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Home My WebLink AboutPermit Miscellaneous 1974-5-10 (2) ~ r~~~~~ ~df7/ .". ~;~~J ".- ''''''011\1'',. I ;,1. ::0 " Rcc1!Tved by Code' .C.T. Number Socclo' Permit Area' Urboni1.in', Area ntls IS A P'RELlHIIIARY REPORT WIl'C~O E,SAmT IfISURE THE ISSUMICE OF A FUTURE BUILDING PERliIT. PLANS "oR EX"fN~ITURES HADE IN. 'Y\hl .CE..~~PDf THIS REPORT c"RE AT YOUR OWN RI$K., ; ',. .f.... grd.fJ<M:.'.PfEASE PRINT 81/(5('-15-:20.' .If S~bdivls~"n\- Nomc: yf Vd-;:"::" Blk."2.. ((-IL)81f,{B-9./Dlot /.9. .Block H 1i35F(? hJ. .~;?,t( If~ 13..t:.,-t"".&v ~ "No Township Range Section ,Tax Lot No. Owner of Property Owner's Consent . .7l{-;:3'b 2: ,~, I I ~4 ''ifi j .'.' '. "'~ R'-dr:.a. F,'X' No. of Sites I~ Name .L3J:Ff (:J~I-Wd-fa.1- I-d(7tZ No. of Acres 4- l1alllng Address . . ~br"/"rf',<a.f/ Total ,.'. /7 ~ " Cash LJft-'30t~ .' X..1?'/...h"'~ rr -Y <%4-?"...ctheck Telephone II Signature of Applicant Date'. $ ~7S.Ch "'3'- $ $ ;~2S.~ . ,. -i ;;1' ,.... , :u: ;.:' Owner Seller . Proposed Use 0 L' ~f Prop,erty: t..f?a..5)dd-I'TT)O'l Applicant's Interest Buyer In Property: Other (Specify): Rea I tor Property Size Legal Access - Road'Name Existing Structures on Property . , 'I. . . Is Property Within One HIJe of Yes Y What City? .5..J2..Fd. 110 -r- I I Property Locat Ion (0 i rect ions): /.I 2!!sf. c/- (Tay tZ. t- /? d' S~VM f Sa:J Sf'A':",J'; "'~ ',< ,.,il ~;./ /~;.JhO C i ty7 Proposed Water Supply Publ Ie V District: Sp r I "g We 11 Other (Specify): I ..: ':';',::. It'I': ':",.V.'" .,..~ ,I ....I,.. .;,.... J ~ ... .'. U..., //~/~ dutf- When Will Test Holes Be Ready? HARK TEST HOLES WITH OUR FLAGS h" ~ . j " (Date) . 111 ,'ll' ':,'; , . '. '!:'II,I'.1I'II'; ~:, \. ',' : if" "r",)' .-- "'ii" ".1111.'" '.'~; ~ r': Ilo..:. .\..... ,. .....,......." Location of Test Holes on' Property: ,- Draw diagram of property showing location of any landmarks and relationship of test holes to these landmarks: . , -- .i' ' . ,\ '. i",- ." ',. !':'Ol'. " "lJ. .. , .' !:'I 'I "''1 ; ,'" I' I - .'\ . \' \\,' '~-:;\:L "'~V ! ; ,.y ~ ". (j{,f-... Oregon 97401 : .\".,' ,;~"!(Ldlt MAKE CHECK MAIL TO: C55-55. PAYABLE TO: HEALTH AND SANITATION LANE COUNTY BUILDING AND SANITATION DIVISION, IJ5 E, 6 th Avc., Eugene, , . r:\L(~,:~~~,:,I{~!~~ ',h\j_~..,~,,~~~~~:..: ,. . ..--; ';'-~l~k{-!.:',' ,~ -)~ \._~~~.1,~f;~,&.,~~tlJl".",. , .~ . . ~:..1.__~~~_'!_~_~____/. ,L.7T~~~u~~~ ~:i.- _.- ~~!~-~ ffl Test /lole "._ _ ~2 Test:...!~ole . \".' ?Te., _ /laIc . ---:-'~-"-----------:--i I 0" - 10" L . '1~1 V" - &'0" I..~", e:.:'~rlf,.I' '0 :.(,o ...(oq...~~.;., ~".k t=d II ..~ ~R.,~~Ro. fill . r, I. i I I -. I \ r , . ,- ~ " ~ - '. .--__If!/ _L!I!k J __'!.!..... ~/lo1'=-_ 0" - ff)" k,~-II?~. (lOll {Jf Tf::ST HOLf:: RESl)LTS 4Jt, et( i- ff2 Test /lole 0" - '1': 1/ I I.<....{.._ /..j ~arn.' . L.,.f l elk i- ff3 Test /lole 'l.lj\, .()" - 75" "<0'1. h1 .' .' :- TEST HOLE RESULTS ",,+ f-.i.'t., " ff2 Test /lole - '--'_. ". _ .. u _____._.~_ ..--~L '6 _8..I!,-'!- '!.!.....T~/lo1'=-_ 0" - zr v A.OC( '" r' /-" f /0 i?Ji; 2- ff3 Test Hole - 70 I J '.' 0" "1. ---- -- 0" - 7,f" f..OQr>1 0" " I I I '. ,::" . 11+ V.e,"D" i.sJoj~~ s.r 7'-1-.3tf ~ /O"1.u 7L( I ., " IItJ '" ..,' .!. ., . ~. I :.