HomeMy WebLinkAboutSPI2006-00164 - SPI Application - 6/22/2006 MASON COUNTY
' PLANNING DEPT. PRE-INSPECTION APPLICATION--—,,
PLEASE PRINT $205.00 Fee Required
1. Owner: o-+O Applicant:_&PcS I �tfi r4 P.,
Site Address:_ 101 VL Fk Applicant Address: P o &ox dygz
Owner Address: City: 2,1441r- St WA Zip ?55'44
City: St Zip Phone:(36o )A7S-pg$x day
Phone:(_) day
Phone:(Zb0 )(a7y )?g evening Planner:
Email Address: SMP Comp.Plan Type of Use
Water Body
2. Parcel No. a 3a o 10 _ 3 3--3
Parcel No. - -
Legal Description: 101 A}t
3. Purpose of Pre-hispection: G+14efi re-
I�GG�ar �k
+ art4 MQard,'" b6--M obiefio &Ad0C 110use. -
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4. Use of building: ? rt�zre- !S MoAt 14, kA4m- **'1er Qti 11-e- .
5. Do any of the following exist on or adjacent to property?: slope ( saltwater( lake ( river
pond( ) wetland( ) seasonal runoff( other( ) stream k) seasonal creek(
Directions to Site: row daJJoow f-acr o r/ f dc<`
is p& ILL r t a 1- be_�Ore 7 — ypuot^
���a e . P cue e In - jKSA r, J A'Q- rrA t er O�. 1'(.,e_ le.
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: -d�
If you would like to be on site during inspection,please check here: �FTL f�—
Return application to: Department of Community Development, Planning Division
P.O. Box 186 1
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
I:\PLANNING\PAC\PREJNSPECTION Revised: 01/17/06
F'easo illusevate 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
ILUSTRATIONS WILL NOT BE ACCE D W BE RET HE AP CANT.
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Departmental Review
(For Office Use Only)
Planning Department Findings:
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12320 10 03350
J /
/ SP 2347
SP 1657 12320 10 0315
1093342
12320 10 03190
1093343 1093344 t2320 10 03201
12320 10 03200
i
12320
03450 t2320 10 03330 ,t
12320 10 03210
12320 10 03310
12320 10 03220
1 12320 iu 033SO 11
rV 12320 10 03221
1 SP 79
1093 12320 10 93231
1 323
SP732
a / SO 1373
SP 2580
10 93322 !
r320 10 9331c, 12320 10 93232
12320 10 93311 I
1093
32321
71
12320 10 03240 �LI
12320 10 03300
V c
s
o o, � — - - -
0 13O' o v !
12320 )0
o , nl-SI 03230
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