HomeMy WebLinkAboutRLC94-0380 - RLC Application - 3/2/1994 MASON COUNTY BLDG 3 4277798 F'. O3
Date Received'. 3 ' �I
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MASON COUNTY
EPARTMENT OF COMMUNITY DEVELOPMENT
I OED
"ESOURCE LANDS AND L AAEAS HE �)A +
'The following checklist is designed to assist an applicant for a Building Permit, On-Site Sewage System Site
'Evaluation and Disposal Permit, Access Permit, Land Modification Permit, Boundary Line Adjustmen(s, Land
:Segregations, Hazardous Waste Permit, or Shoreline Permit In determining whether their property Is af(Qcted by
;regulations under the, Mason County Interim Resource Ordinance 177-93)". This checklist is an ortant
opportunit y for identifying par/y in the permit process whether there will be any environmental regulations�ffec(ng
'the proposed development.
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.":Owner- KEY BANK phone ( 206 ) 593-35$5
Site Address N.E. 23731 HIGHWAY 3 City BELFAIR Zip 98528_
;Owner Address 1323 34TH AVENUE EAST City FIFE (, State WA Zip 984 4
'Tax Parcel No. (Confirm with Assessors Office) �, 4 _-nin) T_(-Legal Description
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Project Description CONSTRUCT WOOD FRAMED DRIVE UP CANOPY FOR EXISTING DRIVE UP WINDOW
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Directions to site (Please attach map) ��- i�, {� -�J:�Y Cyt���--�'Z- c. �� r �,,��
Sru 2a��Ori' jr� e L -SCk -� rcZ9N?' �� -5ArJi(
Please provide or attach a vicfrnty map which includes cross streets, major roads, creeks, etc.
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Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas
:0MC181 and resource lands are available for review at Mason County Department of Community Development, Planing
Use OAV Department.
'Do any of the following exist on this property or within 200 feet of this property?
CoYes No
❑ 1. Saltwater shoreline or a lake 20 acres or larger?
❑ [+," 2, Rivers, streams, or creeks with year-round flow?
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❑ 3. Rivers, streams or creeks with intermittent flow but are wl hin,a clearly defined channel?
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❑ B- 4. Lakes or ponds less than 20 acres in size?
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,u,( ❑ Ca' 6. Wetlands: Areas that are inundated or saturated by surface water that under normal cfrcurpstances
support vegetation adapted for life In such conditions; such as marshes, bogs, and swamps. (SeO County
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Maps for guidance.) i
❑ [J-' 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for
guidance.)
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I ❑ C 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map
for guidance.) Q i
8. Seismic Nazard Areas? (See County Federal Emergency Management Maps and County Seismic
Hazard Map for guidance.)
You may be provided nuisance protections by the County for certain resource activities. If you are enrolie'd in any
of the following programs: ,
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C) [� 1- Aarictiltural Open Space Taxation Program, RCW_84,33 j J
❑ C9' 2. Open Space Timber Taxation Program, RCW 84.33,or Designated Forest or Classified forest
RCW 04.34 ;
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KtbUUK :t LHUS UKI IVHL HKLAb
SITE PLAN
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PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE;
,
r 400et)on 6 dimensions.of existing &proposed property boundarlee. ► Approximate elope#of land(g(ade&dtreotion),topography.
P. Identify 160e1 stows Including,width of all rood rlght-of-ways&Moments. ► Location of eipnificant natural feature@(water bodl0e,riven).
P. loo@to all existing &proposed etruotures,drainflolds,wells IG drlveweye.' ► Project description
Scale 1" 1-10 t North Arrow
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I state that I have answered the above truthfully to the best of my knowledge.
Applicant/Owner- date
FOR OFFICIAL U85 ONLY i
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ce Land & Critical Areas Checkilst. Make checks payable to the Mason
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re 1s a $40.00 app
licatioa fee- for the Reaour 1
my treasurer,
KhSUURCE k CRITICAL AREAS
SITE PLAN
PLEASE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE:
► Location&dimensions of existing &proposed property boundaries. ► Approximate slope of land (grade &direction),topography.
► Identify legal access including,width of all road right-of-waya&easements. ► Location of significant natural features(water bodies,rivers),
► Locate all existing &proposed structures,dralnfields, wells &driveways. ► Project deacriptlon
Scale 1"_
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state that I have answer the above truthfully to the best of my knowledge.
Applicant/Owner - Z 4 Date
FOR OFFICIAL USE ONLY
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There is a $4.0.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason
County Treasurer.
When completed, this form becomes part of the permit application.