HomeMy WebLinkAboutSPI2015-00046 - SPI Application - 5/17/2015 SPI ao-L5_-0-00,�
MASON COUNTY ACCEPTED
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $255.00 Fee Required
1. Site Address: 30 /UL-" A L)LP P I-_,Z L:A.f
Owner: 2A'/ E•yA(- lJ PPP UQ_ aC 4�4plicant: S /n
Owner Address: L9. Q 0 '�: "l"* Applicant Address:
City: i(& Stizi-0Zip_1,Y-69 6`JeZ City: St Zip
Phone: JL,0) day Phone: ( ) day
Phone: (34 4) .2 2/1" evening Phone: ( ) evening
Email Address: 1QQ(,60A) 51 A)bVi, Co•r Email Address:
2. Parcel Ws / 2 3 3 2 -�- 0 0Y 9 - -
Legal Description: _S /h /3 � .3 y L 2/47
3. Purpose of Pre-Inspection: l 4la" -� .611& - "l0
IQ P&W
4. Use of building: 'JA)d f 0.rr'AI C116
5. Do any of the following exist on or adjacent to property?: slope ( ) saltwater( ) lake ( ) river( )
pond ( ) wetland( ) seasonal runoff VL other( ) stream( ) seasonal creek
Directions to Site: 1--e., 7► J 4&.T/_ A 14 �� '� �� -146-PA1e q J0
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,or the laws regulating development of the site change after the time of inspection.
Applicant Sig na Date: S-_ / 7-
If you would like to be on site during inspection,please check here: ( Pt S Cp U, 3&v a O/ 4/9 Z
ra N tj /V OUP
Return application to: Department of Community Development, Planning Division
P.O. Box 279
Shelton, WA 98584
n Please include a $25-5..00 check or money order payable to Mason County TreasWIE C E I VED
BACK SIDE JUN 0 2 201
C:\Users\BLR AS\AppData\Local\Temp\XPgrpwise\2012 Planning Pre-Inspection.doc
� (1 t4G,4 ZLnece: Cm u) /'Y)i, ed use 426 W. CEDAR ST.
Please illustrate below the proposed building site in relation to critical areas(slopes, streams, lakes,wetlands, etc.)
existing improvements,as well as property lines. APPLICATIONS SUBMITTED WITHOUT ADEOUATE
ILLUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
Departmental Review
(For Office Use Only)
Planning Department Findings:
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