HomeMy WebLinkAboutBLD Plot / Site Plans - 3/21/1991 BUILDING PERMIT PLOT PLAN ^
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER e \ , •eq, - 9 _ 5
DIRECTIONS
TO JOB SITE
PARCEL LEGAL I-rack- 2, ; s/P aya sw'/y ,Uw'/y 00 /y /Ucv"y
NUMBER DESCR. Sew, a 70
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building& septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams,wetlands, drainage.
In Circle O Attach copy of septic system"as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
5c A suu g ,/� iva r1 SLI),44. 100A 00kiG t r R O
P
own
PT-1 t—
g S
R G
* 9
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
�&,z) � 3-a1-71
SIGNATURE OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE