water Body
3. Purpose of Pre-Inspection:- 6 c jd o,z. y ,v Q A94 co^3 ,
NOSbGV
g
4. Use of Building:
5. Do any of the following exist on or adjacent to property?: slope W saltwater ) lake � e
pond( ) wetland ) seasonal runoff( ) other stream seasonal creek
)
Directions to Site: �o rc Ti4/P jvd a f C 6Y'Wad k Poe
Sec f9 714- c
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: /-4L-a'/-) Date: G
If you would like to be on site during inspection,please check here: )
Return application to: Department of Community Development,Planning Division
P.O.Box 279
Shelton,WA 98584
(360)427-9670
Please include a$205.00 check or money order payable to Mason County Treasurer
When completed,this form becomes part of the parcel file.
FOR OFFICE USE ONLY: Accepted by: Date:
MORE ON BACK SIDE
L�PLANNINGICHAREL I�RENEEIPRE-INSPECTION Revised: 11/15/04
s
0 3 -2-� BOUNDARY UNE ADJUSTMENT
Boundcry Line Adjustment No. MAP FOR
a ,s
3 LEGEND oats: 3IM ]ESFI'ELD
y 159
" MSl1NG LINES PO BOX WA
�.� PROPOSF� LINES ZOO'
0' 200' 4•00' IN�vR WA 3 of
� SECTION 30 TOWNSHIIP 23 NORTH RANGE 1 VEST. W.M.
ALE• = 0
SC 20 '
(XXX) RECORDED BEARING & DISTANCE ALE � AS 20
O CORNERS FOUND A :. ��a R o-
.�. 8918
a SET 5/8' REHAR WITH PLASTIC CAP LS
3 O
z FIIUND NORRIS DNR MONUMENT
w DNR MONUMENT
�.�a BAR & CAP N 8837'52' W (134i.11) 1340.99 W 1/16 CORNER
w 4'
25 30 I
950.39 I
�s w / 394 60 PARCEL (2) 12330-32-00240
% p, 6.85 ACRES - N
® (N 0037'40' E)
.��c // (105.14) 3 a \� ��v cXiSTING DRIVEWAY
cl ? \
E Dy 1f ig8
® N C%i E S '132.40 WELL
G¢ N� FOUND NIIRRIS e d riC k �'d g 'ter
59'. BAR L CAP 0
J � 6 ? n a
�• l I P S 89 42'13' c
P• Q7 292.07 8�1 67 293.97�p�� 570.1961 low
N 89'42'13' W - I ` sp fo' I - '-g� w
$ �L r Y
S 89 4213 E 613.26 96.25 V( TRES, a- -
s
0' VIDE ROAD ° ` 'E ASEMENT n FOREST LAND SURVEY
" " RIOiARD B. 14ORRIS P.L.5
TAN
s •• 360) 425—e5--
AF# M Tl ea a P.O. Box WASHINGTON g8584
Q. .� ��'�-- � sHa.TON.
Approved I a s a a. a x JOB S30(23.1)6
— Pianning Department BASED ON V'OLUIE 2 OF SURVEYS PG. 61
uason County General Serna� ^fir
V ,
J 0
O �
i