HomeMy WebLinkAboutBLD2024-00913 - BLD CD Environmental Health Review - 7/29/2024 MASON COUNTY Ptr dtNY:j 00913
COMMUNITYDEVELOPMENT RECEIVED Mz
P mitAss)mme Center,Bundln&Planning JUL 2 C U 2024 _ <
BUILDING PERMIT APPLICATION or SYdjpg
PROPERT OWNER INFORMATION: CONTRAITOR INFORMATION: Z
hWi'k-LI 5 roM NAME: Mn.�DOC. /�„tlnrl'LIA. LL,L q 3
NAME:
MAH.WQO� DRESS: O,n_ 2..r C373 MAII1N-enDEE$$: OA. '_Lvt t-t0�-, _ Rfrl
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gINARY CONTACT: OWNRR� CONTRACTOR D OTHER[ O (A:
NAME EMAHJYIwLY
MAHEiGADDRESS A S3 LITY BBrrrr SLATE ZIPS ✓
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PARfEL INFORMATION �� l�
PARCELNIRABER(12Di®TNmMtlQ 77226CI1))D 1-1 zolmlc�n:� Od.�rAha.� C% yyj
LEGALOESCRIPDON(Abla .d) h 5 HLIG° I Lorfd7 PIREDI CT D hs� Q
SITE ADDRESS I CITY :� PQ jt
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SAL'[WATERD LAKE❑ RIVER/CREEK❑ PONDD WHTIANDO SEASONALRUNOFPD SDWAMO
TVDR OR WORK: NEWS A UTIONO ALIERADONO REPAIRO OTHERLI
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ISO=; PRDTARYD SEASONAL NOMBERLPBEDROOMS 7- N EROPBATHROOMS-2--
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DESCRIBE WORK N O
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o•CnIRED HOME INFORMATION: aA COPIER OF THE FLOOR PLAN REQMREDa
MAI�a. MODEL YEAR LENGTH
WmTH B®ROOMS BATHS SERALNUAIBER
ENYIRONMENTAL.HEALTH:
SEWAGESEWPA80URCE: —.A SEWER I NEWD E%]eTTIJG�
ALUM Wawsmu m1RE9 Mss- NOD UWx.ana[F[anpbnd WamrAdaq yFw
PERA9:TERiFOU1JDATION DRARVS PROPDSEDT YES$ NOO EXISIINGSQ.FT.
EMSTDVGHEDROOMS PROPOSRDBEMWMS J.Z TOTALBEDROGMS
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PROOFOFWNTINU [ONOiM1YORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE APPLICAT N OF 8➢DAYS OF MORE WILL CAUSE THE APPLI TION TD BE EXPIRED.(MASON
CWNTY CODE 14.U8AR)
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DFFARTMFNTALREVTEW APPROVED DATE DEN® DATE TAGWNOTE!MDU'IDTDONS
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