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Home My WebLink AboutPermit Building 1974-7-22 -;;- ~.~- , , ,/ ') I' " / L- , LANE COUNn.UILDING PERMIT OR MOBILE BUilDING []X MH D MAILING ADDRESS 870 \-J. CENTlllitJ I AL SPR 1l:0F' I ELD, Oil EOO:) MAILING ADDRESS HoAsE PERMIT PERMIT NO, 1~.4 oJ.:j " . , . f, " .. l>'~ I; ~.., ~.. . d'" .- PROP~RTY OWNER HILL, CONTRACTOR 1 233- i~ :IODEFl',' n. PHONE -(116-991 ~ PHONE PROPERTY LOCATION - INCLUDE POST OFFICE 1RD ADD TO MEADOW GREE~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS "-lQ4::JUK~ J RANGE ESYATES L-6, B-6 ---- --- TWP SECTION TAX LOT NO. 06. 4,2.. :It I~~ COOE CENSUS TRACT 17-186 18 02 APPl. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY JASPER RO~D PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage System D SQ. FT. .;.: BDRM$ 1159021.&> (3) 440 (() 5.~ New System D VALUATION 2- ?6.' ~O J,.- ~.t: D~,'E LL I NO GAflAGE 2,3~?00 c 7 , J~'i). .:u SEW AGE DISPOSAL . OTHERD 121.00 ~.OO 2&.00 FEES PLUMBING INSTALLEO BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1 ):l SURCHARGE SEPTIC TANK ;0: PUBLIC 0 o OTHER MIN. SEPTIC TANK CAPACITY WITH DtST. BOX: GAl. 900 1.49 lOO.4CJ COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED lIN. FT 1 r;JJ TRENCH WIDTH FT. 2 OR SQ. FT. 300 TOTAL t TYPE OF STRUCTURE OCCUPANCY 5N &. J BLDG. SETBACKS. FT. FROM CTR. OF ROAD RIGHT OF WAY "5 5 FRONT 'I SIDE INT. SIDE EXT. REAR AUTHORIZED SIGNATURE - DATE S/S J.E. Doss DY CHA~LES HA~C^UGH ZONE PUBLIC UTIl. EASEMENT USE CLASSIFICATION 7'PUE DATE J. SHOO:{ 7-22-74 L~ BLDG. PERMIT-WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687,4065 ta schedule all required inspectians. All canstruc, tian shall camply with Uniform Building Cade, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing, All buildings require a certificate of accupancy befare being occupied. (See Details on Reverse Side) FORM:: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 BUltoJ~G SirE EVALUATION I, . 56/c/1 ;]6'0# ~c;.. M - . L.. c: T ;y-"IIIIf 002 So ~ TAX LOT ~~,:3 CENSUS TRACT , . APPLICANT: ,1/. 'd~ NAME Ii?~~ AODRESS () Building Permit Application No. 1.).3 '? -7</ () Site Inspection () Pre-Permit Investigation PHONE DATE 7/5-/ '7 if , / LANE COUNTY PLANNING DEPARTMENT NOT NO YES app I i cab I e I. Zoning Ordinance Compliance l ) ( ) ( ) (Zone Rfi ) (P 2. Subdivision Ordin~nce Compliance ( ) ( ) , 3. Required Access ( ) ( ) ( ) {\) 4. Building Site (Area, Width, ( ) ( ) Frontar' Setback) 5. Ot he r (see comments ( ) ( ) ( ) COHM ENTS : NAME DATE ~~~,,,,;:." "7- /.o-7z/ , ~ . BUILDING INSPECTION SECTION NOT NO YES NAME DATE appl icable (~ 6. Plans Submitted l ) ( ) 7. Soi I Stability (foot i ngs) ~{ ( ) ( ) 8. Flood Plain M~ ( ) ( ) /;fi)#!/<;U;4A;!"ti 9. Ot he r (see Comnents) }J{l ( ) ( ) ~I fJ ~J f):' flf __._._.____.__'u_"__. - ._.._._,-'--~._'-'-, " .....".--...---'" . . -_.,------ -- IJ COMMENTS: SANITATION SECTION NOT NO YES \mM k app I i cab I e 10. Sewage Disposal l ) ( ) ( ) 7. 'l /71 e- ll. Us ab I e Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) J) 13. Other (see Comments) ( ) ( ) I) c COMMENTS: TO APPL I CAr: 1- (f -1 Your JJ#ln ( ) ( ) ( ) Building Permit / Site Inspection: Can be app roved. Cannot be approved at this time as indicated on item NO. above. Quest ions and further inform'at ion on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 through 13 contact the Lane Countv BuildinQ and Sanitation Division. Will be held in this office until you can resolve the problems indicated. Is being returned. Your building permit appl ication fee is being returned under separate cover. LANE COUNTY PLANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4186 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 ---...C55-28 / . bqtl> 9/9/74 . . 1233- 74 CURB CUT Permit No PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com, missioners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to 870 W. CENTENNIAL SPRINGFIELD, OREGON or constructing the following facility: LOT 6 BLOCK *3 3RD ADDITION TO MEADOW GREEN ESTATES ROBERT N. HILL BUILDER for placing, building JASPER ROAD upon the right,of-way of County Road No, , Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the application and permit, the Rules and Regulations Gov, erning Facilities to be Permitted upon County Road Rights,of,Way, as set forth by the Lane Man- ual 50,190(2) any amendments thereto, and any other applicable regulations, law or ordinance. . Special Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica, tions (Drawing M98,50). 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition, 3. SIDEWALKS WILL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHEO SIDEWALK SPECIFICATIONS AND DRAWING M98-49. THE STANDARO CURB SHALL BE CONSTRUCTED UNLESS OTHERWISE SPECIFIED: This permit 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 be, fore 9/9/7') 19--15., Expires 19_. Inspected and Approved Approved by Board of County Commissioners By Dato 4/ L2~/ By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUilDING & SANITATION DEPT. YELLOW - REAL ESTATE C98-79 -' t LANE COUNT.UILDING PERMIT BUILDING MH MAILING ADDRESS OR MOBILE HOlt USE PERMIT PERMIT NO .. OWNER PHONE ( JNT' ACTOR MAILING ADDRESS pHONE )P l(\t:ATlON INClUDE POST OHILE PROPERTY LEGAL O~~CRIPTlON - METES, BOUNDS "ION T A; L ~O APPl. NAME EXISTING STRUCTURES ON PROP':RTY LEGAL ACCESS TO PROPERTy & MAILING Sllf FT ADDRESS ~bR MOBilE HOME PERMITS ONLY No. of Bedrooms f~lJc. 'URE: '0 It E IL HI~ PERM I , WIDTH DEPTH AREA Connect to Existing Sewaqe System New System I 1 YH: 'NSTR'J( "InN Auj..(~".n VA,LdA\ld~ SEWAGE DISPOSAL PUBLIC BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUM . ,.LED BY SEPTIC lANIt; OlttW" . FEES OWNER OTH~H; NAME WATER stJ)PlY PUBLIC OTHER !E\W $ MIN. SEPTIC TANK CAPACITY WITH OISl. spx, GAL CO~~TY a~I.L>IN<;7 & SNIIT ~ TIOI' SPECIFIr;;AJIQ,NS ~,.It:r FIH~ REQUldlli UN, FT TRENCH WIDTH FT D,R ;Q FI TYf Of STRUCTURE OCCUPANCY lONE 'ueLt( UTIl EASEMENT BLDG SETBACKS FT fROM CTR OF ROAD RIGHT OF WAY USE CLASSIFKATlON FRONT SIDE INt SIDE EXT AUlHORrzEO SIGNATURE - DATE REAR DAn (UOC PFRMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION GOLDENROD Call 687-4065 to schedule all required inspections. All construe tion shall comply with Uniform Building Code, D.E.a. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildin . lire a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON. MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE. OREGON 97401 , -" '" . . SITE I NSPECTI ON ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVEO L-../ 01 SAPPROVED L-../ DATE INSPECTOR REMARKS tJ /('t(, d,,~~:It ~A ']- J..cl--- 7" I / ' " ^ , ,~" ~ // rlj II I~/I' Ii: I_taut.. .A-ttYLLL-'IJ' 1l1l Cf..{"1./1( ~ f>.- ;Lt- -' 71;' I tb!l f;3j Ii FRAMING INSPECTION ~~~ ApPROVED /", r 01 SAPPROVED / / DATE ff'-).I- 1{ I NSPECTO{ % &, I REMARKS ')_~;-;J<<4' ~",:k{lgM/</'#r /.L~tP;"'1~.4~UI /iz1J./ ~?1If: /,j/i.~J ~'l'-4(:.,f-~""""--'4-.1"~wf 1t'4;J. .:;tl,'lfC T7 / C!:!.! ,,' ~. b ! . I . ~jiVnM";.1' t?ll.tUljI. 'K ~ J. f -1lf1':1l.. \, c.; I " LATH OR SHEETROCK INSPECTION INSPECTOP- ApPROVED ~/ DISAPPROVED /I DATEIl-Jb-11/ REMARKS ~/. FINAL INSPECTION ~ "..om azf ';:t~';K!,. 0", 1-/7-71( '""",,(~ ~. /. REMARKS,.I~ ~ '10DA _ ~ Dk CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS A 9 Ii '. {J ..J ,b;'~o/ /AU'/' II - ,. 0 I /;.. 33-?l( /1$ ~ ~1J" /J uAe 3 {p 'i1 " ~ . . . . Datt: Permit No. CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com, missioners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby. ORDERED, that a permit be and is hereby issued to for placing, building or constructing the following facility: upon the right.of,way of County Road No. , Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the application and permit, the Rules and Regulations Gov, erning Facilities to be Permitted upon County Road Rights.of,Way, as set forth by the Lane Man, ual 50,190(2) any amendments thereto, and any other applicable regulations, law or ordinance. Special Provisions: I, Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98,50). 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his 0 peration, leaving the roadway and area in a neat, acceptable condition. V;{J 1J/~'7q ri This permit 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 be, fore ,19___. Expires 19 Inspected and Approved Approved by Board of County Commissioners By Date By Director of Public Works ~ WHITE - OFFICE FilE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUIlDING & SANITATION DEPT. YELLOW - REAL EST A TE C98,79 .......... . LANE COUN.UILDING PERMIT OR MOBILE Hal USE PERMIT BUILDING 0;' MH 0 PERMIT NO. MAILING ADDRESS f;:-::CT,'~:. D;u u. C~tjVnr:::Ht.!. S?;1tr::_:CJ'C~~" O)r:c:"'~J MAILING ADDRESS ~~~~.'~' ,,- "" (. . ' .' PROPERTY OWNER o :.,~." , PHONE, . . ,fl' r <''I' t'I..~ ,0, "-- CONTRACTOR PHONE PROPERTY LoeA nON - INCLUDE POST OFFICE ;,1:1) ~~)) 70 ~:-:~S8t1 C::~CC:W CUYl\1CQ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ....~....U .\......."1 _~,-'"'.7 t..iv...... TWP (RANGE SECTION l.c~b 0=3 TAX LOT NO. CODE CENSUS TRACT 1701CG -nn ....J 02 c6 APPl. NAME . MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY r;C:1l! LEGAL ACCESS TO PROPERTY .Mana [lCAO /) t.I J( e PROPERTY SIZE - FT. <ff- WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage System 0 SQ. FT. :# BDRMS H'j) C m .C):s) New System 0 VALUATION ;~;;Q~'~~~: ,,' r.,:;;~!.H;() I"r""""rT \ ...........J'.;. I,r..) (' " ~ ~..., \. ';Jar ,'___ n.,'l:::"~~t c-': (,:... SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK :8: . OTHERO lG~.{;U '",).00 ;-.d.~ FEES OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 o OTHER 1 r ~:~:-:C::Cir:3C TOTAL . 1.1;) U:,.1.;:.J COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. ~7J DRAIN FiElD REQUIRED UN, FT ~ 5;) TRENCH WIDTH FT. 2 OR SQ, FT. "-""--""), ~";_v TYPE OF STRUCTURE <;;:l BLDG. SETBACKS._ FT. 1.. ,) OCCUPANCY I(jJ lONE PUBLIC UTIl. EASEMENT FRONT FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE J. r;. ~;:l:j~J .;V Cu~nt.C;o t:AQc.."t:::l:~ USE ClASSIFICA liON REAR 1'~UZ 2.IL t~. f';:1~:t . DATE -!c.>~~~:-71-.j BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7,4065 to schedule all required inspections. All construe, tion shall comply with Uniform Building Code, D.E.Q, standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) rORM ::!: CSS.IJ (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97.401 "'lIIIIIIII . . SLAB FLOOR PLUMBING GROUNDWORK , '. ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARKS ROUGH PLUMBING APPROVED~ DISAPPROVED ~ DATEU-1-7s REMARKS INSPECTO~ (j ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING DATE 'j"-5-1:7 INSPECTO~~ .1 '=?d ed' ;/~!. ;t}":..{-.?.;-~ ApPROVED lE1 DISAPPROVED ~ REMARK S. / ... ~ r !.L.J<'......1 U' ..- FINAL GAS PIPING ApPROVED ~ DISAPPROVED / / DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE L:::7 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS INSTAllER: Complete ~SED SEWAGE DisPOSAL SYSTEM AIIb.' ~\!. . top pa~o~orm to signature and submit bot ~s with applioo~ionn. PERMIT NO. 1233-'~'t.' JS \~ INS~llER'S j~ It:lvo,A III cJ5/09. No. Lf~g Units Bedrooms Baths PROPERTY AOORE~~ 3680 DUKE Basement Yes No Water Supply Public ~ Other-list Septic Tank: Ft. from well Steel 0 Inside Dimensions: Ft. length Width Sl Diameter OWNER ROBERT N. HILL NAME HA I LI NG ADDRESS 870 W. CENTENNIAL , Concrete 18I No. Compartments Ga)b3/;ci ty Tile Disposal Field; DePth:).1 Distribution Box; Yes c,..-/ No Other Distribution-Type SPRINGFIELD, OREGON Sq. Feet from ,,^ WE 11 /VUNe lot Li ne Front 1Ft. Betwee? Lines 16 h/' ~engJ:h o~ Lines-Ft. lT~ench 1'1 Total /dD2\eJ63. 4. 5. 6. W,dtl'bl..'A Ft. :'Jot Plan (see instructions): !J. -.~ ~ ~Y' "'" ~ ~ >- -' .€t~1' <71 'I(., ~ ~pf\v .,-~~ \\ " . I i=:12J Pc... :+'" I ~ }fa '--'. S C . /l // Si9nature {f~h:I~ (~A //'f:ii:i:: CERTIFICATE OF SATISFACTORY COMPLETION -- - J- ~ For Sanitarian Use Only: Date: "! FJ.J7-! In accordance with 1973 Oregon laws Chapter 835. Section 214 this certificate is iss ed I' as e~I:~e of satisfactory completion of a subsurface sewage disposal system at the above locatio. Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: \ - ) Date C55-11 ~\ Foundation Side Rear IFi ller..IFi ller Dept!l<: IFi ller, Below Type I )!LJAbove Ti le'f6 inJrile '" in. L5L 1\ \ ~ /' \./ 33 '\ .or cR. ( N L.. '\ ~ :::::~j -r. -~ \1 ~ ') I'tve:r -) I~ ....j / \ \~ "- 0-- ~ \ J-, ...... I 1\ '/ '\ '/ STATE OF OREGON DEPARTMENT OF rf0'~~_ V~. --)-- Sanitarian's Signat~e lANE COUNTY ENVIRONMENTAL QUALITY LANE COUNTY.}l.DING PERMIT OR MORIDA ~OM.SE APPLlCATIO.. N 71/ . Pl'RMIT TYPE - BUILDING ~ MOBILE HOME Dose Rl,. 6"'1 PERMIT:it /j3.J- ~ PROPERTY OWNER -' ~IUNG ADDRESS f l;j PHONE Lied, RtNw.Ar d, tf'7t? (/J .;?bn7Mvn/:r./ ~d ~p 'Jt/~,c;ql,b CON~CTO~ , MAILING ADDRESS , / .- ~ ~--r//??O PROPERTY LOCATION - ~NCWDE POST OFFI E ;J / _ .L L ,~~ _ .;J--e/J add..,6 mt7/74./W/) ~ &:i:t-a...l.6a/ ~ - ~ ~-3 P;OPERTY LEGAL DESCRIPTION -3 / 0";( 11. ~ J I> - LOT - BLOCK - SUBDIV, 0 0 u ~l..JL/ TWP RANGE SEC. TAX LOT # /,f' I);:). 00 APPLICANT NAME ~J--:?, ~ , PHONE METES & BOUNDS ATTACHED CENSUS TRACT _~ /~-/f? k> DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY DYES o NO CODE AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCT~S TO BE BUILT THIS PERMIT /Ua..u /.L;~ -. ~ ~I t"06. r ,1 - /h .AI7't.-L LEGAL ACC"eSS TO PROPERTY - ROAD,AA'!'IJ OR # ~./~) LD PRo&iize-'NfDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION Sewage System D ar New System Req. D SQ. FT~ # BEDROOMS VALUATION 11.5" 9~JJ.tD (3) ~ ;)/"/.,2f) 1'7'0 @53o ~3 3~t(X) ~')$g.~{)' ~, SEWAGE DISPOSAL PUBLIC 0 BLDG. WASTE OIS. PLUMBING PLAN REVIEW SEPTIC TANK 0 ./,;,L7. '-'1'> ..> 'in, C) f') ~ R ,r")T'J FEES OTH ER 0 WATER SUPPLY PUBLIC 0 PLUMBING 'l!'ES -2- FIXTURES OTHER ~3,ot::J ......:JL/, a~ ";J-,, ~ 0 PLUMBING INSTALLED BY OWNER 0 OTHER n NAME PLANS FURNISHED FACILITY PERMIT ~ES ~O _ YES 0 Nodi S OF ~~ /_ d. . DATE ~/~. ?-3-7f/ ~E~ECEIVED BY DATE Jd.UJZ... ?--3- 7'/ PEib~3-7t/ .' fARK TRLR. ~ TOTAL -I. if '1 /99. 4(')0- 9 MIN. SEPTIC TANK CAPACITY 9'00 CASH D S~R I CHECK rn,..A:""ONNECTION FEE PUBLIC WATER \ <1 t2~ CONNECTION FEs.....-..-' c::r / , WITH DIST. BOX: GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT. J ~ TRENCH WIDTH FT. -Q... OR SQUARE FEET ~ 01'\ TYPE OF STRUCTURE OCCUPANCY y-> I vc-l BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY SI! ZONE REAR YARD PUBLIC UTIL. EASEMENT USE CLASSIFICATION FRONT t,/ S- SIDE INT. .;s-- J~ f;Jk/'i7/~ r;J;ections to Find Property: SIDE EXT. - REAR 71/JaE' Dote BLDG. INSP. /1 ~ 7-/t'!?-7Y frrC' I <I , , /. ftr(/ 1/ I . Dote r COPY 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # C55-12