HomeMy WebLinkAboutPermit Building 1973-5-3
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USE PERMIT II) /) -J./O l~)")
PERMIT NO tm 200..13
PHONE
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LANE COUN
BUILDING 0
3UILOING PERMIT OR MOBILE He.
MH 0
MAILING ADDRESS
2292 Joff~rsonft EUQene
MAILING ADDRESS
PHONE
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PROPERTY OWNER
R~bertson. Glen t. & ~11en
CONTRACTOR
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PROPERTY LOCATION - INCLUDE POST OFFICE
r;;lS I(rernont Av.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
- ".
fi lbert Grove~ ~rd Add. B. 6... 1...3
TWP RANGE SECTION
18 3 2 ,-3; 3
APPL
NAME Glen L Robertson
& 2292 Jefferson
MAILING
TAX LOT NO
~ ~~t:/o
CODE
CENSUS TRACT
35c40U
EXISTING STRUCTURES ON PROPERTY
Shed &. SDS
LEGAL ACCESS TO PROPERTY
'{V'e~nt Av.
PROPERTY SIZE - FT
ADDRESS EUc'llene ft Or.
FOR MOBILE HOME PERMITS ONLY
No of Bedrooms 3
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to EXisting Sewage System []I:
TYPE CONSTRUCTION SO FT # BDRMS
New System 0
VALUATION
UrCienf:!v needed
Finish floor eUevation ~ 4480
SEWAGE DISPOSAL
<t
FEES
PLUMBING INSTALLED BY
OWNER D OTHER NAME
WATER SUPPLY
PUBLIC D
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK D
OTHERD
TOTAL
$
.fdtNE COUi\ PUBLIC JD D ~OTHER --'"' ~~ ~I;~~~~
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~n . nn J:'E:CllJ.r. ~.RMIt '/r --I -. - '<<
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COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
L1N FT
TRENCH WIDTH FT
OR SQ FT
/'
TYPE OF STRUCTURE
.. OCCUPANCY
ZONE
PUBLIC UTIL EASEMENT
mh
BLDG SETBACKS n FT FROM CTR OF ROAD RIGHT OF WAY
\1 E
FRONT 4; SIDE INT 7 SIDE EXT i nt 5 REAR 1
AUTHORIZED SIGNATURE - DATE
/5/ Boss by ~~rb~ugh
USE CLASSIFICATION
G.V. Gray~ R.S.T.
DATE
5..3~13
BLDG PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform budding code and county regulations
covenng plumbing and sewage disposal All buddlngs require a certificate
of occupancy before being occupied
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLOG AT SITE)
LANE COUNTY, BLDG & SAN DIV, COURT HOUSE, EUGENE OREGON 97401
FORM it C55-13
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(X Bu.1 ding Perm I t App I. cat Ion No.~ ? r-e-7 ~
T , 8 R .3 S 2.. TAX LOT
CP""IJS TRACT~ S-~ '0'
to ~I""...:r- <:3r~ '" ~~t:>
APPLICANT: L ~ - 8G:.
NAM E 1i:::.o...... ..~ .
ADDRESS
() Site Inspection
() Pre-Permit Investigation
PHONE
DATE
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LANE COUNTY PLANNING DEPARTMENT NOT NO
app I I cab I e
J. Zoning Ordinance Compl i~nce ( ) ( )
(Zone "t"A-M~ ( ) ( )
2. SubdivIsIon Ordinance Compl lance
3 ReqUired Access ( ) ( )
4. BUilding Site (Area, Width, ( ) ( )
Frontage, Setback)
5. o t he r (see comments) ( ) ( )
COMMENTS:
YES NAME
DATE
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( )
+-;Z7-7~
BUILDING INSPECTION SECTION
DATE
NOT
app I icab I e
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Clt ;r,uAL.-!!t:r;'-I!h'~A L/ o//~ A#
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6.
7.
8.
Plans Subm i tted
SOil Stabll ity (footIngs)
Flood Plain
9.
Other (see Comments)
COMMENTS:
NO~
NAME
67-/-')3
SANITATION SECTION NOT NO YES NAME DATE
app I icab I e
10. Sewage Disposal ~(j ( ) ( ) I
11. Usable Area C) ( ) ( ) #"t
12. Water Supply ( ) ( ) ( ) jJ ~/)
13. o the r (see Comments) ( , ( ) ( ) tf/10-- '1 J
COMMENTS
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TO APPLICANT:
Your
~
Building Permit / Site Inspel:t_I~.~.
Can be app roved. 5-\-/~"'$_~
Cannot be approved at this tIme as Indicated on Item NO. above.
Questions and further Information on items 1 through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildinq and Sanitation DiVIsion.
Will be held In thiS offIce until you can resolve the problems indicated.
Is being returned.
Your bUildIng permIt appl icatlon fee IS being returned under separate cover.
( )
( )
( )
U\NE COUNTY PLANN I NG DEPARTMENT
II., Sixth I\\enue East, Euqellt', Oregon 97401
,.fIONf ,i,l_Ii /I t XI. n I
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE 342- J 311 EXT. 411
. P.RQP'ERTY ,OWNER
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""'L:N: CO::", BUILDINrf~:IT ~R MOBILE H" ,f USE PERMIT /~ / ' " " · ':" ':',
BUILDING D.MH [j PERM.IT NO. C'~~~~~it.!J
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MAILING ADDRESS / PHQNE .
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. ~ob~lI'ta.'i'!Jn. €in 00 L. '.&. ~ D 1 aift '
, CQNTRACTOR
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':R~~ . Jbff<iWson.. t;l~~r~
'MAILlNq ADDRESS
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PHQNE
PRQPERTY LQCATIQN -INCLUDE P,OST ,OFFICE
ti6~reF.t'Jn:t . Av.
PROP.ERTY LEGAL DESCRIPTlQN - METES,BQUNDS
,>.FiBbea-f! ,GMV~:'; ?lid 'Md. . 9..',6,. l,,3
T.'N.'?, . RANG E SECTION
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TAX \-OT NO.
CODE
CENSUS TRACT
i3'\'
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EXISTING STRUCTURES ,ON PRQPERTY
$ficd s",$ll>>$
LEGAL ACGESS TO PRQPERTY
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PRQPERTY'siz~ - FT; ,
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APPlt,
NA,ME \
8.
MAiliNG
'~2~:t' Jbffst'Sti)R'
Glen. L~ nobGr~g:Jn
ADDRESS tzui!'3eile.,' fJ,.
FO,R ,MOBILE HOME PERMITS ONLY
NO.'"of Bedrooms ' ,J'
,STfWCTURES'TO BE BUILTTH\S PERMIT
WlbTH
DEPTH
AREA
11"1
Connect to Exi~ting Sewage System [j:
TYPE CONSTRUC;:TION ' SQ. FT. # BDRMS
"
New System 0, '.
VALUATION
, "
Urftcint hn~ed
,<:'ftn&tih Vloo.r o~mf.stllon ... t*fjt
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FEES
PlU~BING It.'lSTAl.l.ED BY
,OWNER n":, OTHER: "NAME
\it A TERSUPPLY
, , SEWAGE. DI~PQSAl
,'PUBLIC' 0
. . BUilDING
WAST~ DISPQSAl
PLUMBING
.-' '. .
'PLAN REVIEW
P.l\RK TRAI~ER
SEPTIC TANK ~D
OTHERD'
PUBlIC;[]
D OTHER
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!'!>1f'\..~'. ,. LANE COUNT"". 's~"r"E' 'C" .. ",
VM ~~" ~.~ '. '. + .1(, lAL P~RMIT AREA
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,., ,TOTAL
$ t\.q ~ /fun "
" COUNTY ~UILDING & SANITATION SPECIFICATIONS
;,1 J
MIN: 'SEPTIC TANK CAPA~ITY
. . .~'\
WITH DIST.. BQX: GAL :'., ' '\ '\" ,
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DRAIN FiElD REQUIRED
: !.'IN, FT ' TRENCH WIDTH FT.'
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,OR SQ. FT-:"~"'.,
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TYPE ,OF STRUCTURE
FRQNT
rob
BLDG. SETBACKS __ FT, FRQM ,GR. ,OF RQAD RIGHT ,OF WAY
.' SI~IE' INT: "1 " S~DE 'Ex1t.aU\~
. . AUTH~RIZED SI,GNATURE -: DATE
1f$/~$s ~v ~~SY9h
,OCCUPANCY
:,
ZONE
PUBliC UTll.. EASEMENT,
USE' C,~ASSIF!CATIQN
~s
:.; REAR . "'I
G.t!. Gray" R.S.t~
DATE,
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BLDG., PERMIT,- WHITE
OFfiCE 'COpy - WHITE
.." CQUNTY TAX'- PINK
PLUMBING - CAI>:lARY
" , BUILD.ING - GREEN
SANITATIQN - GQlDENRQD
,( Construction to comply with uniform building code. and county regulations '.'
, covering plumbing and sewage disposaL' All buildings require a' certificate,
of occupancy' before being, ,occupied. . '
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", (See. Statement on Reverse Side)'
. ~!
. - . .
'(POST THIS PERMIT ON MAIN BLDG. 'AT SITE}
. ~ .
. lANE CQUNTY,~lDG.' & SAN. DIY.:; COURT HOUSE; EUGENE, QREGQN 97401
'FORM ,tt',<; SS "13
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SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED /
/ DISAPPROVED /
REMARKS
GAS PIPING GROUNDWORK
ApPROVED /
/ DISAPPROVED /
REMARKS
ROUGH PLUMBING
ApPROVED /
/ DISAPPROVED /
REMARKS
ROUGH GAS PIPING
ApPROVED /
/ DISAPPROVED /
REMARKS
FINAL PLUMBING
ApPROVED / X / 01 SAPPROVED /
/
REMARKS
FINAL GAS PIPING
ApPROVED /
/ DISAPPROVED /
RE':1ARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /
~~ ... 1)
/ DATE
/ DATE
/ DATE
/ DATE
/ DAT~ -~-?3
/ DATE
/ NOT READY TO ISSUE /
REMARKS
/ DA TE
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
IN""'O~~
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INSPECTOR
INSPECTOR
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" .. ..,,' , . ,"~.. 'i~ ':~~JA~E couN'~-,juilDING PERMIl~ OR MOBilE, H~~ ).U~~. PERMIT -'- ~.': ,>; _:<~,
! " " " ",~BUILDING D .', MH 0 "of"~ .;;;' . - 'pERMIT NO. .l'tfl 2ca..73 ~;,. >,','
PRQPERT.Y, 'oWNER' .MAllING ADDRESS ' ~ ., PHQNE :' ,',
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arib'tJrttSOfi.. C1Clln l. 61.lhrtl '2m Jttff.__.. ~tt.M i ";\
,'CQNTRACTOR ',:.:: MAIliNG ADDRESS PHQNE
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'PRQPERTY . LQCA TlQN -'INCLUDE POST OFFICE
56 'Krarrcnt tw,. '
PRQPERTY lEGAL DESCRIPTlQN.- METES, BQUNDS
Ft Ibart Grove.' !.r4 t~d,d+ 8. 6. L...J
TWP RANGE SECTION
" .
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TAX LOT NO,
CODE,
,CENSUS TRACT
,If.;
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;2
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EXISTING STRUCTURES ,ON PRQPERTY
Shad " IOS
lEGAL ACCESS T() PRQPERTY
krGiJllOnt P,,,V.
, PRQPERTY SIZE - Ft
,1
APPl..
NAME
&.
MAIliNG
Glen L~ Gobertson
2292 Jeff.fson,
"1
ADDRESS (URfie. Or.
FOR ,MOBILE HOME PERMITS ONLY
, , No. of Bedrooms' 3
WIDTH
DEPTH
AREA,
STRUCTURES TO BE BUILT THIS PERMIT
Connect .to Existing Sewage System OJ:
TYPE CONSTRUCTION SQ. FT, # BDRMS
, , ,
New System 0 '
VALUATION
,; , Ui'.ntlv n....c$
[
.\/"tiY
,FlnW-sh floor e'.wtton .. .4Ct8*
f
.. FEES
PLUMBING INSTAllED BY
,OWNER n .oTHER: NAME
WATER SUPPl y-, -
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SEWAGE DISPQSAl
.PUBlIC, D SEP.T1C TANK 0
BUilDING, ' ~.
WASTE DISPQsAl
PLUMBING.,
PLAN REVIEW
PARK. TRAilER
QTHERD
PUBliC :~
o ,OTHER
~..,50
~o.oo
!J1~E ,,)~OUl'~ l' r ~~ECIAL PERMIT AREA,
TQTAl
$
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COUNTY BUILDING' & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
,it
MIN. SEPTIC TANK CAPACITY
wrr:H DIST. BQX: GAL
!.IN. FT
TRENCH WIDTH FT.
,OR SQ, FT.
~'~~'1\'~
~t-~"-~ 'V ~),. \\ \'J\
-'
TYPE ,OF STRUCTURE
,OCCUPANCY
.
ZQNE
PUBLIC UTll. EASEMENT
mh
BlDG, SETBACKS,__ FT, FR0M CTR, ,OF RQAD RIGHT ,OF WAY
,. . . it, 7.' e. "... tnt"
'FRQNT lit> SIDE INT. ' . SIDE En: .
'AUTHQRIZED SIGNATURE - DATE
/f<18o.. by tt~fb~ush
S REAR. 7
USE ClASSIFICA~IQN
G.W.G.ri.tYt A.s... T40
DATE
5.,3..73
BLDG, PERMIT - ~HITE
OFFICE CQPY - WHITE
CQUNTY TAX"':' PINK
PLUMBING - CANARY
BLlILDING - GREEN
SANHATlQN - GQLDENRQD
(J\j ~
I Construction to comply with uniforrr b'uilding ~ode and county regulati~ns
covering plu,mbing and sewage disposal. All buildings require a certificate
o~ occupancy before being occupied.
---~~ ~:.
. (See Stat~ment' on Reverse Side)'
'~ '\ ~ S;.:." . , "'\-"j.' ~" '. ',-~ I "!'4:~\' \\ \'\
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)t:e.J"'~"..::)"-"\'-..:I' <;:,. "" . ,,-.I. . '.' .~~ J ~ I ", ~ '" \ "
(POST' T IS PERMIT 9t'J MAIN BLDG. AT SITE) l,\\"'" 'g'\:)).-;.
lANE, CQUNTY, BLDG. &' SAN, DIV., COURT HOUSE, EUGENE, QREGQN 97401
'. .
FORM #'C55-13,
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~-
SITE INSPECTION
ApPROVED /
I
D I S APPROVED I
REMARKS
FOUNDATION INSPECTION
ApPROVED /
/ DISAPPROVED /
REMARKS
FRAMING INSPECTION
ApPROVED /
/ DISAPPROVED /
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
I DISAPPROVED /
REMARKS
FINAL INSPECTION
ApPROVED / I DIS~PPRO;EDf) /
REMARKS MfI.i4 r::p~
CERTIFICATE OF OCCUPANCY
~-<=--
.. l. .
/ DATE
/ DATE
/ DATE
/ DATE
I DATE
""'8 /IJJ ~
READY TO ISSUE /
/ NOT READY TO ISSUE /
/ DATE
REMARKS
1'I/1f1!1?f~ I~ ~~/~
:lOFt -73
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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APPLICANT
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LANE COUNTY pll'LDING PERMIT OR MOBILE HOMF '.SE APPLICATION
PERMIT TYPE - BUILDING L.. MOBILE HOME ~SC REG # PERMIT ##//::2tJY- 7 .:r
P~k~~ . ~~~I;:<~DR~ :>~~ 22 92 0~ ~JA //J~ ~ ~
t:QNTRACTQR ' MAILING ADDRESS ~~ d ~- ,- / PHQNpf
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PRQPERTY lQCAT~ INCLUDE PQST ,OFFICE ./'
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PRQPERTY lEGAL DESCRIPTIQN -1 /J ;', / ,H ~-4:'" P~..-fd3'L < R/ Y3
lOT - BLOCK - SUBDIV '- /' ~A...,/r- 'Xh p ~ -/V-f4;? 0-
TWP RANGE SEC TAX lQT # CQDE CENSUS TRACT
/i 6--3 02 c3S-4tJ7)
DESC~IBE EXISTING STRUCTURES ,ON PR~~Y IF ANY I A
~~ ~~_L ()L ~L1VJ"
.......-l~~~~~~- RQAD NAME ,OR :#
'!t/r ~ Af-yfJ ~.
PRQPERTY SIZE-WIDTH DEPTH
METES & BQUNDS 0 YES
ATTACHED 0 NQ
.
NAME ~
AND
r/'l J!l _/1(4__ OJ ~.AA--R...-/
MAIliNG ,- - ,
AREA
ADDRESS
FOR MOBILE HOME PERMIT ONLY /' .>? )
Number of Bedrooms t ~
STRUCTURES TQ BE BUILT THIS PERMIT
Connect to EXisting Sewage System J8( or New System Req 0
TYPE CQNSTRUCTlQN SQ Fl" " # &EDRQQMS VAlUATIQN
,//27/i //77,T..b_-/ 7z~eLL~h; ~~~~Lx/.A .
// ' . tJ{;, .. ~~ ~ /
d ~" A g "~o"' "
~itu /#~ ( /~,{?/a1;t v~~r _1/ )/~d 1? ~ /
l~;:;'E DISPOSAL I - - 'Uj4; ,; @/PlUMBING INSTAllED BY /
!PUBlIC 0 ~PTlC TANK 0 OTHER 0 -4 '1'//. ~Q_ ,OWNER 0 ,OTHER 0 NAA
BLDG ~ · FEES WATER SUPPlY~~( PLANS FURNISH~~H-
WASTE DIS PUBliC 1J( ~ "~~^ YES\z( ~fS-"rr. YES 0
PLUMBING 3,50 PlUMBl1)I6 'tEES "~A(GN TURE OF APP CANT
PLAN REVIEW FIXTURES ~
PARK TRlR l3 {), 0 0 .;~,r.%E~VED
;J " -~ f,.MJ)~
~MIT # /
/~ ~ /if.# ~o,j'- 73
COUNTY BUILDING & SANITATION SPECIFljTlONS
DRAIN FiElD REQUIRED
lIN FT TRENCH WIDTH FT ,OR SQUARE FEET
/
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-# /U __A,A ~L?
/ .~
FACIliTY PERMIT
NQ 0
DATE
-::2.b =-73
DATE
9' - ;zt -- 7~
T.oTAl
03.5D
PUBliC WATER
CQNNECTIQN FEE
MIN SEPTIC TANK CAPACITY
WITH DIST BQX GAL
TYPE ,OF STRUCTURE
HfI
,OCCUPANCY
I
REAR YARD
PUBliC UTll EASEMENT
BLDG SETBACKS - FT
FRQNT 45
SANITARIAN A
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Directions to Find
FRQM CTR ,OF RQAD RIGHT~ WAY USE ClASSIFICATIQN
SID~NT -, SIDE 4iM1A.)T _S REAR 7 _ 4
Dale .PlANNING Dale BlDG INSP /.' 11: ,. ~ / Jj/
(/~:&>d7~~.~ ~-~7-7~ /rT5~,#/;!4L6-'-1--7)
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Dale
Property
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CQPY 1 - .oFFICE
CQPY 2 - JQURNAl
CQPY 3 - AUDIT
Form:# CSS-1Z