HomeMy WebLinkAboutBLD2024-00576 ADV2024-00084 SFR - BLD Application - 5/8/2024 Permit No: l-bgG I -IJV6-7(�2
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning MAY 0 8 2024 00
BUILDING PERMIT APPLICATION 615 W. AWet Steet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 100001
NAME: I �� 1 JS NAME: t 1 6'] r
MAILING ADDRESS: aL W =JN ADDRESS: p r
CITY: r� -STATE:�0. ZIP: CITY: STATE: ZIP: OEMPHO #1: 6 "2�--O A-S,G PHO M; _ CELL:
PHON 2: EMAIL. aCt iC16u,16iO4 60f6 PrMolal z
EMAIL c i i s 16 o i 1 bi^q 9 CD L&I REG# EXP.
PRIMARY CONTA t OWNERV CONTRACTOW OTHER❑
NAME JS EMAIL
MAILING ADDRESS V CITY STAT ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Ll Oo)2) ZONING
LEGAL DESCRIPTION(Abbreviated) L,o e) FIRE DIST ICT
SITE ADDRESS G a CITY C 0
DIREC IONS TO SITE ADDRESS 1la '
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESM NO❑ SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW,K ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) n,`&&�)
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) YES(Part/s/ofBldg)❑ NO❑DESCRIBE WORK v 1 61 'Aa"'P.
SQUARE FOOTAGE: (proposed)
LJ
IST FLOOR_7J6y sq.ft. 2ND FLOOR 3 /q /—7
sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK ;q.ft. COVERED DECK__1130_sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MA AC OME INFORMATION: *4 COPIES OF THE FLOO QUIRED*
MAKE �SEPIALNUNT�M-Ir-
ENVIRONMENTAL LENGTH
WIDTH BEDROOMS BATHS HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC$ SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NCX EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a slop work order or permit revocation.Acknowledgement of such is by
signature below.1 declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permlt/application becomes null 8 void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APP 19TD6, ' ORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
UNTY CODE 14.08.42)
WNER(Mu t be signed by the OWNER) v Date
DEPARTMENTAL REVIEW APP OVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 1((' -
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No: -0G67Y
MASON COUNTY
COMMUNITY DEVELOPMENfECEIVED
MAY 0 8 2024
Permit Assistance Center, Building,Planning
615 W. Alder Sreet
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR IN RMATION:
NAME: Z j t) NAME: i
MAILING ADDRESS: 2 WP Pacl< 0,r-,) MAILING ADDRESS: -4 a
CITY� STATE: -Jc ZIP: CITY:��t STATE q ZIP:
1"PHONE: 360-2�0 -d Z S L PHONE: CELL: 6 -2
2n1 P NE: EMAIL' Ac', C 6..')Aio -c.6160
EMAI S&f- L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): L4 I), I A ^ S/- Q6 I Z Zoning:
LEGAL DESCRIPTION (Abbreviated): O
SITE ADDRESS: RAO � CITY:a — �
DIRECTIONS TO SITE ADDRESS:)-,ieckb 1 P k)1) -10 C N3 k Mangy �
Smart - o�1 � s,
TYPE OF JOB:
NEVI-®ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 ST FL00%j 2ND FLOQ$.�BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES (SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtur Fees Fuel Type:Electric�LPG[ONatural Gas=Ductlesj�
Toilets �_ Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs � Heat Pump
Showers �� Spot Vent Fan
Water Heater Propane Tank
Clothes Washer / Gas Outlets
Kitchen Sinks / Wood/Gas/Pellet Stove
Dishwasher � Kitchen Exhaust Hood
Hose bibs ? Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is
by signature below. I declare that I am the owner,owners legal representative, or contractor. I further declare that I am entitled to receive this
permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of
interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of
Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void
if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
OF CONTINUATIO THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDAT HE TIO
S:-- 3- 2-
Si nature o wner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
2=1 W5Et RESIDENTIAL BUILDING DATA
ENERGY EFF101EWY REWREMEW5.TABLE R4062 a R4063
Bvyrt— rbu tblae
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VICFNITY MAP
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EH Setbacks
_ A.) Drainfield/Reserve requires 10'setback from tooting/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations SHEET INDE
C.)No foundation/Perimeter Drains within 30ft,downgradient of AI %re vx a WLoele wTA
Drainfield/Reserve area ,'''e w.x'bfeilDOR n.rvl,IRPlt Ra,le Plvl A >
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within ^' Pw�xaeAT"v"'bx RAtI 10
50f1,down gradient of Draintield/Reserve area o rr +,we Ran
oe wus
_ .b Rbsl tuzxrl
EH APPROVED :a
xi .�gAtJ
Rhonda Thompson 10/10/2024 NU
®SITS E PLAN a
202! P45EC RESIDENTIAL BGILDLNG DATA
ENERGY EFFICIENCY REOUIREHatT'S. TABLE R406.2 4 R4063
bct None, New hales
1, SO-.11.
i l.'1.e,irg ante I-than 1,00 x h c-Vba wd Rear area wM bs.thm 30 x Da•I RodW
of!eneetratk n arm.AdalUo»o e d.tkq hn r]ng the are goober tlrn SOD �J �
1 d boated iba•o-aa tsrt lava U+a,1 x. 240 Roctvbw PI
x
SMlton,H-hrgtan 46564
2,nypt.I UNELLIKIS,.,IT. DD[red.
t All dwellhg u t.that aro-t Mbaad In M.4B or 94.
3.1 aF nIw I non I.ar. 9A-.d. omwlt 50021m, .Rb�eet1se�RE.Rqaru�eberty•PE
Dwellnq untt.exceedtg S,OG12 of of aaldtw d floor area �$ r'9 ING
4,U I T3 1114175 SEWMEP 6ROL:R--OCi1nANG 6S Gredf
tlo.R401J and rn.d.NJd WIC"h 5ectlal R202 far Group R-2 scope.
14 th Foster,.Y. I
5. 20 uedb -01`7 14"t�6O1gn ` HYt i
!?
A n
P�'Fsl N»16s• (472S"23IH)6 O'J 3U61a-0tt-•2,0 aV1l179o1
e llk✓jtan 982a
TABLE R406 3 9& SY EGUALIZokrON CAWITSSp "aM �
Fatna eyt a at mukthe eets fedad
etaKrda fr Maqm !
geted h Taub G4C53i(Z ar
C4053.2(q) LeQpL> Lake Coal-00 TR 121
Tgae 4 310
Air to water h.at p-r u,Ce the or uonfk,�'ed to provide
both hoc"and r Irg ad aro rated n aeearetalee wNh
`� AiR1 55015,40
TABLE!R4062L Bill CJaMTTS
(pvlto4 DH5.LIN6 UWT) 6.0 T5CR®l NEEDED K K.I--
S,T[
Sqs. ` Opifart D>X.RomoN Cr.Ilts ml-deport4054e,
`\ Prnecrgatlw canlpl� r boe.d on Tabu R402J3 wft tM
' ` ~'` faibwrhqq modlflwt;ore. Law' tw,�, Ga+elty of Moron
1.3 Floor�
V.1 -_�ferleetratlon U=O3S
IA LRljtti 2031 I19G 2021 IRO,3021 UL^,2021 R4G
oR gad.R-i0 pertnetar axt uder entte sly 2021 IFO,2021 HSEC
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JrC,PF of 11D).
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�.4p• �.,� ` _ rcc VC+r)Farad an Mn tEEP-VGP qualMbd Fradlct 11M wft a R�s�Ymd�� 5 1
20 -
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fro W A_daegn tmperrbra w apx:Roa�igpa.d" t Bl+ndnq Wight 7 Fe.tt
VICINITY
,T T7�TT V MAP
�.-� RC b 23-F a bolaw,an at-earco a.rro-aly ducted heat puny 0411 b.
Y 1C11`I LT 1 lYlti[ A r �c / _ a mUw�d p-.,e t..tIIable«cpnccm)Mat poop as Irtm an tt,.N� rJ
///�� Ra Frod+c
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campy HRh the rsgW*Monb of5actWn R4053.2.
' ) ' tSecWc ro.bt Mat.hyfvnc Mailrg and&.tI..heat purge are �uae Ca'nGucba^' Tyre V-0' 4� �.-610 4J mt p.r,atted uldy Uns opb OS Rvl a
t 1 + 1 DFeat cart6uslton heattg-pil- d wNh ARE Is thM 60%b rot -ffit4��^'' pG ^ E 0
y ! / /I permlNee alder tl+r optarl. Kati Floor Arno D64 SF
Water heatlrg system don W.W.on. f tlIe foikaatig: ipper FkMr Area Dal 5F
pri�•� -�! 1 5ectrw Mat pup ar2.r hoatar naettig the etcrwi d.far Tlar 111 d f?
e=N
advanced wtar heatrg speclRcat7nn. 'L,�
va
Fla Rabfm d 6der1a-Fkilr, s�
r-R-2 occupa,ay,aiactrta Mac pinrp water Mat.ri>I.maathq n,. 2,0 R-3,Ocaupdrke w rape V-B cabwctiom I-M 3:�
Lee.tl1m S'Fran property Itie,Han-rated eba..ers. .T•
tce
tar1 , For Tw Ill d t-t r o atli Id water Mat r s&-1atbn•
•sd supply darleetk: di rater NI m tolls.It one water Muter r 3 c a
servYy more ttlm aro dwellkg udt,011 hot Nato-sappy and Oper,tg.nd permltad base 4,vI s'. ^w Y�'-
/ /r r-i-lclb-pgrg deal b.r.Wdatl wwr R-6 mhrnnl ppe reulotloru c x
v ad�d,di efa hall �and rntalea n the d+elmgl 202+IMe `3 aaE
ul l ! I I. Oble+whsr,ftu de-d-�gy Star rated.Most Efik:laK 2021 a' V
f 7.1 D[dscehar,'.'poet-Ero"St-rated N.rslon bD) 0.5 FI�B�I
$� Meall.aeai s,&- f 50 ahn tMernnttert ar �jj'
�I 2. W-hhg star(tf provided)-6lergy-its rated Nenkal S.0 �° ) (r^-
v 3- woet+ng nnchhe cRa.weeltlaU-Energy 2 wtad Nenlon 6.0 20 am wrdruan.
4. - Star'oboe,'bet 5'flaent 2022 rjtcl.-t l00 Um nfsrm.date.r 25c1m coMruals eldulst fan
_ !y 8�'� .2 013AW OpiEL MS LW) 60 CREDITS NTV® DD
tY r TABLE 406 .R4063,ENER&Y C MIT5 REr711RED TOTAL La�H -- b0 ahn ml -,diet fa+
p 202.,
•Jh' t`( r�
" Wleb V I4lkn a..--•"m21 tRG.M5053 t M505.4
II x 1 LJ /`t1 Yfiob-Fbuss MDrMllad VMtXotlan Arfibw Rate per TAdP M' .43(U CAM DAN wod1+S
"'~tiI WA4aN�70N 4rATF Et876Y rlXlF M1F5Fi.2D21)
n.oa123 LOT RrWlRV'IENT:
SIDE YAI�SETBACK CALCULATION PYexr (y, 7aMe R402.13 TdAe R402_I2
I FRONT DR4964CN 64.14'•REAR 55.IT=154.a1' 1^u
2-T7.45'/.rod-T.14'5iVE SETBACK R-Vat,.• u F s ar, m"Hovwe woes OR
C 11"'Standor,d T R-60 0=4 i10oD'lA7RT'w�^BN6fON 4�'�
jL !) / (/ CAT CO✓SaA,f)6
FOOTPRINT i33Sb SF. CMtrg.Rared Neel Trvss.Per R40211 Rya
v 5FIy1.Rafts'a'.bbt Volitad. R36 OA26 e1`4`d'( fff t
f / t / J PPERVIOUS SURFACE. SITE PUN
I L / /S4 NGVGE ROOF Ov8tHN16: IS46 5P. Itod Faro Wadi., R-20+R� p 3 ar R- �R-10 OD56
T ��1�DATA
Sr.SF.TOTAL,
AY. 3,T119
Of.W 3pn9 SF. Floor O+er 1}wa+d Space, R-JO 002a
opaque Ooare. WA U-037 it F05TER
I Slab On Grade, 10.4 FL 034
F.rretratbn LIF-tor Vortical. U-030 W030
�64.r4' sw)ik]nt U-r=tor avartl.ad, U-030 w030 SA6/2PZ4
At`- mz4 w-Rooer�
SFfEET INDEX
` R se OR"vF Al SITE PLAN t EUILOINS DATA
A2 NOTES
A3 KNN FLOOR PLAN a L*rM FLOOR PLMt Al d
A4 ELE'VATICT6 �Q
` AS FOWCATION PLM
A6 LONER a UPPER FLOOR FRlHHIfIG PLAN
AT LORA f WIPER ROOF PL."
AD DETAILS
1 API DETAILS
A10 CROSS 5F:T$M
-,`-
� SCALE:i'=20 MET 21131rn sae,
O 20 40
-` 51 ROOF FRAM MAIN FLOOR[UPP52 FtAOR FR/,t11t15
53 ROOF AL LD PLAN
50 LATERAL LOADS PLAN
\ Of STRIXMIRAL DETAILS
V2 STRUGTLRK DETAILS
SITE PLAN NOTES
N SCALE 1•-2W
j
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment', with more than 2,000 square feet of impervious surface'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity, and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials, and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area ' All dimensions in feet
Buildings / X Z = 76
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
= ao
Driveways o X f
X = Length of drive begins at the right of way
X =
Parking Areas ).5" X .�� = 2 2s'
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
Ir X p = ISM If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 2736
i
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Storm water Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
t
Name J�J)rl i VS Parcel# (2 &-51-00��l BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) ✓ The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail:P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have, a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail:P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
vi �ection as may be required.
X P Owner/Agent/Contractor( 'rcle one)Date: �� 2
Page 2 of 2
40MASON COUNTY Mason County Permit Center Use:
1 COMMUNITY SERVICES ADv 2:QM - OOOM
Building,Planning,Environmental Health,Community Health
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd
Phone:(360)427-9670 ext.352♦Fax:(360)427-7798
Fee: $130.00
Request for Administrative Variance for
Reduction in the Required Setbacks
For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot
lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction
requires a standard variance. Setbacks are measured from the furthest projection of the structure,
including roof eaves and gutters.
Applicant/Owners: 1--Mll P rt I(,A.5
Mailing Address: �" 9-0 c*` V1,041
City: State: Zip: qffi-0
Telephone: 3(10,0'200 -U�
Email Pe,c if, I 1• COlvt
If this reduction is tied to a building permit,please give permit case number.
BLD 4 - QM z
Parcel Number(s): 42;�! 00I4-2n�f Zoning_
Site Address: '3�a kob,'1'_
Requested setback variance:
(� \ ft. ❑ Front aRear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
Front Setbacks—From access easements and road right of ways. Minimum 10 feet.
Rear Setbacks—From the rear property line. Minimum 10 feet.
Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations.
An illustrated site plan is required.
Your site plan must show the following: north arrow, abutting street or easements, and set backs to all
property lines and existing buildings,slopes, surface water, wetlands, critical areas, septic, well and
driveway. Show all proposed new development.
FRONT AND OR REAR YARD REDUCTION REOUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
1) One of the following exists on the lot(check all that apply):
❑ a) steep slopes,wetlands, or streams present;
❑ b) soils that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
d) lot size of no more than one-fourth acre;
❑ e) existing improvements of buildings, septic systems, and well areas.
SIDE YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot(check all that apply):
❑ a) steep slopes,wetlands, or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-half acre;
❑ e) existing improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal from meeting the
setback
�standard for Rural Residential 2.5, 5, 10, or 20 zones.
`�VY�(�(/ul
Owner/Agent(please indi te) r2-y
__gna_ Date
Official Use Only
Approved by: �? U i G o U kG CA Date / 1✓ 2� Z
Denied by: Date
Reason for denial: