HomeMy WebLinkAboutSPI2004-00093 Cancelled - SPI Application - 4/2/2004 MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $205.00 Fee Required
1. Owner: C . T2 619fJ5 n1 Applicant: iQ;s
Site Address: Applicant Address: o Bar Sff
Owner Address: City: L: l I f,�-..,fa St Zip SSS
City: St Zip Phone:_( 3Co ) y t-7 3 G I-L- day
Phone:_( ) day Phone:_( 3Go) _ 3 o [ 3350 evening
2. Parcel No.
Parcel No. - Email Address: C'b1Ac"— cow"
Legal Description: Planner: GBM RAM CDMJ ) SAL TSC
SMP Comp. Plan Type of Use
Water Body
3. Purpose of Pre-Inspection L" w.4e,,k/V N r� G ,4
4. Use of Building:
5. Do any of the following exist on or adjacent to property?: slope W saltwater ( lake ( river
pond ( wetland ( seasonal runoff ( ) other ( } stream �-,� seasonal creek
Directions to Site: 6 S L.rOAJ
O� d 7 Q lc
Ve
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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.
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cant Signature: �` Date: Z'z C
If you would like to be on site during inspection, please check here: W
Return application to: Department of Community Development, Planning Division
P.O. Box 279
Shelton, WA 98584
(360) 427-9670
RECEIVED
Please include a $205.00 check or money order payable to Mason County Treasurer
When completed, this form becomes part of t parcel file. APR 0 2 2004
FOR OFFICE USE ONLY: Accepted by: //2J ,SQL Date:
Please illustrate below the proposed building site in relation to water &property lines:
SRGm«MVM, fv�Y�S«,prei�ion MORE ON BACK SIDE
Please illustrate below the proposed building site in relation to water and property lines:
IL
Departmental Review
(For Office Use Only)
Planning Department Findings:
Revised 12-26-2003 SRG