HomeMy WebLinkAboutSPI2005-00156 Vacant Land and Proposed Location - SPI Application - 5/22/2005 May 20 05 10: 21a TDR Incorporated 253-572-4530 p. 5
J
MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $205.00 Fee Required
1. Owner: (-CtSS IP f—0 4 Applicant: n CcxS'S�Q lticrc e
Site Address: '-r ti� (' :;C��� �pwci Rc� Applicant Address:
OwnerAddress: City: St Zip�4�cS
City: kc"L� St l J� Zip G 7 Phone:_(3Ug ) i day
Phone: ( � day Phone:
_('Suo) ln+� - 'J2D(o evening
2. Parcel No.
Parcel No. - Email Address:
Legal Description:�'� C� Planner:
F � z
SMP Comp.Plan Type of Use
Water Body ]]
3. Purpose of Pre-Inspection �Ci I\d Ek or(;4-eck l0C'04,�an
Q w `cam r <2 41 co S S ei-1cQ Vc_- r-�,d)k1-
4. Use of Building:
5. Do any of the following exist on or adjacent to property?: slope saltwater( lake( river
pond( ) wetland( ) seasonal runoff( other stream seasonal creek(
Directions to Site: - -k�a-kv
C v� 2.0 CXCf \ 1 a
lc
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: bate: 5 -
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 IQ�G►c/V
MAY 2C ED
426 W. 3 ?045
CFpgR ST.
May 20 05 10: 21a TDR Incorporated 253-572-4530 p. 6 I
Please illustrate below the proposed building site in relation to water and property lines:
13,11
o ��D
/ 09
�y
� � E
a
S
Departmental Review
(For Office Use Only)
Planning Department Findings:
�-�� 3 �wu