HomeMy WebLinkAboutSHX2024-00043 BLD2024-01274 Replace Dock - SHX Application - 10/24/2024 r
RECEIVED:R E C E I V E D
MASON COUNTY OCT 2 4 2024
COMMUNITY DEVELOPMENT 615 W. Alder Street
Permit Assistance Center,Building,Planning
PERMIT NO.: SHX2n2-4 - �f
SHORELINE EXEMPTION APPLICATION
Shoreline development in Mason County must conform with the Mason County Shoreline
Master Program. The program requires that substantial development (any development of
which the total cost or fair market value exceeds $8,504.00 or materially interferes with the
normal public use of the water or shorelines of the State) be reviewed with the goals, polices, and
performance standards established in the Master Program.
New or expanded docks or beach access structures will likely require a substantial development permit
instead of a shoreline exemption. Consult with a Mason County Planner.
APPLICANT: Q yyw ' F. �� r
ADDRESS: 7 E. -Da6o6
(street)
She-1-nr WA. WEI4
(city) (state) (zip)
(C-0-0PHONE:( 2 -0327 EMAIL:Od;e-.srm,'44, 772-@g,ail.Coen
AUTHORIZED REPRESENTATIVE: 4J a_mo
ADDRESS:
(street)
(city) (state) (zip)
PHONE: EMAIL:
Answer all questions completely. Attach any additional information that may further describe
the proposed development. Incomplete application will be returned.
PROPERTY DESCRIPTION:
General location (include property address,water body and associated wetlands—identify the name of the shoreline):
T k cr_ p ro peey-4,) .acW r-c5S Is `70 e.Da b o 6 J,, S kr,[4-o ,) UJA I o c�a is j ovN
T,',,bey-la ksz u3 ;4 k)r +ke 1('M6er lake- _E)"eAoprr-q_v,+"o vt E✓ , A gcAv_ Z1.
Include all parcel numbers: Projects located in open water areas, away from land shall provide latitude/longitude.
27-007—Si-0002(-
Is the applicant the property owner? ® YES 0 NO
Owner:
0 w,ar F, M ; I ier
- 76 F_. 1)a6nb RJ : Sh'P I-C6n uJ A c� S84
(street) (city) (state) (zip)
Development proposal (identify and describe the proposed project, including the type of materials to be used,
construction methods, principle dimensions, and other pertinent information): nn
1�e*-M0Ve, EXtSh►+q WOAd�v, ioc+;h dpcjL j7y �,GY�cl� 1n5+oilt l�fLW aluminum. }rtRmE�
dark or+ poly �a,� �iitQc) �'iGQ A. se,•�blr� f-ubUiar ak(ur.,;Ak�r11 FrOhle in 52ciion and
a P�fy Pea'-s � lac h 5Q,c,-+or,. j h clock ex r►S,S+ c-F Are'_ 4-.Ct.x 6
a..d 44- 4eck s slo pnly.
Existing Use (identify current use of property with exist improvements):
I��+vat c-2s,dEr`c�.
Reason for requesting development;
�xis�i.nc� woodr�r �lo�.�„�cl dock has c)(d Iv,ry•6a..r- cL, J ras 1� o�,
Estimated Fair Market Value of Project to Closest $1,000: (e ht�l. ern
ACKNOWLEDGMENT:
I hereby declare, to the best of my knowledge and belief, the forgoing information and all attached information
is true and correct.
O-,.". A. '1A.J(J(L._. L 10 Izq /Z0Z4
(Applicant or Authorized Rep esentative) (date)