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Home My WebLink AboutBLD2001-00072 Final SFR - BLD Permit / Conditions - 10/24/2001 Line 360) 27- 262 ection MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phonpe: (360)427(96704ext7352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2001-00072 OWNER: THOMAS BALL 277-3068 CONTRACTOR: RECEIVED: 01/25/2001 SITE ADDRESS: 381 NE CUTLASS WY BELFAIR ISSUED: 04/30/2001 PARCEL NUMBER: 123312290041 EXPIRES: 10/30/2001 LEGAL DESCRIPTION: PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE FROMM N SHORE GO UP LARSON LK RD, GO TO TOP OF HILL TURN LEEFT ONLARSON BUD FOLLOW TO SUNRISE ESTATE. General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: 5n Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck: 264 Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,766 Carport-Attached 264 Valuation: $126,449 11 Building Height: 0 Occ. Status: Primary Basement:1,766 Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: E 100.0 Ft. Shoreline: Ft. Water Body: Rear: W 198.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: S 50.0 Ft. Shoreline Desig.: Year: Serial No.: 11 Side 2: N 59.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type QtV. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KLW 01/25/200 $744.22 2106 Hosebibs 1 Ventilation Fan 3 EH Plan Review PSD 02/09/200 $50.00 56169 Kitchen Sink 1 WoodStove 1 Planning Site Inspection SAL 03/07/200 $70.00 56169 Laundry Tray 1 Dryer Vent 1 Building State Fee DLC 04/06/200 $4.50 56169 Lavatories 2 Building Permit Fee DLC 04/06/200 $1,144.95 56169 Showers 1 Mechanical Fee DLC 04/06/200 $81.65 56169 Water Closets (Toilets) 2 Mechanical Base Fee DLC 04/06/200 $23.50 56169 Water Heaters 1 Plumbing Fee DLC 04/06/200 $82.00 56169 Bath Tubs 2 Plumbing Base Fee DLC 04/06/200 $20.00 56169 Total $2,220.82 LBLD2001-00072 Please refer to the following pages for conditions of this permit. 1 of 4 E� CASE NOTES FOR BLD2001-00072 CONDITIONS FOR BLD2001-00072 1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X. 3) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may ffe your project. X 4) Proposed structure or any portion thereof greater than 30" in height from grade lire, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways. X �j 5) OWNER MUST SHOW PROOF (;IF SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE. X 4 � 6) All upland areas disturbed or newly cr ated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X � 7) Approved per dimensions and setbacks on submitted site plan. 8) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. BLD2001-00072 Please refer to the following pages for conditions of this permit. 2 of 4 9) is located in or within 200 feet of an area categorized as a Landslide Hazard Area under Mason County Ordinance #88-00. Adequate drainage/siltation control/stormwater plan must be developed prior to development, clearing, grading, or construction on the site. Development should be designed to preserve the natural drainage courses in the area. Surface drainage, including downspouts, shall not be directed onto or within 50 feet above or onto the face of a Landslide Hazard Area or it's associated buffer. If drainage must be discharged from the top of a Landslide Hazard Area to below it's toe, it shall be collected above the top and directed to below the toe by tight-line drain and provided with an energy dissipating device at the toe. X 10) Approved per dimensions and setbacks on submitted site plan. X. 11) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour) will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. X r 12) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X 13) The plan review check list and corrections, along with the Energy Compliance Worksheet (when applicable) are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. X__ 14) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" plot plan is not on site, then approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour) will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 15) All construction must meet or.exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy woul result in permit revocation. X 16) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County X rdinance or regulation, must be reviewed and approved by Mason County prior to construction. 17) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be Taoe prior to requesting additional inspections. X BLD2001-00072 Please refer to the following pages for conditions of this permit. 3 of 4 18)`• All property lines shall be clearly identified at the time of foundation inspection. X 19) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X c� a 20) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. � X , This permit becomes null and void if work o p r construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. `OWNER O�GENT: DATE: �- -� 2— BLD2001-00072 Please refer to the following pages for conditions of this permit. 4 of 4 r MECHANICAL MOBILE HOME F ,gs-Setbac� date Ribbons � �� ' �� by Gas Piping dateby Fou.;dation Walls date by Set UP date .S`- /-�� / c /Z INSULATION date by - BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date Z - O by date by PLUMBING Attic OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. 41?� _ date f date 7 -c i by ,. LyO� by Water Line FINALINS EC ON date by date date by c c ',,cf) cJ Z?,,6 D %C 2 r '� - - /v7 �xl�"•�i�i�� e9c�j-✓ iv��i T� siG'� �k T� T.��_ R ON_STAr, MASON COUNTY C DEPTARTMENT OF COMMUNITY DEVELOPMENT O AOU a s o T Z Planning Division �OJ N V a0y P O Box 279, Shelton, WA 98634 1864 (360)427-9670 NOTIFICATION OF INCOMPLETE APPLICATION February 20, 2001 THOMAS BALL P.O. BOX 1208 BELFAIR WA 98528 Parcel No.: 123312290041 Project Description RESIDENCE Dear Applicant: You have submitted a permit application (case no. BLD2001-00072) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. Please contact me at (360) 427-9670, ext. 363 if you have questions. �� Sincerely, Scott Longanecker Land Use Planner Mason County Planning Department 6e : ►3c4iId% -1ely- 71 02/20/2001 1 of 2 BLD2001-00072 NOTIFICATION OF INCOMPLETE APPLICATION 02/20/2001 Case No.: BLD2001-00072 Comments Due to the slopes indicated in your building permit site plan and information from Mason County Soil Survey Maps there is additional information required to continue with the review of your building permit. Under Mason County Ordinance#88-00, Chapter 17.01.100 titled Landslide Hazard Areas, a Geological Assessment should be conducted for this type of development in areas with a slope of between 15 - 39%. In your site plan you indicate that the slope is 20 degrees where you are planning to build your home. This translates to a slope of 36%. If the slope is greater than 40% a more in depth Geotechnical Report is required. A Geotechnical Report is also required if a Geological Assessment indicates potential problems with slope stability. Since you indicate that the slope is less than 40% we are just requesting a Geological Assessment at this time. If there are other suitable building sites on the property 50 or more feet back from slopes greater than 15%, a Geological Assessment would not be required if modifications are made to your site plan and you maintain a 50 foot buffer from the home to slopes greater than 15%. 1 am enclosing a copy of the Mason County Landslide Hazard Ordinance. Page 10 of the ordinance explains the contents of a Geological Assessment, and page 9 explains the qualifications of the preparer. If you have any questions please give me a call. PS: If you do build within the landslide hazard area or it's 50 foot buffer our office will need to have you send in the names and addresses of the adjacent property owners. We are required to post the site and notify the adjacent property owners for this type of construction in a landslide hazard area or it's buffer. There is a 14 day comment period after notices are sent out. We will be able to post the site and send out notices once we receive your Geological Assessment. Thank you. l� ,,�-� � ✓�u,�J. !-�r� G,,;it 7� �,Je-6 Vt4-%- CL-, 0 /J/ 02/20/2001 2 of 2 BLD2001-00072 r EGAL DESCRIPTION: SHORT SUBDIVISION THAT PORTION OF GOVERNMENT LOT ONE (1). SECTION THIRTYONE (31). IN NW f 4, NW f 4, SECTION 31,,'1SHIP TWENTYTHREE (23) NORTH. RANGE ONE (1) WEST, W.M., ERRNIENT{LOTfST ONE385 FEET THEREOF; EXCEPTING ALL THAT(1) LYING SOUTHERLY OF THE NORTH 51314 EET OF SAID TWP. 23 N., R. WEST, W.M. .. REOF; FXCEPTING THE PLAT OF BEARD'S COVE No. 8, VOLUME 9 OF PLATS, :E 45 THROUGH 48, RECORDS OF MASON COUNTY, WASHINGTON. AND Z. _ =P TING THEREFROM ROAD RIGHTS-OF-WjjY. C'EL No, 1 2331-22-00040 c zaFR WgH AN EASEMENT FOR ROAD AND UTILITY PURPOSES IN THE "HWEST OUARTER (ItW 1/4) OF SECTION THIRTYONE (31). TOWNSHIP ':-YTHREE (23) h'cJRTH, RANGE ONE (1),WEST. W.M., AS DESCRIBED IN RUMENT RECORDED JANUARY 26. 1983 AUDITOR'S FILE No. 411396. S 89.58'56' W 20.00' s 00ro1'04• w 8.20' 10.00' S 0oro1'04" W 20.00' 1 L SL8nS_56" W -----------L--_— --- 11.eo'7 Z to' FOUND 1/2- BAR 6•.CAP L A N5 0 k V LS 114076 S 69.52'7' E FOUND 1/2- BAR h CAP 0.4' �LS 114076 S 1 . S 89.59 E 5 30 38 W - =- --- 89' J-- -` 0 ,p. 41 2'--------------' 3 .6 ' PER VOLUME 7 PACF 19 101 OF SURVEYS lb J�90S•' FOUND 3/4' IRON PIPE 3i ,fi• E STEPHEN JOHNSON i tom' i �(- PER VOLUME 7 PAGE 19 ^I � S 89-58*56" W L fN �" OF SURVEYS �-- -- -- ------- n - - ----- _ mot. 10'.WATER EASEMENT J �- 1 FOUND 3/4' IRON PIPE ,-SECTION CORNER PROJECTED o1� OMMUNITY WELL 0.37' WEST OF LINE 1/4 T OF RSJVOOLUMELUME 7 PAGE 19 ziN. SYSTEM EASEMENT' PER 1 STEPHEN JOHNSON I i y ( OF St.�m z 'Al�30 ---- ... .......' 194.48' 120.80' ' 315.28' 361 300.02' a4.9a 315.28' N�89'58'49" E� 2044.80' 1 ' U m 13F .r- - LOT l o 1.03 ACRE 4A)e P `''T I OUND 3/4- IRON PIPE i Y1 w 200•47' 133.56' N�,0.14' WEST OF LINE r' 334.03' N 89-58.49 E I o i ziU b N 9 LOT ACRES '7 A I 1 � '� �/1 1.03 ACRES d I � I z O 40' PRIVATE ROAD h UTILITY EASEMENT 209.40' 142.46' 351.86' O89 58'49" E I I � —FOUND 3/4" IRON PIPE I U ON PROPERTY LINE N 1.03 ACR S ��A)e iQp m ZOZ C ~y r��r, S ri I 216.79' 152.04' o o6�\N -4 368.83' �N 89'58'49" E I g0. a 7� LOT "D" J 5� N` I OUND 3/4" IRON PIPE PER SH RRT PL T h CAP �� 1.03 ACRES Cµ-t IA ? 0.1' WEST OF UNE 12448 (118.77*) 1 FOUND 3/4- IRON PIPE 118.76' 127.72' 78.58' 60' N 7'30'09' W li ----- 12.05' 385.06' f N 89'58'49" E i FOUND BECHTOLT BAR k CAP W 1 (� w 0.16 EAST OF LINE FOUND 3/4' IRON PIPE i S I FOUND BECHTOLT BAR &CAP PER VOLUME 7 PACE 19 01- i_ n 1� 0.16 EAST OF UNE OF SURVEYS SHED Y 4p $1h Y" O FOUND 3/4" IRON PIPE ACVzl z 0.1' EAST OF UNE I ` 60' PRIVATE EASEMENT i LANDSCAPE ROCKERY PER AUDITOR'S � . 50'49'10' W FILE No. 411396 � _ MERIDIAN: $ 105.00' TE N 3910*50' E 70: 60.00' BASED ON VOLUME 7 PAGE 19 OF SURVEYS 60' TROUNCER BLVD. COUNTY ROAD `\ PER VOLUME 4 PAGE 30 OF SURVEYS � � v0 '�� i ..lm L ZI c� �O y w I I JLJ I I� V 3NOZ k, S / PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner v-41,412Contractor Name ;9&,.,Alf", � MailinOAdr ss Mailing Address City State Zip Code City State Zip Code Phone(360 )C Other Ph.(� Ph.(� Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System WellX_Water System Name of Water System PARCEL INFORMATION-12 d it4nae, a el No. / / ire District Legal Description Site Address(Please include street street number and city) Directions to site r r ' h Will timber be cut and sold in parcel preparation? (Yes/No) � 1 Is your property within 200' o he following: Body of Water(Name) /Vd Saltwater A.A. Lake 0 River/Creek Pond A Iy Wetland A r) Seasonal Runoff 4 42 Stream x t`Slopes or Bluffs-A� PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms_SQUARE FOOTAGE-1st Flo°r2nd Floor 3rd Floor Loft Basemen Deck_ Other / ?S�/ sq. ft. _ Garage Attached Detached arport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X a '" Date 11�X Date } AO FOR OFF CI U1SE BEYOND THIS POINT Accepted bye Y f 1 Date ( Submittal Amount Due i �" Receipt No. 1 �' I DFPARTM NTAI..R Vl ; . APPROVED DENIED CONDITI+"N CODES ............ Building Department y. ; O ( C Occ Group Type Constr. 17V - 6 Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ "�` � oa61 A4V 9(0 FEES n it Building Permit Fee d 4 4. 95 Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee a 0. o Planning Review Fee Mechanical&Base Fee /' Other ;- -- Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES MASON COUNTY -U(�JPERMIT NO.: /('Xh- PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 I —( Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner -0,0,/ bxzL Contractor Name Mailij�Adnc% es Mailing Address City A � � State lj,1:4 Zip Code City State Zip Code Phone( ther Ph. Ph. Other Ph.c Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System_ y PARCEL INFORMATION di it T x Parcel No. / / Fire District Legal Description Site Address(Please include str et n m , street number a d city) DireP ' ns o site Dv e. U h i/ r Q ti L., vAyllakt, Is you%rerty within 200' o t e followin ody of Wat r ame) SaltwaterLakeiver/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor_X 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas ea Toilets Type of Unit o. of Unit Ap Fees Bath Basins Furnace Bath Tubs a Heatpumps Showers Vent Fans Water Heater / Propane Tank Laundry Wsher G utlets Sinks ! Wood as/Pellet Stove�— Dishwasher Irect Vent? Other&,Z'7 �_ Other Other��t/Z�,� Other �— Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance I requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work 1 conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X ate O/ X Date FOR OFF CIAL USE BEYOND THIS POINT Accepted by ' C�- Date ( I Submittal Amount Due Receipt No. t 'RO ONDfII?VCLRE5EE t Building Department Occ Group Type Constr. Planning Department Other Other ....... £ES ....... ..................... .. . Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION /� Case No. Name � j�- a/�1�� QR«— PARCEL NUMBER 3ao d SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I I +-adjacent property line I .fit.nslj'� I I I� R�xs0 eve I � 1 � I A , I I I, 50 (Z I I � I I I I � I cs Q adjacent property line-� / � �✓ ' E-ad'acent property line SAMPLE SITE PLAN adjar�nt property lined 3ic� _ _ f-adjacent property line D 30" rR&SCRve- �E-g�l .gE.4SG w/AL. I a >L _5"— _ I J. I c HOM I Grlatu CrzeEK � I �, I HOt.�.aG- I j Prio pca D I 1 , VAGnNT I I CrARA045 I o' I i I(� 1 pM1oPo�CD __ A6RIGLL �LTRAL $O yo' 80, I \ \ /00' I \ I I I L—eLL I � I I I �r /00 �� I adjacent property line-� ; \; E-ad'acent ro ert line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE 00, ructL.a.Yt hFVF-es &stance. to fps¢-irllt 5iopm c¢ /✓� diAAanaa �o �, dL Signature Date