HomeMy WebLinkAboutSPI2002-00250 - SPI Inspections - 9/17/2007 09/17/2007 12:02 FAX 360 427 7798 MASON CO PERMIT CTR imool
MASON COUVTY
f � PLANNING DEPT. PRE-INSPECTION APPLICATION
•�. S225-00 Fee Rcquired
1. Owner: Z / Applicant:
Site Address:_ Apph Addr s: He
Owner Address: 3 City_ St Zip
City: St Phone:
Phone: day Y
Phon = 3 evening Planner: _ A I IA in
Email Address: SMP Comp.Ptan. TYPE of Use
� Yin U
2. Parcel No. Watcr Body�
4 �� " `.,.,_., + ' ► I
Parcel No. — e* L4 (rY-1(X.&d USE)
Legal Desc:!iptii,n:
3. Purpose of.Pre-Inspection : GC>
4, Use of building:� 4 f'
5. Do any of the following exist on or adjacent to property?: slope �%�saltwater lake li river
pond( ) wel land seasonal runoff other stream seasonal creek
Directions to Sit+:
If the information is i:tcomplete, then Mason County must disclaim any errors resulting from deficiencies in the original
application. Pre-inspect)ou reports remain valid only tintil 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.
EUApplicant Signature:
Date: / !�
If you wnuld like to be on site during inspection.please check Isere:
Return application to: Department of Community Development, Planning Division
P.O. Box 186
Shelton, WA 98584
427-9670
SFp .
Please include a$225.00 check or money order payable to Mason County Treasurer O/V 4J
When completed, thie form becomes part of the parcel file_ 00
FOR OFFICE USE CI%JT'I':Accepted by: Date.---
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TAPLANNTNG\}'AC\PRE_JNS PF.C'1'1(JN Revised: 02/22/07
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http://mapmason.co.mason.wa.us/website/mason/MapFrame.htm 9/19/2007