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Home My WebLink AboutBLD2005-00220 litReview T Ty216 UILDING PERMIT APPLICAION ML ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00220 Received Date: 4/12/2005 SITE ADDRESS: 356 POINT WHITNEY RD BRINNON, 98320 OWNER: DOUGLAS C PETERSON PHONE: 360-796-0550 KAY L PETERSON 356 POINT WHITNEY RD BRINNON WA 98320-9753 SUBDIVISION: Block: Lot: 5+ PARCEL NUMBER: 601181008 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr DEMOLITION PERMIT- demolish shed, garage, house TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 38 BANK HEIGHT: 54 SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 3 Prop: '0 Prop: 0 Total: 0 Total: 0 Routing Date: q ( � oq n/ Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,399.35 BAC 04/12/05 72904 APPROVED Plan Check $1,559.58 BAC 04/12/05 72904 State Building Code $4.50 BAC 04/12/05 72904 MAY 2 0 2005 Potable Water Application $53.00 BAC 04/12/05 72904 efferson County Planning Total: $4,016.43 B Department B!LDING PERMIT APPLICATI !! MLA05-00216 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00220 Received Date: 4/12/2005 SITE ADDRESS: 356 POINT WHITNEY RD BRINNON, 98320 OWNER: DOUGLAS C PETERSON PHONE: 360-796-0550 KAY L PETERSON 356 POINT WHITNEY RD BRINNON WA 98320-9753 SUBDIVISION: Block: Lot: 5+ PARCEL NUMBER: 601181008 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI DEMOLITION PERMIT- demolish shed, garage, house TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: 38 DECK: BANK HEIGHT: 54 SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: 2 ---- Cj Exist: 2 Exist: 3 Prop: ,0 Prop: 0 l' Total: 0 Total: 0 + Routing Date: , r / 1 ,f ( 1. ,, n t1 l i• f { r) • Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,399.35 BAC 04/12/05 72904 Plan Check $1,559.58 BAC 04/12/05 72904 State Building Code $4.50 BAC 04/12/05 72904 Potable Water Application $53.00 BAC 04/12/05 72904 Total: $4,016.43 • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00220 Received Date 4/12/2005 SITE ADDRESS: 356 POINT WHITNEY RD Issue Date 5/20/2005 BRINNON, 98320 APPLICANT: DOUGLAS C PETERSON PHONE: 360-796-0550 KAY L PETERSON 356 POINT WHITNEY RD BRINNON WA 98320-9753 5+ SUBDIVISION: Block: Lot: PARCEL NUMBER: 601181008 Section: 18 Township: 26N Range: 01W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, DOUGLAS C PETERSON PHONE: 360-796-0550 if different: KAY L PETERSON 356 POINT WHITNEY RD BRINNON WA 98320-9753 PROJECT DESCRIPTION: DEMOLITION PERMIT-demolish shed, garage, house THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 5/20/2006. REQUIRED INSPECTION: FinalApproval: Z2K -Gf "Ina ) 5/4/#77 BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS FOR CASE#BLD05-00220: 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 18, 2005 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Conservancy Shoreline Designation, Seismic hazard, Level 1 (slight) landslide hazard area, Fish &Wildlife Habitat(Spotted Owl and Bald Eagle), Susceptible Aquifer Recharge Area and Coastal Seawater Intrusion Protection Zone (SIPZ). 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 6.) Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 7.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. • 8.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 9.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 10.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 11.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 12.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 13.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 14.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 15.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 16.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. • • 17.) MANDATORY MEASURES FOR COASTAL SIPZ: t. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 18.) This_parcel is mapped within spotted owl and eagle habitat areas. This proposal to demolish a single family residence, garage and shed should not adversely impact spotted owl and eagle habitat. The proposal to construct a single family residence with attached garage, submitted under BLD05-00221, shall be reviewed by Washington State Department of Fish &Wildife for any potential conflict with wildlife habitat prior to permit issuance. 19.) The applicant is proposing to remove 10,777 square feet of impervious surface and create 10,777 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention)of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 20.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 21.) This parcel is designated Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 22.) All land disturbing activity shall take place within the immediate area of the single family -residence, garage and shed to be demolished. The proposal shall take care to preserve shoreline vegetation. All land disturbing activity, clearing and grading outside the immediate area of the single family residence, garage and shed to be demolished requires review by Jefferson County Department of Community Development for stormwater review and environmentally sensitive areas. 23.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 24.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 25.) The site plan as submitted with the demolition application on April 12, 2005 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 19, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 26.) This,approval is for demolition of a single family residence, garage and shed only. Any future.permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. • • I:\F_BLD_Permit_Propane.rpt 10/29/19 DD5 - dap M PERMIT# v al O 1 �""�►� ' APPROVED CONDITIONALLY APPROVED cz f r. . NOT APPROVED ORCAA ,. OR COMPL ANCE WITH Z 1. 2005 " -Jumspµ-wsoM-R ORCAA • ULATION 1 ( BY: 1 /t, Notification of Demolition Permi It is unlawful for any person ttrcause or allow the demolition (or major renovation) of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the structure. I Project Site Address: 3S6 Po(fr,1' �JL4(4‹,y �ok.JJ County: 3A-4<AP5of\ City: 13,se State: WPC Zip: S 32.0 StartingDate: 1�t °c, Z-.Ci�- `�_. t = 1 Completion Date: r�u 6-• a e -�- *(There is a 10 working day a vance notification period from receipt of permit application) Property Owner:Dct.,.1L.5 C.. '? '&vsb✓I Telephone:340-79(-OSSO Fax: Mailing Address: 35 b Po i H-{ Ulf h.14(n,c y R p A-A City: By t v<won State: WES Zip: 110 20 Demolition Contractor: b w State License#: Mailing Address: City: State: Zip: Contact Person: Ow w.-. Telephone: Fax: YES NO Demolition by Wrecking or Dismantling? ($25.00 fee) check# 53g ✓- Training Fire Demolition? (If yes, attach fire department request for training fire) V Renovation, Alteration, Remodeling, Maintenance,or other Construction? V Asbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal gojects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestos Survey Completed by AHERA Certified InspectorR t7 Certification#. &',q-/ 1i Cc 2-- This approved permit must Enclose$25 Certification of the Asbestos Survey must be available at the job site Processing Fee accompany this form 2940 B Limited Lane NW,Olympia,Washington 98502 360-586-1044 * 800422-5623 * fax 360491-6308 homepage:www.orcaa.org * email: info@a,orcaa.org Rev.07/1 I/02 PAID , ,�j``t;" �o� JEFFERSOOUNTY • / iiiiiho DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 APR 1 2 2005 360/379-4450 • 360/379-4451 Fax O www.co.efferson.wa.us/commdevelopment i Master Permit Application fl2L MLA: 05 21 k, Project Description(include seRarate sheets as`necessary): SI%Alk_ 'ccLItt;t1y Y'GStCtevlse— W( C ccc ked c vc �- Tax Parcel Property1 - �a < « l o p g Number: Size: 5.94 / L 7 44 (acres/square feet)_ Site Address and/or Directions to Property: 35 6Vo-t - k kA-h ey ' _ D ` b1256 N 1 Y1 V o V\ VA 616 a 3 20 Property Owner(s)of Record: Dot las C. a.IA.a� W kc& L. Gv-s o y Telephone: 3( O-"1 q 1„ Q$s 3'" Fax: — email: k a vt oQC v -web,ytG4 Mailing Address: 3S(2 PO 11,t j' Wht-Toney ROa.cl BYlI4I'1vr1 WA gg320 Applicant/Agent(if different from owner): Telephone: Fax: _ email: Mailing Address: Wpat kind of Permit?(Check each box that applies) (Building 0 Variance(Minor,Major or Reasonable Economic Use) Orpemolition Permit ❑ Conditional Use[C(a),C(d),or C]** M'SIngle Famil 0 Discretionary"D"or Unnamed Use Classification Garage ttach Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home 0 Boundary Line Adjustment ❑Modular 0 Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** l 'Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference _ **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agr to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and n required inspect' ss and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: ,.y t„ f Date: ' ,• t L. The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the ' "Endangered Species Act"or"ESA."Jefferson County makes no acsurances to the applicant that the actions that will be undertaken because this permit has .-en issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev- f you are, compliance th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra rable r:�.. sibil' for . e ; . . .nd corn I n with the ESA. The g f —�_9 Applicant has read this disclai er and signs and dates it below. Signature: • - l_. - -= Date: .4 II .-s C 5 • G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc It OWNER BUILDER STATEMENT The signer of`this statement oes hereby certify that y are the Owners of the parcel referenced herein,tha they are not licensed contractors and that they will be assuming the r nsibility a neral Contractor for the proposed project. Signature: I Date: L$ /f Li C GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL • Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: N' New air Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: 3 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: 3 He l : [individual System [3 Repair O Masonry SEP Permit#SFPOLF-ODL99 ri Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 111 Private well ❑ Two Party Type of Heat: Proposed: Total: 2.., 3g ❑ Public Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1YY,.Jnderground Tank ❑ Above ground Tank Size of Propane Tank: 2.00 clet4 IV Heat Stove [V'Cook Stove ❑ Woodstove ❑ Fireplace Insert L] Hot Water Tank ❑ Pellet Stove fif Other 0.4-dow ia. Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Ftir°Office'Use Only ` N"~ �'t Current Proposed •'.. A "" ,,.�"'- " , Main Floor �Gonlste 1A .,, ' "0,-.. k' . z2 o .26 nctR lr VC} 3 �:s ale.� ..,�,r n 2"i'Floor Bas -tee - N `"` 3rd Floor :Additional Section: Mezzanine: Plan.Check fee 4' i..n. • Heated Basement Tt ��QQ� ` . '�tesur�dlagq Unheated Basement �Ln� ,,r�/ #aof i Other Unheated 911/Rd A r � 2�` `� tr � Jz.k �g.. 4 -0.,...,...:',.. Garage/Carport urt wA E `r i r3. =1r $z"i f336 ta62 tom * Q �y tn4f .-u Decks Govew<cl I if . )- . s� O CV% g7 �SyReNr�0 ' L� • ` , 1W. {t Other C6 ucrc 4 e vtkvy 17�ttzeww/ 2112.4 egiit.ba C Nr `, ' ' : { 'ESTIMATED COST(REQUIRED) 350023 Date: ,t 4 : *Fair market value of all labor and mat ' is foundation • r 0 `1 w'` ;` ; � a - `9 2RS,.Oct , ; G:\Pem itCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc _ r�ur� rir . ` N89° 59' 00" E _.. . . � \ ''?'0,f-''' s _____ 4,130 48 4 .� VRZ�EW P'`l . e ''''''- 1. -------TBM ----1 1 _ n / �'rro HOUSE T Le, h A / 1 / (''''. < IN r-- g...y‘ n . A . SHED NI- . 7 ri / . TB ,. -...... fp/ WAY - /./1. A 47 -TREE! .9 r' \ $ S 8Slr .,4 / • 41 • 7RE • 1.SHML / %° ri 1 ',I# , ‘-'' ,. 1 ,1 / 7e.„, trAP ��P / te ) GARA5E 4r4 ►� �r . . . J '" POLN: TANK I�ti TREES :3HMI K EE2 1.CDR TB /ATR 2qQ" / 50. •• ` ` 52 A. TREE2 1. • R / �g2 TREE2 .5FIP. CDR REE2 .8FIR le T'EE2 .H •k • i' • 7 , TREE2•' 1.5FIR / • REE2 .9F i r / TREE2 SFIR 'lt lt,„� EE2 L FIR ` h O 9 ) • i / j p TREE2 .9HM `v� TREE 1 .9CDR � TREE2 2.FIROP /� �� .I..r� 4/ TREE2 .BCDR TR IR + QQ ',T 1•F ; 'TREE2 2. CDR REE2 2• .H K • E1 5.MAPLEzri �.'./iii„,.,44. . ..//�i i j j TREE2\1 CDR 1� TREE2 2. •'MLK 1. 401 1 � 4. 46r 87 TREE2 .8FIR � ZEE1 2.5WLLW TREE2 2.FIR /1 : TREE2 1.5H LK 4 53 ��/ �/ 1 °J TREE2 .BCDR �` \ Imp TREE2 1.4CDR • 50 pi T E2 1.5FIR `� 4... wif i TREE2 . M // , # TREE2 1. 1FIR �� • h hQ TREE2 1.5F1R 4.TREE2 .BHMLK ,(/ • 761 , 86 SOUTH PROPERTY LINE i 39° 59' 00" E PX CD _�... --= lic407ci ,", f Of 4p , , Q �_ 0 co f 0.0 e.„ / / F___ 015 . t._, .... -1-- / Cree, CO CO_VIWkee•S eLp 5 ® gypp - ?R-t - oa• 'Petf2- - 01 '".-- til - . c..1 2 ti.V ; / c..1 / ,, X. / ii z U • h