HomeMy WebLinkAboutShoreline Pre-Inspection for BLD93-01793 - SPI Application - 11/16/1993 MASON COUNTY
SHORELINE PRE-INSPECTION APPLICATION
PLEASE PRINT $40.1944e,pequired
1 . Owner: II�ILI tom ', GL2,4L , cKi Applicant: 4k,
Site Address: 4 / ex.&Z-e Applicant Address:
Owner Address: City: St Zip
City: zo St We'Zip Phone: ( D
Phone:
2. Parcel No. -SSA-Ao8 Legal Description: e_"0 7-
fah+ �% A'l)�t37an� G
3. Purpose of Pre-Inspection: , , 40 C y � /�62r �� �1pN3'O�
4-1 y /7 rd/�e Jzark
4.1 Use of Building:
5. Is there any type of water on or adjacent to property?: saltwater lake
river pond wetland seasonal runoff other
Directions to Site: lge" 76 S�
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.
Applicant Signature: Date:
Return application to: Department of Community Development,Planning Division
426 W. Cedar/P.O. Box 578
Shelton, WA 98584
(206) 427-9670/1-800-562-5628
Please include a $40.00 check or money order payable to Mason County Treasurer
FOR OFFICE USE ONLY: Accepted by: Date:
Please illustrate below the proposed building site in relation to water & property lines:
!Y,
f.fpc.t s
Departmental Review
(For Office Use Only)
Planning Department Findings: 1112,3 lq,4 AMA