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HomeMy WebLinkAboutBuilding Miscellaneous 1967-3-14 PROPOSED MONTCLAIR ' 'DITION RECE I PT- .NO. 9n475 • • • TWP. 17 RANGE 03 SE0._3!L �ea TAX LOT NO. CODE_ SERIAL NO. REQUEST FOR SITE INSPECTION DATE 1, , , BY BRITfON, Jones MAILING ADDRESS 751 West 12th TEL . No. -7840 Eugene, Oregon and Sink OWNER OF PROPERTY Rassmussen SIZE OF PROP. • .6 acre LEGAL ACCESS? Garden Way CONSENT OF OWNER? Yes EXISTING STRUCTURES ON PROPERTY I dwelling SOURCE OF WATER SUPPLY: PUBLIC XX SPRING WELL : DRILLED DRIVEN DUG DESCRIPTION OF SITE (DIRECTIONS, LANDMARKS, HOUSE OR BOX NO., IF ANY) : Garden Way south of Centennial . PROPOSED USE OF SITE (E.G., NUMBER OF DWELLINGS, COMMERCIAL OR INDUSTRIAL USE, SUBDIVISION) : Subdivision L7 URBANIZING AREA. FEE: No. OF SITES 1 $ 5.00 SPECIAL PERMIT AREA. NO. OF ACRES 1 7.00 BB:sk TOTAL $ 7.00 �, j , RESULTS OF INVESTIGATION: / / / (// ��� �//�, `-- /�/ ✓ _C�y-iii�✓-'-cU�z \ C7"�//-�" ^✓•- ,____ eri-- es BEFORE CO UCTION IS ST RTBRING THIS FORM TO THE BUILDING AND SANITATION DIVISION AND MAKE APPLICATION FOR A BUILDING PERMIT. IF THE PROPERTY IS A PORTION ONLY Or A TAX LOT, A METES AND BOUNDS DESCRIPTION OF THE PARCEL MUST BE FURNISHED. EXACT SPECIFICATIONS FOR THE SEWAGE DISPOSAL. SYSTEM WILL APPEAR ON THE BUILDING PERMIT. TWO SETS OF THE BUILDING PLANS AND PLOT PLAN WILL BE REQUIRED. LANE COUNTY BUILDING AND SANITATION DIVISION: \p-e.,,, 5 . Cnagt, C- F -(f. ), /s--2- � - ‘ ? &BUILDING INSPECTOR SANITARIAN! DATE THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING INSPECTOR AND SANITARIAN. C,,-OI1-OS