HomeMy WebLinkAboutPermit Building 1973-5-23
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PROPERTY OWNER
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LANE COUNT, ILDING PERMIT OR"MOBILE HO SE PERMIT
BUilDING 0 MH 0 PERMIT NO,
MAILING ADDRESS '
870 W. Centennial. Sofd.
MAILING ADDRESS
. - ~ 'V. ,
%;'~? /7'..3 t :' ~ "
878-73
Hi II. Bob
CONTRACTOR.
PHONE
746-CJ~16
PHONE
"
PROPERTY lOCATI9N - INCLUDE POST OFFICE
i04a; Dondea
PROPERTY LEGAL DESCRIPTION - METES. BOUNDS
Lot 5. Blk. 21st Add.
18
2
to Meadow Green
SECTION
6,). 3
T AX LOT NO. CODE
1f-.J;;t? /!/(J;p?) 35-152A
. EXISTIN'G STRUCTURES ON PROPERTY
CENSUS TRACT
TWP
RANGE
APPL.
NAME
&
MAILING
Bob Hill
870 W. Centennial
None
LEGAL ACCESS TO PROPERTY
Oondea St.
PROPERTY SIZE - FT.
ADDRESS Sorln9fleld. Or.
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
.
New System q
VALUATION
Olrtelllnq - main
Garage - otto . unc.
Covered ootlo
Wood
1087 @ 12
294@3
98 @ 2
3
13 . 041.
882
196
14,122
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
$
OTHERD
.;q.OO
20.00
21-1;0
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
Jack Jackson
SEW AGE DISPOSAL
PUBLIC JO
o OTHER
TOTAL
$
100.1;0
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
UN, fT 225 TRENCH WIDTH fT, 2
OR SQ, fT, 450
MIN. SEPTIC TANK CAPACITY
WITH DI$1. BOX, GAl. 1000
Hold trenches to a 2~' maximum deoth. Stay 10' from the property line and house with 011
oorts of the droinfleld. Divert roof drains to the street.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
RA
USE CLASSIFICATION
PUBLIC UTll. EASEMENT
5N '. I> J
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT 45
SIDE INT. ~ SIDE EXT.
AUTHORIZ~p SIGNATURE - DATE
/s/ Boss bv Harbauah
REAR 7' PUE
DATE
G.W. Grav. R.S.T.
5-23-73
BLDG. PERMIT - WH lTE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD.
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN, DIV" COURT HOUSE. EUGENE. OREGON 97401
FORM ::C55-13
BUILDIN~ SITE EVALUATION
{'\ .
. ,-
(j Building Permit
. G,G" ~~
Appl ication No.-2L78-73-.
T 1<2. R-.aLS /..... .TAX.L.Or
C~S:TRACT'.{}:" - fS.21.f1 '
APPL A if: II' \\ '
NAME H I
ADORES '
() Site Inspection
() Pre-Permit Investigation
LANE COUNTY PLANNING DEPARTMENT
NOT NO
aDD I icab I e
I. Zoning Ordinance COmpJian~ ( ) ( )
(Zone (l . )
2. Subdivision Ordinance Compl iance ( ) ( )
3. Required Access ( ) ( )
4. Bu i I ding Site (Area, Width, ( ) ( )
Frontage, Setback)
5. Ot he r (see comments) ( ) ( )
COMMENTS:
YES
('/
( )
I
( )
(
NAME
DATE
JhJ-
~-;"""I/- .7<"
(, )1
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
aDDl i cab I e r:iJ
6. Plans Submitted ( ) ( )
7. Soil Stability (footings) ~'I> ( ) ( )
8. Flood Plain (1) ( ) ( )
9. Other (see Comments) (I) ( ) ( ) {,u iD~ oj'. ~ ~ -'I']
1-
COMMENTS:
SANITATION SECTION NOT NO YES NAME DATE
aDDl i cab I e
10. Sewage Disposal ( ) ( ) (~
II. Usable Area ( ) ( ) ( ) , /~r
12. Water Supply ( ) ( ) ( ) ;// (;j. ~ .
P' ~ ZI'-'/.J
13. Other (see Comments) ( , ( ) U ~/
COMMENTS:
TO APP LI CANT:
Your
P1
Building Permit / Site Inspec~~:
Can be app roved. ,y c:... /,,).--5
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildino and Sanitation Division.
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit application fee is being returned under separate cover.
( )
( )
( )
U\NE COUNTY PLANN I NG DEPARTMENT
"\'; Sixth Avenue East, Eugene, Oregon 97401
"II"NI' :\1,1-1'\ 11 rx r. 7'; 1
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 411
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Date
.
.
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of
Couuty Commissioners of Lane County, and it is the opinion and judgmeut of the Board
that the said applicatIon should be granted, and that a permit should be Issul'd, now,
therefore, it is hereby
ORDERED, that a permit be and is hereby issued to
for the placing, budding
and constructing of the following facility:
upon the right-of-way of County Road No. , in strict conformity to tht' exhibits
attached thereto, and subject to all terms. conditions, agreements. stipulatIOns and pro-
visions contained in the application and permit, the Rules and Regulations Govl'rning
Facilities to be Permitted upon County Road Rights-of-Way, dated March 31. 191,0 and
any amendments thereto. and any other applicable regulation. law or ordinance.
Special Provisions:
This pernnt is revocable at any time. and will be strictly adhered to and no work
other than that specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been
completed before
, 19 _ _. Expires
, 19
lnspl'cted and Approved
Approved by Board of Comllnssioners
By
Datl'
B~'
Direclllr of Public \\ork~
....HITE QFFILE FILE PINK PERMITTEE ORANGE BUILDING & SANITATION OEPT
GREEN RESIDENT ENGINfER BLUE ROAD SUPERVISOR VELLO'" SURVEYOR
en S2
.. .
. .
-
Date
.
..
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APPLICATION FOR FACILITY PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
Your appl icant.
hereby makes application under Rules and Regulations Governing Facilities to be Per-
mitted Upon County Road Rights-of-Way. to construct the following facility:
Upon the right-of-way of County Road No.
. at the following location:
as shown on the exhibits which are attached hereto. in strict conformity to the state-
ments of the exact nature and amount of work to be done. and to the description of the
facilities contained in said exhibits. Your applicant will be the beneficial owner of the
facility as constructed. or otherwise primarily liable and responsible to members of the
public for its proper maintenance. repair. operation and use. Your applicant accepts all
tenns. conditions. agreements. stipulations and provisions. in Rules and Regulations
Governing Facilities to be Permitted Upon County Road Rights-of-Way. dated March 31.
1960. and any amendments thereto. and any other applicable regulation. law or ordinance.
Signature
Address
WHITE. OFFICE FILE
GREEN. RESIDENT ENGINEER
PINK. PERMITTEE
BLUE. ROAD SUPERVISOR
ORANGE. BUilDING AND SANITATION DEPT.
YELLOW. SURVEYOR
Phone No.
"..,-,.
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LANE COUNT~ILDINGi' pmAlrO~' MOBILE
BUilDING 0 MH [j'~~, .\: ",,,,j ,
MAILING ADDRESS "
0;0 tJ. Ccn~Gi'c:llli. C)':<.:.
MAILING ADDRESS '....
HO.USE PERMIT
PERMIT NO,
"
'u'i:'''f/i~;
PROPERTY OWNER
:; ill C;;) \
CONTRACTOR
I'
PHONE
7t..~;...~~: 11 ()
PHONE
.: '
PROPERTY LOCATION - INCLUDE POST OFFICE
W~:; b~;:l2Ll
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
L;Jt ~. DDh. a In& "':'d. to C:CC::D\1 Greon
TWP RANGE SECTION
I',
i'
u, j,
~
TAX LOT NO.
~; --'lG~>
CODE
CENSUS TRACT
::I
/ ,"/ 5l:.~ I ~2{\
EXISTING STRUCTURES ON PROPERTY
tC3r:J
LEGAL ACCESS TO PROPERTY
iJo~:!co lit,
PROPERTY SIZE - FT.
APPl.
NAME
&
MAILING
C;D Hill
GiO U. Cc~tcnalol
ADDRESS S:Jrlrl;]fI6Ucl. Gr.
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. ;; BDRMS
New System 0
VALUATION
L~;::J1 11.,,) - cilo
G~'?~~CJ - a~t. Q ~n:;. "
03V~7Cll ..,.Jclo
~d
ICJ7 () III
c';I}'~,; j
!::O (; a
;;
I ;l.G.!:'~
l::2
iC".
l4.W_,
"
,
SEWAGE DISPOSAL
.
OTHERD
50,Cl)
r~.oo
21.r;O
FEES
PLUMBING INSTAllED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
J,'":~"1 t~CC::.r.3::
puauc 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
PUBLIC :EJ
o OTHER
TOTAL
.
lCJD.r;O
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN, FT 225 TRENCH WIDTH FT,
2
OR SQ. FT.
~:;o
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX, GAL I C:JD
'~:jld trcn;;:'2J eo Q 2/;''' r.:o:t~r.:1.Cl dc,th. Scey 10' frC!:l ~tl:) Drlll;)ovtv Ilno end [~IJCO L1lth 011
DC7Co of t~ droln?lold. DI~~re roof 'rclno eo c~ otrcc~.
TYPE OF STRUCTURE OCCUPANCY
SfJ I l> J
BLDG. SETBACKS __ fT, FROM CTR, OF ROAD RIGHT OF WAY
FRONT ~5 SIDE INT, 5 SIDE EXT. REAR
AUTHORIZED SIGNATURE - DATE
/0/ DoDD by H:)r~c~D~
lONE
M
USE CLASSIFICATION
PUBLIC UTIl. EASEMENT
7' PU;Z
G.U. Orcv. n.S.7.
DATE
5-2!lo1~
BLDG. PERMIT - WHITE
OffiCE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require 0 certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY. SLoG. & SAN. DIV., COURT HOUSE. EUGENE, OREGON 97401
fORM =C55.1]
.
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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVEO ;---? O,SAPPROVEO ~ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVEO ~ DISAPPROVEO ;---? DATE
REMARKS
ROUGH PLUMBING
ApPROVED .;x;:; 01 SA,PPRQVED ~
REMARKS
Dm?/. 'J - 71
,
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
FINAL PLUMBING
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED / / DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ;---? DATE
REMARKS
.
INSPECTOR
INSPECTOR
INSPECTO~ ~
C/
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
. '
. .
Install..ef's Name /
IVtJ.,W\ (J/tJ..ccU
No.LiVing?nits IBed~6msIBat~s
septJ.c TanK:
Ft. fr9m well Steel 0
Insl.Oe Ul.InenSl.ons: l'..t..
Length width
Applicant
Name Bob Hi II
Mailing
Address
870 W. Centennial
.INDIVIDUAL SE~ll DISPOSAL SY. RECORD
Installer: Complete top part form to
signature and return both copies to Lane
County Building Sanitation Department.
878-73
GG
Pr-RMIT Nn_
I Property Address
1045 Oondea
I Basement I Water Supply
Yes 0 No ~ Public fsi Other-List
Concrete ell:::
No. Compartments I Gal. Capacity. [00 0
Tile Disposal Field:
Depth Distribution Box :Yes _~ No 0
Other Distribution- Type
Diameter
Feet from
\'1,,11 Foundation ) 0
Lot Line
. Front - Side /0 Rear /0
ITotal Sq1Ft.between\Filler IF~ller deothlFJ.LLer depth
A "" ' I 0 'J above below I
ft.,...>O IJ.nes Type 1 'L. ,,:,,1<=:10 ?_ ~_~, ,,:;1~ -'<~. of,...
SerinQfield. Or.
Length of Lines - Ft. I Trench
1.7~Z70 3.j()4. 5. 6. Width:z.
Sketch (See instructions):
I
-10 -
,
,
iO'
I
,- -- \ --
i 10'
, I
L_:!..6'
--
, .'
10
I
----
I
\
,
130'
1-10'_
I
+S'
5'
--
:s.s'
I
ItS' I
-_l
~
~
---
-
-_.
(
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-- __ 4S' I
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- ~ I
'<-. ' :)
,;,< ...~ ~
~... , ~...
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\$/
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Date 7- 28 -73
Signature ~ :1- _ __
Conforms to Current sLdards ~a:~: <2' ~/- 23?})1
to Current Standards ~
c
For ~itarian Use Only:
0rApproved: System Installation
o Disapproved: Does Not Conform
Remarks:
-AN.
~ Sani tarian I s
Lane County Building & Sanitation Dept.
.'
L
OWNER
LANE COUN"ILDING PERMIT OR MOBILE
BUilDING MH C'I
MAILING ADORESS
H_SE PERMIT
PERMIT NO.
PHONE
CONTRACTOR
MAILING Aob~~~s
PHONE
PROPERTY LOCATION - INClUDE POST OFFICE
PROPERTY LEGAL ~ESCRIPTlON - METES, BOUNDS
TWF
RAfJGt
SEe-liON
TAX LOT NO
CODE
:fNSU5 TRAC T
APPl.
NAME
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO
&
MAILING
, mE-FT.
'.. ...1.
WIDTH
DEPTH
AREA
FOR MOBilE HOME PERM(TS ONLY
No. of Bedrooms
!:;YklK '\.JRES TO BE BUILT THIS PERMIT
Connect to Existing Sewa~e System New System [1
Tvf1't cb~STR(fCTm~ ~a FT lftnn.H VALUATION
-~
SEWAGE DISPOSAL
PLUMBING INSTALLED BY
PUBLIC
SEPTIC TANK
lo" i,~~
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAilER
$
fEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBliC
J OTHER
TOTAL
s
MIN. SEPTIC TANK CAPACITY
COUNTY aUllPINIi & SAt'! IT A nON SPECIFICA nONS
!~I,;r F1EL~ REQG,,{6
"ilJ.H ~'SJ BOX, GAL
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC urll lASEMENT
BLDG. SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY
USE ClA.SSIFICATION
FRONT
SIDE INT. SIDE EXl
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BlOG PERMIT - WHITE
OffICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulatjam-
covering plumbing and sewage disposal All buildings require a certificate
of occupancy before being occupied.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIY COURT HOUSE, EUGENE. OREGON 97"01
0'''' = (55 1]
'-_.0,
..... .. ...
-
tIP
SITE I NSPECT I ON
ApPROVED C1 DISAPPROVED C1 DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO L./L-f DISAPPROVEO L-f DATE L;,/') " 1}
REMARKS~./.. b -:2ff.""#
INSPECTOR. {Iv.
FRAMING INSPECTION
ApPROVEO ~f 01 SAPPROVEO Cl DATE, ~N7"9TJr
REMARKS ~ ~ ~ ?to/ ~ C;---;Z 2..n~
/
LATH OR SHEETROCK INSPECTION
ApPROVEO L-f DISAPPROVEO /
f DATE
INSPECTOR
REMARKS
FINAL INSPECTION ~
ApPROVEO ~ISAPPROVEO ~ DAHl"tJiP~7J INSPECTOR Y-;J
REMARKS.~~~ (J~,~~ ~ ~ ~
~'.67um ~e,-'2"-"13 V_
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE L:::7 DATE
INSPECTOR
REMARKS
_/7
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'8'7'S--7J 71-d:t' /I)#J"L)~
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LANE COUNTY .ING PERMIT OR MOBILE HOME. APPLICATION
TYPE - BUILDING W' MOBILE HOME Dose REG. # ? / PERMIT # 5?' 7rf -7.....-?
MAILING ADDRESS A J --4 ~ - PHONE
~ R7tJ U/d~~~~.;_o/ 7#-:-~/?
, MAILING ADDRESS ~ // / -/PHONE " , -
.~, -1'
- / ~J J ,I
/~ C7 Zt' .dms & BOUNDS 0 YES
--;p7/-?",", J ~JTACHED 0 NO
CODE CENSUS TRACT
:3 S--/002A
DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY
~-
LEGAL A~S TO PROPER: ROADIJ"7 .OR #
~ 6- 4:/
PROPERTY SIZE-wrOTH DEPTH
.'
PERMIT
~ROPERT .P7~
- -~-1
ONTRACTOR /
PROPERTY LOCATION-INCLUDE/~Off ~
,~ 5 LlLL.:L
SEC, TAX LOT #
c...
PROPERTY LEGAL DESCRIPTION
lOT - BLOCK - SUBDIV.
TWP RANGE
/X'
APPLICANT
NAME
AND
MAILING
ADDRESS
~
~~
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTI~?~?~O BE BU~ ~ PE~IT '"
~/U/.b~ ~--A.
~A'_~--r~""'~A~~ /4/'1<;:1../
~---/.L:~~~</~7
, ~--o;'~ ~ LJfi
SE~E DISPOSAL
PUBLIC 0
BLDG.
WASTE OIS.
PLUMBING
PLAN REVIEW
PARK TRlR.
TOTAL
Connect to Existing Sewage System 0 or New System Req. 0
TYPE ~O~ /~Q;'~@}.J!- t30j V/3:1t17"~
-~9y~d ?l &'..2.-
'R(g~ I '1~
7- .
/1f/:<,;L
_~_ ~~../iU?J
FACILITY PER~
YES b!:' NO 0
..." DATE
1/..iI/ ..:j:-,,<J -7 ~
DATE
-.6--/S--73
PLUMBING INSTALLED BY
OWNER 0 OTHER~AME./.
PLANS FURNISHEI5 /
YES)(" NO 0
/,0t!r7J ~;:;;E 7JZT-7J.
F~ ~Y ;
PERIIII1Z# 7'" ~
P7 k--;:?7
COUNTY BUILDING & SANITATION SPEIZ'IFICATIONS
DRAIN FIELD REQUIRED /
lIN. FT. ;l:Z~ TRENCH WIDTH;'T. .2-._ OR SQUARE FEET
Z" a.. -2 t/ "'1... ~---J/.l..td~ ~
.~j I '
-7,).<' f .~/.f aD-,;{",
I
SEPTIC TANK 't.J('"
$ 4J:~,;j
3!:J ,.CJ 0
~/ "C7/
/ IJ 0 ',51J
OTHER 0
FEES WATER SUPPLY
PUBLIC )c(
PLU,.rI'I~EES
~XTURES
CASH 0 se<eR
CHECK }?"CONNECTION FEE
PUBLIC WATER
CONNECTION FEE
/. ..::.-zJ,
OTHER
~/J/1
MIN. SEPTIC TANK CAPACITY
jAil f)
WITH 0151. BOX: GAl.
~ %.;;:,,1..t.U
-r~ ,7ZU, r~
J,;;,u,-yf., /S-,uL ,..f,.AA":'..- ~ /ltc,
TYPE OF "STRUCTURE 's AI OCCUP/~ 1 ;''/:f REAR YARD
BLDG. SETBACKS - FT. fROM eTR. OF ROAD RIGHT OF WAY ~ USE CLASSIFICATION
FRONT c.-; ~ SIDE INT. ~ SIDE EXT. - REAR? If?(/jt::. ~
SA~'J~RIf'N DatflfA~~INGA 11 Date SLOG'. IN/SP.,4 .. _/1.,/J /i) ..
..czIAJ ~v ,5-.2/''1..'1 ~,~-j'}~7~ f.)~ f -A'Z oS -.23.''n
, - ~ /1 1 () I ~
Directions to Fiikt Property:
//J~~~--",
COPY 1 - OFFICE
COpy 2 - JOURNAL
COPY 3 - AUDIT
Form # (55-12
AREA
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PUBLIC UTIl. EASEMENT
Data