HomeMy WebLinkAboutSPI2015-00011 - SPI Application - 2/3/2015 RECEIVED
FEB 17 2615
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ACCEPTED BY
426 W. CEDAR ST, MASON COUNTY -7117
PLANNING DEPT. PRE-INSPECTION APPLICATIO
PLEASE PRINT $255.00 Fee Required
1. Site Address:
Owner: S C Applicant: (3
Owner Address: m 6DX 111 Applicant Address:
city: l �< St Zi city: U Az>�a,)P`� St Zip
L � p J 9 f ty �` "
Phone: ) 2-7 3 — AS'01 I day Phone: �? '!fjayl 2—
Phone: ( ) )) evening Phone: ( evening
Email Address: 55e- ' WeAt'S&M S/l -' COAA Email Address:
2. Parcel Ws2l,/ 1 - - t 0 ` 09 - -
Legal Description: I
3. Purp se of P e-Inspection:
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4. Use of building
5. Do any of the following exist on or adjacent to property?: slope saltwater( ) lake luj river( )
pond( ) wetland O seasonal runoff( ) other( ) stream( ) seasonal creek( )
Directions to Site: DD: From Belfair or Bremerton on Old
Belfair Hwy to Bear-creek Dewatto.
Follow past Tiger and Panther Lakes 6
miles to L on Blacksmith Dr,(large
wooden sign)L at T to Lakeway Dr to
property on R
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.
l
Applicant Signature: Date: V3 2-0 1
If you would like to be on site during inspection,please check here:
Return application to: Department of Community Development,Planning Division
P.O. Box 279
Shelton,WA 98584
Please include a$255.00 check or money order payable to Mason County Treasurer.
MORE ON BACK SIDE
C:\Users\BLR—I.MAS\AppData\Local\Temp\XPgrpwise\2012 Planning Pre-Inspection.doc
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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.
l , WARNIW,: Mason County has no responsibilit-�_._._,
to build, improve, maintain or otherwise service .
the private roads contained within or providing
service to the property described in the short
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Departmental Review
(For Office Use Only)
Planning P g Department Findings:
C:\Users\BLR—l.MAS\AppData\Local\Temp\7?grpwise\2012 Planning Pre-Inspection.doc
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KiTSAP CouHrY OWNER -, FRED PESTE
T 413 MgSoK c.oVKTy 3 2ve � P.O. BOX 1/8 - TRACT 75 , 6LACKSMITH LAKE TRACTS
SHELTON� WA 9858�} .
FOUND MONUMENT, GONG. Wl BRASS
SET IRON BAR
MEANDER COR , WEST
3 �` �� °� SHORE BLACKSMITH L,
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- 4 Io S 3 (9— N 89 /4 02 W_43 .S
I° lI / WARNING: Mason County has no responsibilityAga
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o' f to build, improve, maintain or otherwise service
the private roads contained within or providing {o #
(� r 4/ e service to the property described in the short ��� t�U h1�GOR SEC /0
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