HomeMy WebLinkAboutPermit Building 1993-6-30
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~I~unty
;,., Lane County
Application for Facility Permit
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Public Works
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PERMIT TYPE
Driveway Approach \(
Utility , '\
Special Event
Other
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(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/ ~~
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PW 163.6/92
WHITE COpy - Permll FOe
YELLOW COPY - Stall
P INK COPY - Applicant altlll' awroval
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M98-203 REVISED 06/92