HomeMy WebLinkAboutPermit Building 1975-4-28
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LANE COUNT.UILDING PERMIT OR MOBILE
BUilDING [](X MH D
MAlllNG ADDRESS
870 VES7 CaNTE~NIAL
MAIllNG ADDRESS
HOeUSE PERMIT
PERMIT NO.
OUILDER
SPilltlGr IE LD
<)46-7'1
PHONE
7"(-....S ~ {
PROPERTY pWNER
C"EGON
CONTRACTOR
S1!ItE
PROPERTY LOCATION -INCLUDE POST OFFICE
PHONE
i}Ol DUI1C: STREE1' SPRINGFIELD OREGON
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Iln1 AI)DITIO~l .0 t-1EADOW GREEN ESTATES
TWP RANGE SECTION
LOT 22 BLOCK 2
18
2
6J3
TAX LOT NO.
::jJ 92,1 t!
CODE
CENSUS TRACT
APPL.
NAME
&
MAlllNG
ADDRESS SPR WGF I EL 0 OREGON
FOR MOBilE HOME PERMITS ONLY
"l'i-l'i2A
EXISTING STRUCTURES ON PROPERTY
ROBERT N \-I'LL BUILDER
NONI;'
LEGAL ACCESS TO PROPERTY
3701 DUXE STREET
PROPERTY SIZE - FT.
870 (-lEST COITEtlN I AL
WIDTH
DEPTH
AREA
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT # BDRMS
New System D
VALUATION
f}..Jr:U.Ii'](,~
10~< g
59<H)
16.10
5.30
lt16. ('11. ':ll'
$ 3, J27.CO
I~At1AGfr
l'j,~
.
OTHERD
92.00
2'}.OO
2'1,00
fEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
SEW AGE DISPOSAL
PUBllC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
1~~SUnC'IARGZ
TOTAL
SEPTIC TANK 0
PUBLIC D
o OTHER
$
1 17
11::\ ]"7
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN fiElD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
C'AlO
tiN. FT
1<;0
TRENCH WIDTH fT:'U: PTN ~ OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UT1L. EASEMENT
'1~'1
BLDG. SETBACKS __ fT.
FRONT I)')'
IP.J
FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT.,' SIDE EXT.
AUTHORIZED SIGNATURE - DATE
USE CLASSIFICATION
REAR
7'PlIr
DATE
/s/ J, E. Boss C. HARBAUQl1
JOHN SNOOK/SANITARIAN
4/;>817'\
nl r~
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
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)
FORM:::!: C55- 1J
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EA.ST 6th, EUGENE, OREGON 97401
'Bui~ING~SIJE EVALUATION . 'jS/C ft
. ~
ri- BUILDING PERMIT APPLICATION NO.,~46-7~
() SITE INSPECTION
1.
2.
1/ 3.
'/ 4.
s.
Not
Applicable
Zoning Ordinance Compliance: Zone~~ ()
Subdivision Ordinance Compliance ( )
Required Access ( )
Building Site (Area, Width. Frontage) ()
Other (see comments) ( )
PLANNING DIVISION
COMMENTS:
T Ir"'A O'e. S ~11. TAX LOT
SUBD I It itPI!'N:
LOT:
Q, i-h/J
APPL I CANT
DATE
No Yes
()~ 6.
( ) n
( ) V1
()v-r
( ) ( )
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPllCATIONH
BUilDING INSPECTION DIVISION
Not
Aool icable
( )
\~
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POlUTION CONTROL
Not
Applicable
( )
( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
()~
( ) ( )
( ) ( )
( ,) ( )
No Yes
()Tr
( ) ( A..
BLOCK:
CK'D By:cJ..h.TW'Z.'f0-
Setbacks from c/I of r~~d:
Front i'~;-f
Si~8 l!)(tflri2r~
Setbacks from interior lines:
Side _"('
Rear -7' Pelt:.
CK'D BY:~
~m
CK'D By.\\t~ If/M7f::
clJ\J~ DATE
TO APPLI CANT:
Your Building / Site Inspection:
~ Can be approved.
~L ~ ( ) Cannot be approved at this time as indicated on item NO. above.
t,1-'~- Questions and further information on items I through 6 contact the LANE-
~ COUNTY PLANNING DIVISION. Questions and further information on items 7
~ through 12 contact the lANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held in this offJce until you can resolve the problems indicated.
( ) Is being returned. .
( ) Your building ~ermit ap'plication fee is beinR return~d under seoarate cover.
,,~rARTMENT OF ENVIRONMENTAL HANAGEMEN"f
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
lANE COUNTY PLANNING DIVISION PHONE: 687-4i86
C55-28
Dat"
APR I L 28, 1975
.
.
946-7')
CURB CUT
. .
-
.' .
Permit No,
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached opplicotion hos been fully considered by the Board of County Com-
missioners of Lane County, ond it is the opinion 0 nd 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 WEST CENTENNIAL SPRINGFIELD OREGON
or constructing the following facility:
ROBCRT N. HILI
for placing, building
4TH ADDITION TO MEADOW GREEN ESTATES
LOT 22 BLOCK 2
370! ~ /....J
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 ond provisions contained in the appl ication and permit, the Rules and Regulations Gov-
erning Facilities to be Permitted upon County Road Rights-of-Way, os 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),
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,
2.
3.
SIDEWALKS WILL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED SIDEWALK
SPECIFICATIONS AND DRAWING M98-75 THE STANDARD CURB TYPE 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 obove is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed be-
forF'
APR I L 28, 1975
,19_,
Expires
,19_.
Inspected and Approved
Approved by Board of County Commissioners
By
4/ b/':-L/
- ~ -
Director of Public Works
Date
By
WHITE - OFFICE FilE
GREEN - RESIDENT ENGINEER
PINK - PERMITTEE
BLUE - ROAD SUPERVISOR
ORANGE - BUILDING & SANITATION DEPT.
YelLOW - REAL ESTATE
C98-79
"
.
.
Dot~
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 soid application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
ORDERED, thot 0 permit be and is hereby issued to
for plocing, building
or constructing the following focility:
upon the right-of-woy of County Rood No. , Mile Post ,
in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contoined in the applicotion and pelmit, the Rules and Regulations Gov-
erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Mon-
ual 50.190(2) any amendments thereto, ond ony other opplicable regulations, low or ordinance.
Special Provisions:
1. Driveway will be constructed in accordance with the attoched driveway approoch specifica-
tions (Drowing M98-50),
2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadwoy and right of woy caused by his operotion, leaving the roadwoy ond area in a neat,
occeptable condition.
This permit is revocoble ot any time, and will be strictly adhered to ond no work other than
thot specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemploted sholl hove been completed be-
fore
,19.
Expires
, 19
Inspected and Approved
Approved by Boord 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 ESTATE
C98-79
...
.
LANE COUNTAuILDING PERMIT
BUilDING ,., MH"
MAILING ADDRESS
OR MOBILE HOeUSE PERMIT
PERMIT NO.
PROPERTY PWNER
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, aOUNDS
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
APPl.
NAME
&
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
MAILING
PROPERTY SIZE - fT,
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewof\.e System New System_Cl
TYPE CONSTRUCTION ~6 FT :: BDRMS VALUATION
,
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER. SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
OTHERO
~.!!-l~_
o OTHER
TOTAL
I
COUNTYBUILDING & SANITATION SPECIFICATIONS
DRAIN fiELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH OISl. BOX; GAl.
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
BLDG. SETBACKS FT. FROM ClR, OF ROAD RIGHT OF WAY
USE CLASSifICATION
FRONT
SIDE INT. SIDE EXl.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUilDING - GREEN
SANITATION - GOLDENROD
Call 687.4065 to schedule 011 required inspections. All construc-
tion sholl 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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 61h, EUGENE, OREGON 97401
~o~'" = C55 I)
SLAB FLOOR ~
PLUMBING GROUNDWORK
.
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
GAS PIPING GROUNDWORK
INSPECTOR
ApPRO~ED / / 01 SAPPRQVED ~ DATE
REMARKS
ROUGH PLUMBING
ApPROVED ~ DISAPPROVED L:::7
REMARKS
ROUGH GAS PIPING
INSPECTOR
DATr& ..-/?- JJINSPECTO~ r
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
FINAL PLUMBING
ApPROVED JX1 01 SAPPRDVED ~
REMARKS
FINAL GAS PIPING
INSPECTOR
DATE?-21" /~ - I NSPECT~ ,M
(/
ApPROVEO ~ O'SAPPROVEO ;---y DATE
REMARKS
CERTIFICATE OF OCCUPANCY
INSPECTOR
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
REMARK 5
INSPECTOR
.
.
, .. APOSED SEWAGE DISPOSAL SYSTEM RrAD :.. .'".
INSTAllER:' Complete top part""form to signature and submit blll'copies with application.
/7 PERMIT NO. .~-75.
I NST.tJF~R' S NAME /./ .! PROPERTY ADDRE~~ 9~~ 7.S
riP_'ll Ill~. 170t DUKE Sr.
No~ livi,g Units \B~d~oms Baths Basement Water S~IY
ftf 1 Yes No ~ Public Other-list
Septic Tank:
Ft. from well Steel 0 Concrete rn No. Compartments / Gal. Capacity /(ltf})'?J
Inside Dim~ions: F;- ~I ~ile Disposal Field: .~
lenqth ~J Width4'~j Diameter Depth 7tJ1 Distribution Box: Yes I' No
OWNER' ROBERT N. HILL Other Distribution-Type
NAME
HAILING
ADDRESS
870 W. CENTENNIAL
lengj;h .oj.. Li nes-Ft. 'Trench I
.1.r27.s3. 4. 5. 6. Widthz"
'lot Pla~(See instruct.ons):
~ ._-w \
Total Sq.
Ft., -? DR>
Feet from
WEll
lot Li ne
Front
1Ft. Between
Lines i 0
Foundat ion /0
SPRINGFIELD, OREGON
Side / 0 Rear / P
IFilJ,l.r#L/I'iller Depth IFiller)lelow
T~IIAbove Tile 2. inJrlle t, in.
IV
RECEIVIED
~-_.
JUN 11 197~ I~~\- ~
~~ COUNi1' I
~NVI~r1MOOAb MGMT.
p 2yi;
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Si9nature It ~ ~ If)';P'L.~1
CERTIFICATE OF SATlSFACTORVtCOHPlETlOpjl QI / 4&::
For Sanitarian Use Only: V Date: 1",-1 - (-J
In accordance with 1973 Oregon laws Chapter 835. Section 214 this certificate is i sued
as evidence of satisfactory completion of a subsurface sewage disposal system at the above
loca~
~Approved: System Installation conforms to current standards
c==J Disapproved: Does not conform to current standards
Remarks:
\
r
~
- ~ - ,-
.-----
Date ("
..... in -
I
1..1
-
I
C55-11
;,;~' ~ .IL Sk4
nltarlanfs sfgnature
ANE COUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
PROPERTY OWNER
LANE COUNTY.M,UILDING PERMIT OR
BUilDING . MH -
MAILING ADDRESS
MOBILE HO.USE PERMIT
PERMIT NO,
t/
PHONE
CONTRACTOR
MAILING AboR(~!
PHONE
LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL o~~CftIPTlON - MET1~ ,6UNOS
Twe
~A~G~
Sf TlON
TAX LOT NO
C ""lOE
ENS IS TRAC
APPl.
NAME
EXISTING STRUCTUd!~ O~ ~(OPERtv
LEGAL ACCESS TO PRO~ERTY
&
MAILING
ADDRESS
FOR MOBilE rJbM~ ~UMlg ONly
No. of Bedrooms
STRUCT IRES TO 81 BUlL THIS PERMI'I
SIZE - FT
WIDTH
DEPTH
AREA
Connect to Existing S
Ty'PE :ONSTRUCTION
I.,
'Il
System
FT
New Srs1em r 1
lH.:IHMS VALl ATlON
SEWAGE DISPOSAL
PUBliC rl
BUilDING
WASTE DISPOSAl
PLUMBING
PLAN REVIEW
PARK TRAILER
PLUMBING INSTALLED BY
FEES
QYf~1B r1 OTHER, NAME
V/Altll' sV'~LY
SEPTIC TANK rl
L. ~ ' ..." I
PUBLIC
l J OTHER:
TOTAL
s
couN--f'r' ~UI\~\N~ a. SANITATION SPECIFIC.I..T10NS
ohlN F el~ IraUIRED
MIN SEPTIC TANK CAPACITY
WITH OIST. BOX GAL
lIN. FT
TRENCH WIDTH FT.
OR: SQ. fT
TYPE OF STRUCTURE
OCCUPANCY
lONE
PUBLIC UTlL EASEMENT
BLDG. SETBACKS FT. fROM CTR Of ROAD RIGHT Of WAY
USE ClASSIFICATION
fRONT
SIDE INT. SIDE EXT
AUTHO~llED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT - WHITE
OFfICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 ta schedule all required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface . : e disposal and county regulations covering
plumbing. All buildings require 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, _ _ _ I 97401
o ," C~' 11
":---
-
.
e
.,
SITE I NSPECT I ON
ApPROVED ~
INSPECTOR
REMARKS
FOUNDATION INSPECTION ~
APPROVED/~V ~ DISAPPROVED~! DATE~..;'1~rf INSPECTDR~. '
REMARKS', /f''(;Ad~n,&.Z~O: 7'-70 ('::%( &./1
~.. Ivv~1 I _ 1
Il . n /1 ,1 . II /1 /)b "'1,/ I
vir L?J ~ dA-U-t"'tltl c~'%()< o€4J/2/t,"zidll,-II- (.tJl.% ('::.
. r 1/ J
FRAMING INSPECTI
DISAPPROVED /7 DATE-k' ~/ / u ~NSPECTOR ~ ~I
~~l,~t1,,'1f
I I
ApPROVED
REMARK S
,
LATH OR SHEETROCK INSPECTION
/
ApPROVED~! DISAPPROVED
" ./
L-! DATE/> ..;2 :J ,. :IIJ
/) /.
Iv -
INsh~O:-:
ID I
l.___ '. ',Ii
REMARK S
FINAL INSP;;?: /)#
ApPROVED DISAPPROVED!! DATE ~ IJ-7J' INSPECTOI!;ill::
REMARKS/X,,;J;'4I1#141. t2 Iiaa.UI-I~~J'4.</ .7<A.r-7KM - (LI/
q ~ .
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE ~ DATE
INSPECTOR
REMARKS
rl/~-7S'
- 6/1
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~/ ~~~ ~7
76d/ J 70/ i)~
-
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r
. . PERMIT lft...!.l..!i.c, -7.1
NO PERMIT WI E ISSUED UNTIL THIS APPLICATI.S BEEN APPROVED -- ~
APPLICATION FOR: ~
CONSTRUCTION ~ MOBILE HOME c:::J PLAN REVIEW
og. OWNER~..Ld /'1 J..fdt!' ~zl..) 2'70 'b./.
Name Address
[=:::J CONTRACTOR~ 11. ~ ,g~L AJ
Name Address
NOTE:
c:::J
(l~~_,:L.
Ciy
C?/p_fl
City
CIUiliGE OF OCCUPANCY c:::J
77Y77-
Zip , Phone
7t/~'9'1/C.
Zip
'/c/L-4<;/6
Phone
O.S, REG. 0 S) I
Twp. / tf Range D .:2--section (') (;
fuJ!Lf!t{f-j; fl1LcL'J /t~. ~ Lot
Tax Lot
Code
3c: /; ;. I
Census Tract ~."J, .-/....J.-
;
Widt~Depth liP
::J;:L
ACCESS TO PROPERTY (Road Name) il), J'. ..J~,.r
Existing Structures on Property: ~~d~
Bloc k ..:;;
_3701
Property Acreage
Property Location - Address/Directions: 3? 0 I
f)J..J .Jtvd,
+-ii"Y/' 01,.../
A~
rg.A?A~& 0 U
/j
.. ~ -~-
.:....!'-...o:i:' -"1. ~ ' r J ~
for Off ice Use Onl vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX:xxxxx:XXXX:XX
Sq, Ft. (i)J/~. (IJ OBedrooms Valuation
/IJ. ~'L _:"' _ ~-~ / I. c'"3 j, 3(7
~o le1 v ' v - ' ,
VEt! ~/:;7,'1t}
-.'
<
I p-,,~. ~r)
, i,,'''';,) ,
Below
SEWAGE DISPOSAL:
Site Inspection #
Existing Sewage Disposal System
Public cz:J
Community rKJ
c=J
WATER SUPPLY:
Well Spring
Other
or New .System Required c=J
/
/ #'11 ....J"
Name of cOmmunity or Public System 1:J)A.l~
/
Other ~ame
~::::;,,~ .:),
~
tI
FEES: PLUMBING:
c; ,2,00 Installed by Owner c=J
BIdg,
Waste Diap. ;;),);" () PLUMBING FEES:
Plumbing ---",-.r. J) 0 7 n of Fixtures
Plan Review
Mobile Home
1% Surcharge /./7 0 CASH
TOTAL II?'-IJ ~C~
Wa ter
Connection
-.2.
PLANS FURNISHED
FACILITY PERMIT
~ES c:::J NO
Signature of APPlicant~~
Fee Received By ~ A--.. --/
I2J YES c:::J NO
:J?~7J, dUe
1 ' ,
Date: ~-.2.. ?-:?.';,-
Min. Septic Tank Capacity
qoo
Dr'ainfiell Required - Lineal Feet ./ tS-o
I
I
L/
Maximum Depth
:'4
Type of Construction 15 AI
Group I t.:p''V Fire Zone
Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Front 45"" Side Int.-.-5 Side Exterior
I
Rear 1 P()tE.
Zone 1<A..
PY'C,7~ 1I,l.Ik
cJ, '1('.,
DATE:
~NtON:
D~~E~~
if fa li17.,- tM~/ kLUr:~6' ..!;~
OF ENVIRONMENTAL a;.N~:~ENT / .
CSS-1Z
LANE COUNTY