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Home My WebLink AboutSPI2015-00074 - SPI Application - 8/7/2015 RECEIVED AUG 10 2015 SPI_�o r? - o o o f 4 426 W. CEDAR S T. MASON COUNTY ACCEPTED BY PLANNING DEPT. PRE-INSPECTION APPLICATION "f1kkv^ "5 PLEASE PRINT -(/ r '' $255.00 Fee Required 1. Site Address: 35 l 0a b� KOc 2E�C JA ,ye 3 Owner: Applicant: <i47Q "5 (W� Owner Address: 62-6) 1/F Applicant Address: City: M "-- St W Zip City: St Zip Phone: (360 0 3& day Phone: ( day Phone: ( ) .5 IVIJF; evening Phone: ( ) evening Email Address: d3: 6 ef�91 Crye•eon Email Address: 2. Parcel Ws Legal Description: //o f $P 2 W q 3. Purpose of Pre-Inspection: Am C s rre 4�,,n fi ate. 4. Use of building: /eS/de'y 2c 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: 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: Date: ;9(/71Za15 If you would like to be on site during inspection,please check here: (� Return application to: Department of Community Develo ment, Planning /Division Shelton,WA 98584 Z V� Please include a$255.00 check or money order payable to Mason County Treasurer. MORE ON BACK SIDE 1:\Community Development\PAC\SPI\2012 Pre-Inspection.doc I Please illustrate below the proposed building site in relation to critical areas(slopes, streams, lakes, wetlands, etc.) existing improvements, as well as property lines. APPLICATIONS SUBMITTED°WITHOUT ADEQUATE ILLUSTRATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT. w Departmental Review (For Office Use Only) Planning Department Findings: I:\Community Development\PACWL2012 Pre-Inspection.doc Mason County Map Output Page Page 1 of 1 J Mason County Map Tee La km 323355000016 323355000019 3239Q222222.. 323339200015 323355000014 323355000018 323355000907 NJ 323SOON000 NE DEWATTO RO 322020060000 r :e k. 322021300010 In 322022400000 322021390032 322021390031- qqw 322021300000 322021390034 `G78' 0 176ft DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are Roads Federal L ands approximate,and are not necessarily accurate to surveying or engineering standards,and are intended for informational purposes only.Mason County does not assume any legal liability Higral,++ays City of Shelton or responsibility arising from the use of this map in a manner not intended by Mason County. R vors a$tnoams Cat sourwry iow I 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,loss of anticipated profits Parcels commissto+ter Dstricts or benefits arising from use of or reliance on the information contained herein Sectons r takes ®2009-Mason County GIS 100 W.Public Works Dr Townships Puget Sa1md b Major Lakes Shelton,WA 98584 http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason... 8/10/2015