HomeMy WebLinkAboutPermit Mechanical 1977-3-15
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ACTIVITY INFORMATION
SHEET
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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BUSINESS: TELEPHONE # .HOME TEL HONE #
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3 MAP & PARCEL NUMBER,
(REQUIRED INFORMATION)
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TOWNSH I P
(from tax maps in Department of Assessment and Taxation
or from tax statement) 4iI/1L
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RANGE SECTION TAX LOT~) OR PARCEL~ ZONIN
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TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTIUN
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable) LOT BLOCK,
5 REQUEST (state exactly what you plan to do) k--l' J.';A.-L../ /~.d///Z~.J ~
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/\ DIRECTIONS TO SITE: #flo ~ *" ~p .~ qr % ~'
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** FOR STAFF USE ONLY **
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ZONE/LAND USE:
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14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061