HomeMy WebLinkAboutShoreline Pre-Inspection - SPI Application - 2/14/1994 x MASON COUNTY 1W
SHORELINE PRE-INSPECTION APPLICATION
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1 . Owner: �/ b C'APh6p � - 1 � '_0��2 y- Applicant:W
Site Address: 30/6 I`1asiL.&Pr F Applicant Address: y /S`/f/a ,e
Owner Address: 6y/S' 4A Ati , Zp i y 7
City--7_- �, St4&—Zip 2F!�6 .Z Phone: ( ) =zz V 74-1 y
Phone: do 6 -7 q-7V
2. Parcel No loW 3 3 -SZ- Ooc)EZ Legal Description:
3. Purpose of Pre-Inspection: d)�r►-� o Y O M _
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i•. 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: 0 `F
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f 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
FOR OFFICE USE ONLY: Accepted by: Aacl Date: '3_//L-1/ft/
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Please illustrate below the proposed building site in relation to water & property lines:
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Departmental Review
(For Office Use Only)
Planning Department Findings: a AY S.
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