HomeMy WebLinkAboutSPI2006-00070 - SPI Application - 3/3/2006 41V 000-7 C)
MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION PLEASE PRI;iw - , C QRequired44 `Z3
1. Owner: G;E-+ 'c. G-'�� /E'er Applicant: 3,,A MI �C� ,.�nf,
Site Address: 151 z!cUt14R&Lx k1 Applicant Address:
Owner Address: SA�Ir City: St ip wR
City: SH��rcN St_Wia Zip 9J8.¢- Phone:) G�u�` day
Phone:( 42 7-3.Z,1 day Xk
Phone:, 37AmL- evening Planner:
Email Address: Ct1RR/,r-,-,rANyA le-I 170Ve,4eM SMP Comp.Plan Type of Use
Water Body
2. Parcel No. 3Z /;2 7 - �g- - ����J
Parcel No. - -
Legal Description: d-AK l-/M ER1GK ViV rj Ae 8/
3. Purpose of Pre-Inspection: rF_R/6'i/i .-I Nc
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4. Use of building: 6AR,ACIF � /V/<SHOP
5. Do any of the following exist on or adjacent to property?: slope(" saltwater( lake( river(
pond( ) wetland( ) seasonal runoff( other( ) stream( ) seasonal creek
Directions to Site: Fg,G/4 .5/GN f,'ori' 3 rA<5 I"/As eAj IA#.E Rom, Y!/RN R/GHT
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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 Signature: � -Z tt e'4' Date:
If you would like to be on site during inspection,please check here: (4-
Return application to: Department of Community Development, Planning Division
P.O. Box 186
Shelton,WA 98584
(360)427-9670
Please include a$205.00 check or money order payable to Mason County Treasurer
When completed, this form becomes part of the parcel file.
FOR OFFICE USE ONLY: Accepted by: Date:
MORE ON BACK SIDE
1:\PLANNING\PAC\PRE-INSPECTI0N Revised: 01/17/06
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 AW U TE
ILUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT.
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Departmental Review
(For Office Use Only)
Planning Department Findings:
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