HomeMy WebLinkAboutShoreline Pre-Inspection - SPI Application - 8/5/1993 MASON COUNTY
SHORELINE PRE-INSPECTION APPLICATION
PLEASE PRINT $40.00 Fee Required
1 . Owner: Applicant: DOA-)
Site Address: ti-E 131 yl� Applicant Address: ID-0- a4X 77Z
Owner Address: ' City: /3��r�a�e. St W4. Zip 985`2R
City: 0(L-i=�2 St �A Zip q FsZs3 'hone: ( ) z7s i�<z-7
Phone: ( )
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2. Parcel No.12ulz fizz �0'� L2L,>66
al Description:
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3. Purpose of Pre-Inspection: SC T - �3.eL. J<
4. Use of Building: _Lt__'5 Ito G7vc_g-
5. Is there any type of water on or adjacent to property?: saltwater lake _
river pond wetland seasonal runoff other
Directions to Site: FL;44 67U.0,4tiC_ i�AS Ta f��9 ✓�� cti I�
7-0 /rl o LAK7[_i9.- r V I�T w T c ti fil N-*-A) V w 7-1D
6 /V &-X 7-b GH z
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: 1 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�� f Date:
Please illustrate below the proposed building site in relation to water & property lines:
Departmental Review
(For Office Use Only)
Planning Department Findings: