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HomeMy WebLinkAboutPermit Building 1993-6-30 ...... ...... ~I a -ne ~I~unty ;,., Lane County Application for Facility Permit ,-- ~~ /~I~ Public Works 9d - /rJ..... () /J ;2!-,/'l,? PERMIT TYPE Driveway Approach \( Utility , '\ Special Event Other I, v~e<r61fry ffv croll 'p!)lilb AWI~ P'easa7!tird5k}JPrl)~ '11-11.- (Road Name) (County Road Nbinbe~ ( Plans Attached APPLICA nON NO COUNTY PERMIT NO CITY PERMIT NO 93 - &o:? 7 'hereby make application for a facility permit on the right-of-way of /'709 MilePost(s) ().oq L <) in strictconfonnity to the aIIad1ed exhibits,subjea toaD terms, alOdi1ions,agr,,~.,,~....., stipJaIions, and provisions contained In the applicalion Irld pemVt,and the rules and regulalions regarding roads and rights-of-way, as set ~ by ~ C9de 15205-225 and Lane Manual 3.120 . .124 and 15~~, and ~ olher applicable regualions, law or ordinlr1ce. Description of Facility: MJ;tt;jp. ~ WrLl/ ~~ V V ~7Uf)) ~JZ! @UAi.d__ ) ~'1J/-1 ~t1 (uaytlme I me~e phonel ) JJ)' 7 to/) Date -!l ,!.If ,) cr.. '1U? '- / - Aasea&~ / 7 0 JJ; c&2 1- ~ Nurriler ,/ V _ '~6Rr. &mi$ltLi10 ~~.- :,:;9FL;D ~~e 9~f77 PW 163.6/92 WHITE COpy - Permll FOe YELLOW COPY - Stall P INK COPY - Applicant altlll' awroval ~ M98-203 REVISED 06/92