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Home My WebLink AboutPermit Building 1978-10-6 .... '.. '" ~ TRS, T' .I~ '2.-"2- I~O> ~ -4::;) ~O~ INFORMATION SHEET ~ P \()\o\~t) I ~I ~ ~ - ~ JJL - o.v.;t- S...url. :l ~ 'U- -40 .1- b~ - ~ ,,:,-,\I...t- - o..~ -.... '; l~...... ~ - ct tJ.e.w -Ie 12.1 t,(l.A.W ~ ~i 5.....~'-L I~ g Number of sites ~. & (owner, etc.) t; ~ .;;.~!.t -"- Bloc~ Job Location ( ) Site Feasibility Study for Septic Tank. ( ) Would like to meet on site. Call Acreage or Lot Siz~ /!S'x '00 Test holes will be ready Partitioning # ( ) Completed Subdivision 1'f03- ;1.-].. 7L '2."''1. ~ 12.1 lJtywj s,r Lot ( ) Pending APPLICANT'S NAMEAND ADDRESS Q.....~ 0... (}QQ,. 57'S ~ "lA.' $Jt- ~l~ OWNER'S NAME AND ADDRESS, if different from applicant's w~ lM<6-<~ I').'~...w:. ioty ~ CONTRACTOR'S NAME AND ADDRES~ f-./VV-_..."\ ~~ <......&. 57'5" ~+"- "A" <:;i- ~~ ' - .Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner (X) Contractor. ) Prefer to pick up. Call 7Lf7 -400 8 (owner, etc.) when ready. ) Building Permit Phon~ 74-7-C{(JOf! Phone---Z~ -zz<05 Phon~ 7<O-<{aof STRUCTURESNOWONTHEPROPERTY ,il~ ~- ~~- PROPOSED USE (this permit) /Nul ~ ~ ~ l~- ~ \L WATER SUPPLY_ SEWAGE DISPOSAl ~ o ~ . Cl 5'A~& 'J-v.....:..J..,.., I~xisting or proposed well, etc, Vl.9-'JJ II< ()~ I'IX(,~ (~../y-.~' "::::.~ lic, name of syste "'f~ WIth. ~ f'!..o-,! I 6,.si-h I~xisting or proposed septic tank, etc.) S.1. 4* PLUMBING BY (I/) PROPERTY IS WITHIN ONE MILE OF CITY (~,,:,~ ~ ~c.... Address f>:75 ~ 11 b-"f ~;/ ******************************************* OFFICE USE ONLY BELOW THIS LINE ******************************************* ( ) New Address Necessa ry .ONF ) F aci I ity Permit Necessary SETBACKS: Front . Side Facing Street IFROM CENTERLINE OF ROADI ) Special Permit Area, Minimum Elevation' Interior Side Yard Rear (FROM PROPERTY L1NESI To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. Response' ,.' .....,;. ....... By Permit Processing Section C55.12 By ",' DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 nivision ........- ~ ~ ) --~--, .~ . ',~ '-;'~--- ...:';'~..'='~.:..7"...'-:~-;~._r"__-;.,"~'_:;,'::'.'~..u~"','::, ~- ~j," ,~O4- .}to r' N < 1J\(. Geol"3e '"D , l 0'" t :J.60S- I rOF' .... l<' " . :v : ~~t uO /VA'><"OFb'W' <7 _ , ~ - ~ d_ _:5. 80 ~'- . .,_ :-.. : s_..t.c /'. --"'6'9'""- . ,.; 14: ;::~.;{:~;~.., ,....'"..,"~ .6$:". fd/li~! #' "1..'1:~~: l ,~< t~ {.. Lr:;:~ . OtIlvt ..~ '':'''' "JIi ~ ~ "j -;. (.C-?S'?~F;n.l! <.v..a '. ~ tl ~ . S-8.9=S--? '..or::,> ,L .o-q-r : .::: /;, -. /~!Nk' - . '~' {~; 1>...,." stt~.f..J7 .:~_- ~'~S~;"f,.j'll~~1' €er.'.t"f):'h DoRRIS ,/I -;...... . " " W ___ . . S 1:.\1. {eo , ,. a 100 t ~ " .... , , .' . :' ~-_::. ~.:,:;~::.~.,~ "; ~'>t : ..... " . . ~ ~~. ~ J',~ ,.."~ - .'~ . .' ST .. . - ,- ~ ~'., .~ -." . '. , ~. -.-- .! ." .. ,. . ~ .;: '. . . . . .. - ~- . : <; ~ ." ~. -- , ~. _ ",' "r ~(~ .~_"""~~:.' ~ , . ~ .:L''! <'.'-;' ''';. ."" -"'?'""">~~'~"" ~-;:. ~._ .- . . ''1" :~ ~ , ' -- .' . N )fIt. Geol"3e ?...O\O. ..:1./003 tJ.605" / < 1 I,. #~:'i?"'" ~"5C 80 "-""'::: i'j ., ~,t., I., . '~'... ~ t ~~~{""tl';'J scpt'i:. tl"o~lJf' ! ~t~ ,.,' '"'~ ,t::> :J ,:1 I!~; ,., ,~~ ~,~" ?,o,,, ~H'. , ~ !( r.. 0 0 "0 '" '!fJ . s-.,g,,~~. ~"'.o rt r....'L,'> "v rr-/<f.S:liCI - - 2?~. v. t ....,.~.,,, -.( ,4., '. . ~ .. ~I., "'/..,.~~f- Cf1l:._L~, Y _ _ ~" '::'~."f'."i<v~ , "-"" ; , ' ti /~ -,> , ( I"~ ~ 100 5~", e .'- , i!. ;',< '.'j., -:"~';:1;:::":.?~;'; ~> .~: ":_~':'.'':: ,~: _ ~ .', 1._''''4: 'I I I~ ..... ~:~,.'~" ~:~~~ ~:l,.-. ' , '~.,,\':;:;. ~-', ~ ~v...' ,~_',~ ,,": -_~.....',.';,.J: 'i-.--1.......,~~..~ ;":..=.' " .-Z. ..._ ',,>:.:' d_,>,.,}., ....~ ..;..