HomeMy WebLinkAboutSPI Application - 12/18/2002 c '
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MASON COUNTY
PLANNING DEPT. PRE-INSPECTION APPLICATION
PLEASE PRINT $70.00 Fee Required
1. Owner. T L l T�'hr
cant:
Site Address: I l I ✓- cant Address:
Own Ad ress: r St Zip
City: St Zip Phone:_(_)
Phone:_( ) 0 53 5-- 9q 0 O 2. Parcel No. - - )
Lqgal Description: Planner: GBM RAM PBC SAL
3. Purpose of Pre-Inspection •
4. Use of Building:
DEC 18 2002
�1 C� l�5i ��,� /�10 � — [J
426 W: CEDAR ST.
5. Do any of the following exist on or adjacent to property?: slope\/ saltwater❑ lake ❑
river❑ pond ❑ wetland ❑ seasonal runoff❑ otherY stream ❑ seasonal creek ❑
2
Directions t Site: o e ECG d
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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, or the laws regulating development of the
site change after the time of inspection.
Applicant Signature: C—�4" ;/��) �� Date:I IV
If you would like to be on site during inspection, please check here: � •l � ��
Return application to: Department of Community Development, Planning Division
P.O. Box 279
Shelton, WA 98584
(360) 427-9670
Please include a $70.00 check or money order payable to Mason County Treasurer
When completed, this form becomes part o he parcel file.
FOR OFFICE USE ONLY: Accepted b,, ' Date: '
Please illustrate below the proposed buildi sits in Y
ation to water&property lines: /' n/�)/
e to/b,..2-2002
SRG/W ortl/MyDocumenls/Typed StufVPre-I nspedion
Please illustrate below the proposed bijilding site.i r lati n t water and property lines:
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Departmental Review
(For Office Use Only)
Planning Department Findings:
Typed S,u fFN,In,Ma Back 10-2-2002
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