The URL can be used to link to this page

Home My WebLink AboutSPI2016-00060 - SPI Application - 12/30/2021 S?( 2.0 t(Q- ASON COUNTY PLANNING DEPT. PRE-INSPECTION APPLICATION PLEASE PRINT $255.00 Fee Required 1. Owner: SAIJ DQA VI NGENT CSe 64� Applicant: Doa VaRKtv%ssEk C&%4a- Site Address: 22l, C. DEEP CR-sl l,[ Qom. Applicant Address: 201 S.Am -QABOP- aQ Owner Address: Ro. laox 39Z63City:SNEI.TW St W A Zip_q$5%4 City:N 1 rn LCM t 1C St A K Zip q 91(1039 Phone:(_) 31 day Phone:(Eo3) CJ49' 1;" day Phone:(_ evening Planner: Email Address: SM omp.Plan O!E&Aype of Use l -J' ' Water Body 2. Parcel No. 321346 - l 2 - 9003 a Parcel No. - Legal Description:L 3 576oak Flay No 6oS N t,u clwogr4e, S2U76N 3 6 3. Purpose of Pre-1 spection : NpU56 gutt.GW6 FEAStg%XY ST%DY M oa Tb -punc4 4ca ANC 4o Ldeme s& SA&,; 4. Use of building:_Fri mp a-y t�- _ 5. Do any of the following exist on or adjacent to property?: slope( ) saltwater( ) lake( ) river( ) pond( ) wetland( ) seasonal runoff( ) other( ) stream ( ) seasonal creek J% Directions to Site: 45 PECe. C12" RD, P15e. 60ca to ~z R1 ON Ir (�AtWs4cZ. LN! -TAC-E 821 O.-J (¢f+ Qo NGb YaieO Z,akf D,v /,&Xt &A,.D >s ay A4 DE D NO . 44 If the information is incomplete, then Mason County must disclaim any errors resulting from deficiencies in the original application. Pre-inspection oris emain valid only until development changes occur in the vicinity which affect the lot evaluated in this inspectio ,or the la s regul ' g d velopment of the site change after the time of inspection. Applicant Signature: Date: 7— 3— If you would like to be on site du ing inspection,please check here: ( ,3(c6 ' q6 l q a l l C hwZ Return application to: Mason County Community Services,Planning Division �I2gl i� � �1 Q a# G 615 W.Alder Street 1 4Ctcc Shelton, WA 98584 (360)427-9670 ext.352 Please include a $255.00 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:\Community Development\PLANNING\PAC 2016-Permit Assistance Center Revised: 06/02/16 t � 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 ADEQUATE ILUSTRATIONS WILL NOT BE ACCEPTED AND WILL I3E RETURNED TO THE APPLICANT. 30 S+vea►v' $ 5`l 7 �ARtt��. 3 Z I36-12-9�30 ZU E. Peja carxx Ra. for +► 3 Sgert C- I tre,� I N kA ` �0 332' r�or To scA�,E Departmental Review (For Office Use Only) Planning Department Findings: Za�a-ZT5 , i)ec rCn f2 Q 5G►oraP��ueu�„ram �:�,z S wt-, JCQhuul-a: r Mason County Map Output Page 1 Mason County Map ao �o o• E WILLOW BLUE LN.----------— tr I E KIMIMtXA ,�.. +f 36 1 I , 4 d I T E LAVENDER LN W ` W 0' W W91) up W UP DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to LEGEND that these data are timely,accurate and reliable.However,Mason County makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily Roads Federal LandS accurate to surveying or engineering standards,and are intended for informational purposes only. Mason County does not assume any legal liability or responsibility arising from the use of this map Highways if City of Shelton in a manner not intended by Mason County.In no event shall Mason County be liable for direct indirect,incidental,consequential,special,or tort damages of any kind,including,but not limited to, #Rovers Streams County Boundary 1t�NR loss of anticipated profits or benefits arising from use of or reliance on the information contained herein Paroel5 Commissioner GStACtS Sections r Lakes ®2009-Mason County GIS 100 W.Public Works Dr Townsh*S "� Puget Sound&MSjef LOOS Shelton,WA 98584 http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason_ov&ClientVersion=4... 8/5/2016 Mason County Map Output Page 1 Mason County Map m U m E WILLOW BLUE LN o O a: W 3 W W' - O p W A is y E KITWiLLtPS DR lir.tk: 1 V r..• w �t 8 - s 9 � I t Pr g DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to LEGEND ensure that these data are timely,accurate and reliable.However,Mason County makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily Road9 IS Redoral Lend$ accurate to surveying or engineering standards,and are intended for informational purposes only. Mason County does not assume any legal liability or responsibility arising from the use of this map f�Highways ip City of Shelton in a manner not intended by Mason County.In no event shall Mason County be liable for direct indirect,incidental,consequential,special,or tort damages of any kind,including,but not limited to, 8 StreBmS County Boundary 1I7NR loss of anticipated profits or benefits arising from use of or reliance on the information contained herein Parcels ConmlisSiorier DFSIrIetS [ ' Sections Lakes ®2009-Mason County GIs 1W W.Public Works Dr [� TownShps Puget Sound&Major LekeS Shelton,WA 98584 http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason ov&ClientVersion=4... 8/5/2016 FOREST PRACTICE ACTIVITY MAP TOWNSHIP 21 NORTH HALF 0, RANGE 03 WEST(W.M.) HALF 0, SECTION 36 Application#: a 0o A 26 1 1186 1701188 1 01 +25 + 30 Z � S S N I 5 V 701 66 170116 701 2ob` 35 co 9j 36 31 170 8 40 S D0 5 71 1126 . 17 28�`�—� 1220 + + PugetSoun 200 `7 ; N 1 t 2 5 1701 1701108 170120 Fe -� - Please use the legend from the FPA Instruction or provide a list of symbols used. 1,000 Date:8/5/2016 Tiime:9:08:10AM NAD 83 Contour Interval: 40 Feet Mason County Map Output Page A� 1 54Teg4 AJ'U C.-dt a,+ %S Mtrm a f c„ Mason County Map 321361500M 367590023 221367500610 321]0500110 1 ..j ]21]67590101 "721]NI00020 2213411290036 72139700103 321367590092 4P 3213i75000a0 P 321367520102 321]0/2l0000 1361 321391290000 b� s e W 3 m ]21]i7S900D1 21]{12tao70 � � i. 321361210000 ]21]67519194 W e e f �w E LAVENDER LN 3213813901 21361390031 - 321361490080 321361390032 321361490050 3� .r "r O K K W # ]21]H]000]0 e h ]21]61/90021 O o: •o a ]21]61495060 w 213613aoaio w ®-c ut]st]oo9ss 321]atl000t10 �' w az13it4saa2a DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to LEGEND ensure that these data are timely,accurate and reliable.However,Mason County makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily Roads Federal Lands accurate to surveying or engineering standards,and are intended for informational purposes only. Mason County does not assume any legal liability or responsibility arising from the use of this map Highways City of Shelton in a manner not intended by Mason County.In no event shall Mason County be liable for direct, [� indirect,incidental,consequential,special,or tort damages of any kind,including,but not limited to, RN@m StrbamS COUntY F30urWa tY(ONR) loss of anticipated profits or benefits arising from use of or reliance on the information contained herein Pat0915 * COmmttSlOr»rDvsMcta Seebons. Lakes d< ` ®2009-Mason County GIs 100 W.Public Works Dr TownsfVs Pugot Sound&Major L6-. Shelton,WA 98594 http://mapmason.co.mason.wa.us/servlet/com.esri.esiimap.Esritnap?ServiceName=amason ov&ClientVersion=4... 8/9/2016 Mason County Map Output Page 1 Mason County Map aaa00020 3217G7500010 ° 321367600110 a:tx7x6to1 32136t290020. . 'vim" p 221=1 <a"+ W 32139769010] 321397000M2 aZlx7ti00020 321747500192 3213612fOM0 ]21x1200W0 321361200000 3 W to 3 32136129007 '. _ 321a076000l1 0 3213612900 50 32136759010a W �" 1k t► � E LAVENDER LN 3213413l01 a21xt]f00]t '.d ♦ a21361a9aaao 321361390032 321361490050 A !Y K W , 0 =13613 Mx m ]21x1490021 O a: a utx199oow w 321� LL attxlaaoaw s21]slx000i► u' w ]21xf6two2a DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to LEGEND that these data are timely,accurate and reliable.However,Mason County makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily Roads i Federal Lands accurate to surveying or engineering standards,and are intended for informational purposes only. Mason County does not assume any legal liability or responsibility arising from the use of this map ^V Hig"Mays City of Shelton in a manner not intended by Mason County.In no event shall Mason County be liable for direct, indirect,incidental,consequential,special,or tort damages of any kind,including,but not limited to, RWKS$Streams County(e0undary(ONR) loss of anticipated profits or benefits arising from use of or reliance on the information contained herein Parcels Commissioner Dtstnets Sections Lakes C 2009-Mason County GIS 100 W.Public Works Dr Townships PuM Sound$Major LatetS Shelton,WA 98584 http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason_ov&ClientV ersion=4... 8/9/2016