HomeMy WebLinkAboutPre-Inspection - SPI Application - 7/14/1995 MASON COUNTY 7LD �eiwe cu"
SHORELINE PRE-INSPECTION APPLICATION p� �y
PLEASE PRINT �ow.
$42.00 Fee Requi(ed
1. Owner: /lilts, W1 I-on Applicant: •5-une-
Site Address: Applicant Address:
Owner Address: PO L30)( F�/SS' City: St Zip
City: 1557 r St 44- Zip Phone: ( ►
Phone:
2. Parcel No. 25 -5-6 -0700& Legal Description:
3. Purpose of Pre-Inspection: 0 i 4-ea'rtaa_
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4. Use of Building:
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ro,,cq�t.z�h5. Is there any type of water on or adjacent to property?: salt try
river pond wetland seasonal runoff other . C"d,
Directions to Site: % 1 /
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: Date:
Return application to: Department of Community Development,Planning Division
426 W. Cedar/P.O. Box 578
Shelton, WA 98584
(360) 427-9670/1-800-562-5628
Please include a $42.00 check or money order payable to Mason County Treasurer
FOR OFFICE USE ONLY: Accepted by: I Lij Date: Zf d IqS
Please illustrate below the proposed building site in relation to water & property lines:
Departmental Review
(For Office Use Only)
Planning Department Findings: