HomeMy WebLinkAboutPermit Building 1987-7-2
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'ACTiVlTIINFORMA TION SHEET ,13\11)
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Please complete all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMA TION ONLY
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*DATE 1 / ,41'/ g'1
* PERSON iJ V,
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ADDRESS,-k;fv2J~- ;$~cu.d g f2d ADDRESS ~~7h r?lz/oo}'ND .~
CITY~H I1q.pe--d STATEOe ZIP q79"?~CITY Srl-,//'qfe.jd- STATEtJL
TELEPHONE (BUS) ~f'~-/jJOO (HOME) ?q?-t'4~V TELEPHONE (BUS) ,(HOME)
*PROPERTY ADDRESS ~(~~9? ISrcuv d- ~ B:J - S!)J-/I2..C't_r~ (C-J I n~
OR
MAP & PARCEL .NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
STAF~ WILL r,P2ERMINE
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Township Range Section Tax Lot Zoned FJBod Plain
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ZIP t:}'?f/?~
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4oD_ACRES
* R E QUE S T (describe what you want to do)
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~, MOBILE HOME
MUUFI Q I f II Q..~- (!~..s i--
YEAR / q g:?, .
~IZE .5(4)( (;: h
NO. OF TIP-oUTS n C' II ~
NO. OF BEDROOMS _ ")
Directions to site JiLl7.-.u.1 h..a.f.{r.:et2.c;lb€-'4oee..-v -/':;<'/ZcL ,.t. X>?"r~~~e.{f- _
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- Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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