HomeMy WebLinkAboutPermit Building 1987-7-24
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ACTIVIT/ FORMATION SHEET ~
LAND MANAr.r Mr..n rlIV/'>lC)N
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FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
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ADDRESSS~Q7.s-lSnznd 8 eel ADDRESS ':)b~7b '5RANO.~ RJ)
CIT~~tt I1I!P e-- tL "'AT,roe- ZIP q7'i"? .f'CITY 8p r/ ItqfeJ d- . . STATEOC . ZIP 9?Y7,?',
TELEPHONE (BUS) .c,Lf5"-/'PC;O (HOME) ?C/7-<f4.s-~ TELEPHONE (BUS) (HOME) 7Z,.,s>!3:/z',
* PROPERTY ADDRESS 30 S-OS- 1Sr-a.-n...-- cL ~ !S::l - ~Vr'lLOt-re~1 c.f, 0~
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MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
. STAFF WILL ,,,o~RMINE
It 0''2 10 /oe ( )e;R~
Township Range Section Tax Lot . Zon~d I ~d P;ain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4.e>o ACRES
* REa U EST (describe what you want to do)
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Directions to
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NO. OF np.QUTS...---n 0 n -L
NO. OF BEDROOMS _ ~
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....................Staff Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 9740l phone 687-4061