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BLD99-0423 Final SFR and Garage - BLD Permit / Conditions - 11/24/1999
I MASON COUNTY Mason County Bldg. III 426 W. Cedar �y P.O. Box 186 Shelton, Washington 98584 E3 l) 1 L_ E) 1 t4 G P E= R M R T FOR INSPECTIONS CALL 427-96"7O BETWEEN Spin AND Sam 42.7-7262 BLD99-0423 PARCEL : 1 23201 391 020 PLAT : D I V : BLK : LO i%MIT JOE3, ADDRESS : 85 NE" MAKE=LA RD BEL-FAIR 1+� mAT1ON OWNER, DAV1M MILLER j 8► 01D PY EXP CONTRACTOR : LL BY (� v LEGAL -, N 335' OF N 260' OF S 461' OF S1 OF TO 2 OF SP #1618 D TC:'C'J«Y_:'3".�S'��f.'+:.YJ�:•..-..._.........-YiO:-..5�' ':.•S_�.���-S_Ti.:.�^u�:�^�:::"3'.iCf6r...._._.�.-..>zi'1GtIliS7A CLASS OF WORK . . :NEW BEDR : 3 BATH : 2 TYPE ANOUN! 8Y DART RECEIPT TYPE AMOUNT BY $AYT IECEIPi 'TYPE OF USE . . . , :SF STORIES . . . . . . . .. 1 OCCUP . GROUP . . . ;R3U1 BLDG . HE 1 GHT . . : O .Oft PLCK I 491.40 K1 05121190 1493 NCH = 2.6.00 KS 06111199 505088 TYPE OF CONST . . :5N FIREPLACES . . . . : 0 PONT 1 012.25 KS 96111199 50568 (NCH) 1 22.11 KS 06110199 58568 i OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 PtN I 82.11 KS 06111119 58566 )STFf 1 4.51 KS 96118199 51569 DWELL .UNITS . . . . : 0 PARKING SPACES : 0 PLN1 $ 29.11 KS 06111199 51566 A88Itlottl tee$ tot shown here. . ... . INSPECTION AREA : 2 SHORELINE? . . . . :Y ADJ I 36.56 KS 0611/199 50568 TOTAL: 1614.71 VALULAT ION: 8T949 ..—•.•zaats�avruira�s::c�ztamrr.--^ zv— r SE:T13ACKS-------_--.-----_ TOILETS . . . . . . . . . . : 2 FUEL TYPES-------.-- - BOILERS/COMP---- MOBILE HOME— FRONT . . .N 5O .Oft BATH BASINS . . . . . . : 3 : /ELE / / t 0-3 HP . : 0 REAR . . . .S 295 .Oft BATH TUBS . . . . . . . . : 2 3-15 HP . : 0 MODEL- : SIDE ( 1 ) .E 45 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 1 O0K B'TU . o 15-30 HP . : 0 --MAKE--•----•-- SIDE (2) .W 2OO .Oft WATER HEATERS . . . . : 1 FURN >=1O0K BTU : 0 30-50 HP . : 0 SHRL I NE .N 0 .Oft CLOTHES WASHERS . . : 1 FURN FLOOR . . . e 0 5*04. HP . . 0 ..-YEAR------ AREA ----------- ----- - KITCHEN SINKS — . : 1 HEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 FVAP COOLERS : 0 LENGTH : 0 BUII !71NG . . . i 151Osf DRINKING FOUNT . . . . 0 VENT FANS . . . . . . : 4 HOODS . . . . . . . , 0 WIDTH . : 0 BASEMENT . . . : Osf LAUNDRY -TRAYS . . . . : 0 (TOMES . INCIN :0 SER I AL 1t---_ ._ .. DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS--- COMML . INCIN :0 GAR/CARP :G 464sf GARB DISPOSALS . . . : 0 s— 10000 cfm . : 0 RELOC/REPAIR : 0 AT ►T . :A URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PL.M FIXTURES : 1 GAS OUTLETS . : 0 PROJECT DESCRIPTION:R€SIDENCE AND GANA6F �� -�42 -/ PROJECT LOCATION0.5 MILES NORTH OF BFLFAIN ON ThE OLD BELFIAR HWY TAFF NAKEtA (LEFT) FIRST tEFT ON NAKEtA ROAD SITE IS FLAGGED . THIS PERMIT BECONES NULL. AND VOID IF WORK 04 CONSTRUCTION AU100111ED IS 161 CONK€ICED WITHIN 188 DAYS DR IF CONSTIUCTION OR WORK IS SUSPENDED FOR A PF.RI00 OF 181 DAYS AT ANY TIME AFTER WORK IS CONMENCED. EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPHT1411 111HIN THE 181 DAY PER!00. FINAL INSPECTION NUST BF. APPROVED BEFORE BUILDING CAN BE OCCUPIED, OWNER OR AGENT: / 2 ._..�s1 .�,...�'� DARE:�--�-_..L.__�_1 `_1.._._....___.__-- 12 In -- -- =- _Is ..•rA�- _ ..rarer -r_csaan a-r 4 r kgr_4 crF_cl+uincr*--- CONCRETE MECHANICAL MOBILE HOME Footings-Setback -� date Ribbons date g l - by /� Gas Piping date b FourKkilpon Walls date by Set Up date L3 -�S by �8r INSULATION date by BG/SLAB Insulation Fbors Final date by date by date by FRAMING FIRE DEPT. date lei—/l— Walls � date/G '�// '� by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date tam 2 2 - by Water Line FINAL INSPECTION date by date by date by Ap G 979' iOC.v�7 00, kt,R LC. /,.^5 e�j?_ • rY '� t Page No. 1 CASE HISTORY FOR CASE NO.: BLD99-0423 DAVIN MILLER NE85 MAKELA RD BELFAIR 11/22/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA 10 A 05 20 FROM BELFAIR DONE KW 0 20 KW 0 Application received O5/13/99 / / / /99 0 5/ /99 BLDA100 Approved For Issuance / / / / 06/04/99 DONE KS 06/10/99 KS 13LDA500 (F) Issue building permit / / / / 06/10/99 DONE KS 06/10/99 KS BLDB110 Building Plan Review 05/20/99 / / 06/02/99 5/24/99BWP do not meet prescriptive DONE JB 06/02/99 DLC requirements- 5/24/99 Left messsage to call back. All ok except require BWP within 8 ft of corner at front entry. File in DC's office. Owner called said to delete 2050 window next to entry door. to jb 5/24/99 BLDB120 WSEC Compliance Review 06/02/99 / / 06/03/99 ELECTRIC, 14.5% GLAZING DONE DC 06/03/99 DLC BLDB130 Planning Review 05/24/99 / / 06/04/99 observed the area for residence and DONE AHB 06/04/99 AHB septic in northeast corner of property, and wetland and downed trees from cleared out area in center of property. AHB BLDB134 RLC Review / / / / 06/04/99 findings of wetland and aquifer recharge DONE AHB 06/04/99 AHB area on property. ahb BLDB135 Addressing 05/20/99 / / 05/21/99 DONE GMM 05/21/99 GMM BLDB138 Planning Pre-Review 05/21/99 / / 05/24/99 DONE MMS 05/24/99 MMS BLDB200 Environmental Health Review 05/20/99 / / 05/25/99 plot map and bedrooms match DONE CEB O5/25/99 CEB BLDB210 Water Adequacy 05/25/99 / / 05/25/99 need satis bacti, well log and HOLD CEB 06/02/99 NJP application for water adequacy 6/2/99 CUSTOMER MAILED IN THE REQUIRED INFORMATION. PUT IN CINDY'S BOX BY NJP BLDB210 Water Adequacy 6/02/99 / / 06/02 9 rec well log and satis bacti DONE CEB 06/07/99 TW BLDC100 Inspection 99 / /06/99 RAMING, PLUMBING AND WALL INSULATION FAIL TR 10/07/99 KW F IL Z1. INSULATION IN WALL FLUFF AT EDGES AND CO ERS INSULATION TO BE IN CONTACT V� W/ EETROCK, 2. AT RAKE WALL IE BOTH E S OF LIVING ROOM AND BOTH END OF BAY W NDOWS, 3. INSTALL BAFFLES AT BIRD lY/x OARDS, 4. INSTALL HAMMER ROD AT WASHER AND HALL BATH TUB SHOWER AS PER LAST CORRECTION NOTICE. BLDC110 Footing inspection f�08/13/99 08/13/99 0 13/99 1. ALL REBAR TO BE AT 3" ABOVE GRADE ADJ COND TR O8/16/99 KW ACC. 2. REMOVE ALL ORGANICS FROM W/IN FORMS 3. POST ADDRESS OK TO FIX AND PROCEED BLDC115 Foundation wall inspection 08/23/99 08/23/99 08/23/99 PASS GDR 08/25/99 KW ia3ad - � 3 -9 � 6a� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF- RM Ii T CONr.) I T I C) NEy Case No . , BLD99-0423 For : DAVIN MILLER Page : 1 1 ) Approved per dimensions and setbacks on submitted site plan with residence and septic in northeast area of property . X__ . -� 2.)) Subject to findings of Resource Land, and Critical Areas (PLC ) Checklist . X r 31 Temporary erosion control measures must be Implemented to prevent water quality degradation of adjacent waters or wetlands . Silt fencing and straw matting must be Installed and maintained until upland vegetation has become established . X 4.) Proposed structure or any portion thereof greater than 30 in height from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from a I i .-�{y and State Road right of ways . X 5 ) This application is subject to Buffer and Landscaping requirements as established under Faso ► County Ordinance 1 .03 .036 . X 6 ) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gd lions Is not allowed without the approval of the Mason County Fre , a7) Provisions for surface/ subsurface drainage control must be Implemented with new construction or development on site and MUST NOT adversely impart adjacent parcels . Under the requirements of Mason County Stormwater Ordinance , either private ditches and drains will greet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose . For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access �I I I� I CONCRETE I Vr. )kNrAL MOBILE HOME Footings-Setback U- by Ribbons I date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final I date FRAMING by date by date by I Walls FIRE DEPT. date by date by date by I PLUMBING Attic OTHER I Groundwork date by date b D W WALLBOARD NAILING date by date by I Water Line FINAL INSPECTION I date by date by date by _ I I 1 I I i l MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 connecting from a Mason Countyy Road, Contact the Mason County Public Works Department prior to construction at Ext 450 . For any construction which is proposed to be looated within 25 ' of a Mason County road right of way, It is suggested to contact that office to review future planned work which may affect your, project . 8 ) All approved plans are required to be on-site for insppection purposes . If inspection is called for and plans are not on site Approval WILL NOT be granted . In addition, a Re-- Inspection fee in the amount of $42. .06 per hour (minimum 1 hour ) will be charged and must be collected by 'this department prior to any further inspections being performed or approval granted . :K 9•) PURSUANT TO 1994 UNIFORM BUILDING COVE , ALL SITES MIDST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE: PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WIL.L. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REOOESTING INSPECTIONS . 10) The correction list , along with the Energy Compliance Worksheet (when applicable ) is part of the plans and must remain at thereto , it is the responslbilityy of the app I i cant to make corrections Indicated on the plans from the correction i i sts . Once! thhe plans are marked APPROVED they may not be changed or altered without authorization from the Building Official , ihe permit holder Is reponsible to retain the complete approved set of plans on site for the duration of the project . Failure to comply will result in failure of required building Inspections . Every permit shall expire by limitation and become null and void if the building or work authorized by such permits Is not commenced within 180 days from the date of issuance, or if the building or work authorized by such permits Is suspended or abandoned at any time after the work is commenced for a period of 180 days . X___. !Z_ - 11 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Vantilation and indoor Air Quality Code, the Uniform Buiidin Code and/or Mason County Aeguiat: ions roust be approved by Mason County prior to construct IonX 12 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by + FRAMING Walls FIRE DEPT. date by date bydate by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by I date by i II I I I I I I I I I II — I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 CALL THIS OFFICE. BEFORE CONSTRUCTION . 13 ) Owner / builder assumes all responsihi ! itV if drainfield/ reserve area is encumbered . Casa Nc • % BLD99-0423 i I I CONCRETE MECHANICAL MOBILE HOME !Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by ,gate by Water Line FINAL INSPECTION date by date by date by I PERMIT NO.: BLD �T,V MASON COUNTY • BUILDING PERMIT APPLICATION 5� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION 1. CONTRACTOR INFORMATION Owner 126 V l o in I L L.L IM R Contractor*meoc t-3 t=.K 3 y t 7 Mailing Address PO 5 OX atS;a'a Mailing Address n, CS co i C of c 7 City f- State 1,1& Zip Code !ZSz.!9� City State Zip Code Phone(mG© )A:2, Other Ph.( ) Ph.( Other Ph.( Lien/Title Holder S #% JIL Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System w PARCEL INFORMATION-12 digit Tax Parcel No. / _/ Fire District_ Legal Description Q r rt I Ny,E s7h or-- Site Address(Please include street name, street number and city) l4 ` Directions to site , O "f O r ✓ 1 r A. 1- a R e Will ti er be cut and sold in parcel preparation? (Yes/No) N a Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building o „� Describe Work No. of Bedrooms_ No. of Bathrooms--Q,SQUARE FOOTAGE-1st Floor �,SVQ 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage_+2��Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTORS AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. iLX ; �v ( Date X Date FOR OFFICIAL USE BEYOND THIS POIN Accepted by Date I 9 9 Submittal Amount Due 49( , Receipt No. DEPARTMENTAL REVIEW PROVED DENIED CONDITION CODES Building Department a _Q Occ Group v Type Constr. -l Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES N.: Building Permit Fee. Sid Site Inspection O r Plan Review Fee�,-36 UFC Plan Review Fee Plumbinci&�Basee Fee !�� dv Public Works Review Fee Mecha�lr iel se Fee po1 Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( 0) v:.>Y.......{...:::•:::..;:x.}:•.�::nbYi:%:::.}pw:�v:::•}}:•:;:::v::::h.iw:::::::.�:::::::::::.�:::::..;'.}':::::. "•"`•" TOTAL FEES :;:;•'y:::::SS::•.':::Y:S.::•'.:;iiiii:::: +t`::::i:';%:::::cis5:::::3:2:`•`y,: ....................:::::::::...:.. 777"" PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 Seattle(206)464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 1tC'- co)WO PC 1Z JJ 0 7�tOtf,-) 4nil-e-6z'R Contractor Name Mailing Address n Mailing Address ecj 21P c, es Aj'?,se City-an.re 1-6� , r State_ Zip Code city State Zip Code Phone(ILL-�3;k7-T-2:2ti Other Ph.(_ Ph.0 Other Ph.( Lien/Title Holder !r A/^ Lw Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 13 0 Zk Q Fire District Legal Description -tic , 7" --),71!, R, I i�Lj 11 RC g- W-k -SA o o-'t- PAA 7- 1W Site Address(Please include street name, street number and city)Q Al mAxZZ* A-b a it/70% Directions to site A..)a r'7-k a4 b-0 I-L.. ,r a ki lit!& 4.z:) lly v/4 CtU A A %a7&t) -P I r % +- 4- o- 0 m 01 s4 X*In K Ild Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland -Seasonal Runoff stream Slopes or Bluffs IITYPE OF JOB New_>C Add—Alt Repair_ Other Use of Building q o ouL- Location of Fixtures/Units 1 st Floor___P-O' 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins —�: Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher I Ile -7 Gas Outlets Sinks Wood/Gas/Pellet Stove 60' Dishwasher Direct Vent? Other Other Other Other Base Fee A6 Base Fee (2k:;4 TOTAL PLUMBING l TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-[certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Dat Submittal Amount Due Receipt No. ....... GO.DIES ............ DEPA. 7MENTALAe RT. Ir wew 1.1� Building Department Occ Group Type Constr. Planning Department Other Other Permit Fee Site inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal OTALFEES Violation Fee } MASON COUNTY PROJECT SITE INFORMATION ^' Case No. Name 26 L) fQ Al �L4—C—� PARCEL NUMBER /a+ 3 ;RU /3 '7/0-aoDate SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property lined I I Fadjacent property line I I I I I I I I I I I I I I I I ` I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I Yr5 I 1 adjacent property line- I I E-adjacent property line SAMPLE SITE PLAN adja�nt property line- _ _azo Fadjacent property line D 30" F1;t RvE 3�1 J. I' h 7IR C MEEK \ I I HOM tr i .Gaaeiu rk ]I I F ,�• I HOu.S G. I > PrioPcstn SCL c �I 1 01 oil I R I VACAhiT I GAMA6E \ I I 90 I /i .1 D0.oPosen R\ T `\ I A6ft iGLLLTuJLAL So I I � I I I � I I \ i /00" I I I I I I I I L•aXLLL � I I j I � I adjacent property line-� ; I a"• ; <—adjacent ro ert�line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d15+A"C-a. +0 SrY ruLi-L,�YG dcat�r,ce. rc Slops. •{o¢ t 4o L ignature Da e