HomeMy WebLinkAboutPre-Inspection - SPI Application - 3/21/1994 �nvnc��ivc rnc-��v�rc� � Aviv t-�►rr���,i-► � �vw
PLEASE PRINT $40.00 Fee Required
1 . Owner: WM.4-M&Zfl A1JJ aPkJOU, Applicant: SAng
Site Address: EIF263 Pty-621106 Applicant Address:
Owner Address: 9700 XC-i-X_�F� L City: St Zip
City: Slfi Top St-Zip g4yK Phone:
Phone: ( )2nb � -552.R
2. Parcel No. 7-2 0O Legal Description:
3. Purpose of Pre-Inspection: To 61ST A)
4.1 Use of Building:
5. Is there any type of water on or adjacent to property?: saltwater lake
river pond wetland seasonal runoff other
Directions to Site: ���) �� E��� lC� �l�G 9D. rll MI L.E
/>F YA- JeSTIIJE 021106E 1
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.
Applicant Signature: Date:
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Return application to: Department of Community Development,Planning Division
426 W. Cedar/P.O. Box 578 in
Shelton, WA 98584 m L
(206) 427-9670/1-800-562-5628
Please include a $40.00 check or money order payable to Mason County Treasurer m
FOR OFFICE USE ONLY: Accepted by: Date:
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Departmental Review
(For Office Use Only)
Planning Depjja/�rtmentt/ Findings:
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