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HomeMy WebLinkAboutPermit Building 1975-9-29 . - ,- r', '" i'l' ~. '\. _' 1,,1 . '. , 1 ....~ /." . '/ ; .' >,~' ~ lA-'-4~ . p,",~_, ' I 't'- ~ {l' . , . . ~ t"!.\. ( .' .:. ,,/,(,,'\,j:;..,,'...-'" LANE COUNTY. BUILDING PERMIT .OR MOBILE, HOME' USE PERMIT BUILDING IJ!: MH D 'PERMIT NO. PROPERTY, ~t~ER ,... . . MAILING ADDR~SS~ , ' GEOl L.~' GRIF'f".IN, :2866 MANOR 'Drd'VE' 'SPRI'NGFIELD. OREGON' ..' CONTRACTOR MAILING ADDRESS , I ' , . -'\ ,,-....... -". ,~ t,.' ~ -,j,; .~.\"',::." . "- '. ~: '.' ~... . - ' ,'J! z., ~$/~/~1 f' , ' ~~ . . ':" -', 26')4-7") , PHONE 746-22')0 PHONE SELF-" PROPERTY LOC:ATlON - INCLUDE, POST OFFICE ... ,r.- - , ; .' .,'" ., \:~....' ,MANOR DR I vr I S NORTH OF' ~'. HAVDI=' N AR IOGF ROAD' " PRQPERTY'lEGAL DESCRiPTION ~METES, ,~OUNDS 17 M~.AN0R L..4 A-4 SECTION, 2,~ " 3 I 2.- TAX IJ.T N9 ~ "CODE EXISTING STRUCTURES ON CENSUS TRACT '.,' ,TWP LST ADD T~ McK~NZlt RANGE O~ .,. PROPERTY " APPl. NAME " '& SINGI.F F-AMINLY D\JF'I.,L INm LEG'AL ACCESS' TO' PROPERTY MANOR nRIVF' PROPERTY SIZE ,-.-FJ" ,MAILING , ADDRESS FOR (v\OBILE HOME PERMITS, ONLY No. 'of Bed~ooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA 2QxlQ Connect to Existirig Sewage' System D TYPE'CONSTRUCTlON, SQ, FT, ,# BDRMS 4~7 @q.~O New System D VALUATION' ADDITiON' 2~16.oo ",' . :t . ,_ . '., SEWAGE DISPOSAL ,PLUMBING INSTALLED BY ,PUBLIC 0 ,BUILDING , .WASTE DISPOSAL , ,PLUMBING , d " " , : PLAN REVIEW (PARK TRAI~ER SEPTIC TANK j[] $, OTHERD ' 2).l.00. FEES ,OWNER 0 OTHER: NAME WATER, SUP'PLY PUBLIC, 0 ' ~. 0 OTHER t.... TOT AL $ ',7';1 , ::>1L ~b COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED MIN, SEPTIC TANK CAPACITY WITH DIST, BOX: GAL UN. FT TRENCH WIDTH FT, OR SQ, FT, KEEPADDIT ION 10 FEET ,FROM ,OI,sposAL AREA. TYPE OF ,STRUCTURE OCCUPANCY ,ZONE' PUBLIC UTIL EASEMENT ~N J ""BLDG, SETBACKS n FT. FROM CTR, OF ROAD RIGHT OF WAY ,FRONT '41:) SIDEINT, 'i:i SIDE EXT. REAR AUTHORIZED SIGNATURE - DATE , , ' BURNS FOR, SH00K /SAN I T ARAI N USE CLASSIFICATION 1 III BLDG, 'PERMIT ~ WHITE OFFICE COPY ~ WHITE, COUNTY TAX - PINK PLUMBING- CANARY BUILDING - GREEN 'SANITATION - GOLDENROD' IMPORTANT: DATE J.E:. Boss / HARBAUGH q-2Q-7f:i RP' C~II 687-4065 to schedule all required inspections. All, constru,c, . tion shall comply with Uniform Building Code,' D,E.Q., standards 'for subsurfac'e sewage disposal and county regulations coveri~g plumbing, ,All buildings'require a certificate of occupancy before being occupied, (See Details on Reverse Side) 'tF.ORM =f"S'c.,- 11 .:'~ '.l"" ,(POST ,THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, PEPT. OF ENVIRONMENTAi. MANAGE!,\ENT : 'COURTHOUSE ANNEX, '135 'EAst 6th, EUGENE;,O~EGON 97401', , .,. ;:~;' - ,. ~)-~'. . . ~ . ~. '!','9(H I ~B' NU"G, L' So I,TNG~ pE. ~EA.R'ML.',~'UJATlA"Op':".L;;'::I':C:A'..!..'-O':~"'N"o','..',~:~~l ~fJS . ~:B.DJV IS 10:: '~lBjBi;A~4~ . 0': BU ,r: .',..' , ' ,: 1I~'~: ."\.:;..~L,,. I.:OT: ;.' ,ej- , : BLOCK:' L.I. " /j:(:'''-~''''''''''-~'---~'''' .' ).,-...: -~ '-.-~~.-' '~'~'.>_ .' . " '1.1'--' '-'_1) I ,(: )i ,StTE INSPEaTJo'~', .::,~;-,., .... ., .",,~p~"~;,~~~;(:' ':":~,',f..~~~~.,';4)I?!" " " .....:-,"f" ",,'::~' " ',,-.. DATE'" . PlANN INGD I VISION .' '. "'. .t<'. . . App i~~!b I eN~ .'d~f-{)?~'~;~,~:m~;~"l-"-~ -?;S':' .. .' '::-'.1 ~. :Z~hi~g .O~d inan'c7' C~pl;i.an~e( ZO~,e=-:!2.A ()'d (7) :~F 6~~:~~r~etb:~:~~,s: 'f;-~- ~11 'of' road; " ' ., '" ., 2,." ,Subd l,vlslpn ~rdl n~nC;~':~RITlP,lJ an.s~r'-"-'.,"-. ,() ',(J'~ ',>-.,,~'~::,\ ::.', Fr~,nt.'," , ,4~ , c, "3'Re'.'d'I'r'ed:Ac'ce'ss' '"...:,.::,;.,,: '",'~"':"";:' (',)", ,(,..),.',(~'" :.' :"S:':":"''''/..' ., ~. -""_ _ _0, 'i _~ ~q~ _,...." ':'; ....-~.-~_;. .. . ,,': . ~.: :~"_" ~ .' .'" ,', .', _ ~.'" '.~>, ~}. ~. - _ _ . _-..~ '_'~_._>""~' _.v. i'- "4."~.Burl~nn'gS:i t~"(Are:~;';~1;dth~:Jf6qtage) ,( ), :_,;).,(,:>.~;~'."" .'::S~~b,aq~~~i~t,~.. interior lifl~S ::r::.:' 5 OJ 'Other (see comme,n.ts) .;, " L ". ' '(-)" (,), t ~~\;, "SJ~s!~:' -:' :. ~ ,- - .', ,", " , >0 ,,",' " .. :" _;'t~"" ,.,", :~~f~;r.~," .. Is/owe - , " COHMtNTS: ' . . ," ..r.. dl. . ~ . ,,+,:. ,', ' .', . - t, ..:~' '~ :';'.-\ . ~~. ~f ,-i..' .... ;~-'i'5.. ~ " *.:,". '. ~ -. . ~. ,,~.. ~ .~' ,.-", '. , , -"'" PLANN I'NG ,'DIV I S ION.. ACTION:,;-:gENDI NG::':'YE~.( ') ,'NO ("rAj)'pLj CAtI9N# ; . ",C-' .' ',' " . '.' ;,... . '~'..; _ - ',' .", - . . ,,~.. , ~BUtLDI~~':"INS'PECTIONDIV.;~~:'O~"""" -', ,. ',Not,..',\:.;!:: !. ',}" , .. ',:'=:~>"',, ,:", , App li'cab 1 e: ',N6:, :'~e' ::. , ' ,", ,7: .Pl~'~'s~ubmitted.":"?~':',~", '<,,: "':" "LJ,~"fJ 'i' .. " "" 8. ,-Soil, Si.abi'lLty lf~6'ti.ng.s'') "'..'.':"'.." , t)r"':'(~);J):"" ' :,'. ~"'" .. ':" ,," " ::' " ';', ': ,9~.Fldod:Plain' ,,'.,,;/'~, ' . ,', fJ ",-(->)Ci,),,',,' ,'" '.',...'.',t.....d,:"d.. " '.,' 10. 9th~'r',~seecolTll1J~,h(sk:::" ,,':'..",: r) ',t.~).:'(,!:r',.:. CK"0' BY: , ~~A:q~~~J' '.'. ,,,, "~,ct. .' ':' "'.:,', ;",,',L: ,:' ,: ,:. """'/DATE":;:' '.COMMENTS':' ,- :,. '-: .," . ,.:" ::.1 '"." .. - ,:'. :,:;c ': '. "..-" " " ,~..- ,.''; . '1; . 0 ~. '. _~ 0,;;' . t' 0, , '.' . "-:-:4 t ~ '._.1.;-'. ~ . .0;, ... . . ~:..'. .~ . . 'L~ '{ '~ 0 . _ ~ ~"'_' .. ~\.. -:'1' ~" .. .'" ,- .~. ~ - '"., ", -.,'. ,.-. WAtER POL~T10N "CONTROL~':':'" ?>(i ,/', , ~. 'N'ot'-q",;<o,,' ,,' ", , '" ' ',' J .i:', ,~.r".\\,..t '..'< Ap~licabie1':J~&"Yf:ls' .". ~l.C--Meet~ Dep'art~e.nt '~fr:Envti~~tn'e~~~('~" blJ ::~';'rf,'-r!i)" " . 12;" ~~~1~ t~s~!a~=:~~;;{~ ...,L', .....: .....~(~jX).C(I;,:':~.R~D.:.B.f;~k .' '. . ~ ,~'.' ":,. 0 ~ o , ..: " _:... __~:-:... ....:'9>l-~,(/ 7) .- L,.:' DATE C'oMMENT S : '. ",' '-0 '.,i' .. . . ~ . - -. - .' . ,0. ~ . "f, :'T' 0, 'AP'PL"I'CANT".., .~" ,. ':Y"~;~:"~. -, , '::. ,i " >'::~ . , ' ..:.\ , . . _.' , "__.: . ~.':' -!.~'::4.~'.~!~ ,"' . ".' :."1;. , " ,'.. ". '.~',~OY"B'~.i.ld.~.!'l,~..I::,~ne:,'~sp~c,t~on': '..,' :,'.,:"', .~::. :]::" :<, , ' ,: ~c:-, .. -?\ !%,!;C'~n'be:appr:oved,.,,' " .' . <.. ,.';' ,.,:;"'.. > ': '.,' , '. "7YJ \ (,>':CimnQf ~,e~<app:roy,ed at:' this t,ime.'as" in~'i,:ca~~ed ',on :Jtem' _ . ,,' ' '. a~ove. ',", , ' ,QuestJons'''imd,,'further 'information :011 'Ftems'T:"through',6':,cont'act t'he LANE:- : .0') , ,COUNTy',;'PLANi-u'NG :DIVISION~, Q~es~ions- ar,d....~ur',~'~~.r 'iryf~r,~a'F6n :~i1,_:i.tems 7 '.. ':. -' ,," through' '12:;~ontact ,the LANE' COUNTY BUI.LD}NG' ANQ'SANITAT I.ON:~D'I V'I SJ ON. <-. ') 'Wil ~ ':'~~':b,~,~l~~,::Jn' thJs.' off'i'ce't.!nt t1 Y,9i.J, ~~hJre'~R~,y,et'~"~::: e.t~~l~T~f iiid i ca~ed;,~ .( ),'/5 l:i~e.lng.J~turn~d.", ,'.:"'~_::;:,', ,:,.::J:::,>;",,,' ".:,';::"'<(".";-;':\;" '.., ',_ ,(,,'r YOl,lrb,ui;:la'J-ng.. ':perm i,t aepl i c~.!j,,9ilJe.e ts~'!?ebi~:rr'etur:ned'::J1.fu:Ier"'seoarate' cover .' " ,,~t?r'ART~EN,TOF' ENVIRONt1,ENTA~\tV\NA_~t;~.~NT ,,' ~.,.'" ,,' c., ~-.~ .. _.~ ~13,5 ~Jxt" ~venue East .,E~{g~~~..::,~~~r~~9.0,~~\9.7~_Ol~'.~,. ,~._ . ~ ~\ ,,';- "," :,PHONE: ,- 687-40.65 ; .. ..' :/,~, .b"':: ""', " :",\~ ," . ".'::. ;. lANE';cOU'NTY, PLA,NNING' DIVIS~'I'Ot.t:PHONE':' 687~418'6, , . " '. ," ~'." .'.~~, ....:~,.,,,...;..:;.... \<J.,' ~:. --,' .:_:.,~~.o _. ,::;:-' :l~:>: .... , \ /C55~28 I "f.',j..,~"'" ~ .. ,.' . ,t''''_ ." . .. .. LANE COUNTY BUILDING [3)' BUILDING MH D MAILING ADDRESS PERMIT OR MOBILE HOME USE PERMIT PERMIT NO. ..t; :' PROPERTY OWNER ,. !. (,'~f"'~~~ CONTRACTOR PHONE r,~Jt!i~Oe.:;J i \-t C;r.~'.i ~ NGr 1 n, ft., flH<:~~m..: MAILING ADDRESS . "..tJ ~:\.~'.':~J PHONE .; " ~ :;.. PROPERTY LOCATION - INCLUDE, POST OFFICE ;":;r ~if!'~ ,/d "'1' H~ m"fJ'fa t\1,fF "j,~'li''\:~1{N ;~1"d OCf PROPERTY LEGAL DESCRIPTION - METES,. BOUNDS , = \ ".:, 7>' < '" ~ t ";\' A;j1) TV Md:['iE tlr\~tA~i~l<'" t~1\ -~4 TWP RANGE SECTION ,'~tMf.Jl . ~~~\:..~} \\, TAX LOT NO, ;,~ "4;~~?:~i \-~~.,~ .. ":p.~..:: ~:~\ \. \to' \ ", CODE CENSUS'.TRACT A't- .. r ....,\, u~x /..~ : ~ e~ APPl. NAME EXISTING STRUCTURES ON PROPERTY '2 ('f~t r\;'''\!Jl !U~y !";!';' ;.u LEGAL ACCESS TO PROPERTY & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No, of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT " \, "HAll:';?, ljrt S 'Jt' PROPERT-tjIZE.;2FT<' ~"'.J --' ,;...... ::-\-./ WIDTH ' , DEPTH - AREA " '. Connect to Existing Sewage System D TYPE CONSTRUCTION SQ, FT, 1+ BDRMS New System D VALUATION "~~ i fiG ~ ,,! <~.:- ~ ~:: :1~ 'J~J J~41 ~1 ~J~i ~ ~ t. ," ~ I ':-.) ....~. "\' . ,...\"... )),.~.... - .: \\ " \, ~ '> '..... . \ : \ "'\SJ:~, \~ SEWAGE "DISPOSAL PUBLIC 0 SEPTIC TAt'l,1$ ~Iill....... OTHERD W\~.IJ>:l FEES PLUMBING INSTAllED BY OWNER 0 OTHER: NAME WATER SUPPLY BUIlDING , WASTE DISPOSAl.\. \S,,- PLUMBING " \ \ ......J PLAN REVIEW PARK TRAILER '--" 1\~~\\\ PUBLIC 0 -...... o OTHEI1 "\ TOTAL t A 7.:::: 211 ~ ?2 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN, SEPTIC TANK CAPACITY WITH DIST, BOX: GAL lIN. FT TRENCH WIDTH FT, OR SQ, FT. I', ,:l\':i; ,~D~J l' ~ m>1 ~CI "\'tG r ,'H~>>t) ~:12 S:\<tQ1;;;t1; ,l\.~.t A. . TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL EASEMENT 5~ J BLDG. SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY \l~' ,,"' FRONT "~'J' SIDE INT, <; SIDE EXT, AUTHORIZED SIGNATURE - DATE ')'Ur,;'Ni rOi' ~;!'I {jfx~lri Ah' t '{Ml'tl a"~ USE CLASSIFICATION REAR , (" ..) DATE '~fF:l t,/ l;I; l:...e ...." f ~<n;,.;:; l .IA0f)J't lJ~t,: .... ~'" \ / -' ~ 1,- 'j" BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required inspections. All construc- tion shall ~ol)1ply with, U'niform Building Code, D.E.Q. standards for subsu'rface s'ewagedisposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupie,d. . >'(~ee\:D~.tailson:' 'Reverse Side)' ')).'~ ." '" ,'....~~', \. ~ ,~ " " FORM:!::: C:SS-IJ (POST THIS PERMIT ON MAIN, BLDG: AT SITE) , LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ',' \-- .~~ ". . '..Ilr ~O' '" S irE I NSPECT I ON ApPROVED / / DISAPPROVED / / D.TE I N'S"'PECTOR REMARKS / /J~ . #"--T1' .,' '-r.>./J ~ ')/) /HUo/J C~(/#l4jL'r;,L.~~ ,~~ il'-V-/~ ,. '7(7 ~ 1/ .-1'- '- I FOUNDATION INSPECTION ApPROVED / REMARKS (DISAPPROVED /. / DAlE ~/jJ,L);1 ~// / / INSPECTOR I " REMARKS, / DAH i'i ~;; , I ~. / . ' ~, ' 'Y 'J / /-.1' '([,Nsemot!i . e ,t FRAMING INSPECTION ,J. r. ApPROVED / V / 01 SAPPROVED / I I I I LATH OR SHEET~INSPECTION ApPROVED / , / DISAPPROVED / . ~// '/ 'I) '1v jJ/ / DtTEI..' I L ,. /Ij I NSPEC(,OR,...r:;,. 11';/' "--: .I ",.Co' j ;' REMARKS REMARKS ./ -.. 1'/ / o^'li- 21' rr,Nsemoal I I I I I j~) / (~, FINAL I NSPECT I~/ ' ApPROVED / l/ / DISAPPROVED' / '. CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS' // /1 ~ /'J#//I/' /,1 c../(,.....U{-f1l(v(....~~ I I 1 I I~ ot~ Jff'cuv~ a~' r;}'0? f'o/- ? !FA!,f~7fi~A, ~c / " " , - S.' ~ 1'..~' ~ ...' ~ .' .' < ' d , . ~i ,a-.k:?Sl{r7S , PERM:r~1;'; If . ' ID\S:BEENAPPROVED NQ'i'E'-:',.,NO., :p~RMiT~,h_:..;LBE tSSUED,~TILTHtS' APPLlCA'l.LON , .~"..' , ..... '. ". .. " '. '-', " ~-., " .,,-. ~:_:::: -. -.' ',: _. ~-l'. APPL:l(;~iION: FOR:, ' . ( ~.'._.~... ' .-':'.. :. ,~ .~- , . , .r '_ ,.'11(".-" ..... ..','- ..-"." :.".;'" .' ...., ". ~.. .,;.:-., _ "'_. "'~ " . :;:: .'CONSTRQdnoN' I "."cYMR~ILE~,HO}!E: I 'I "',, >PLAWREVIEW: I .:;.' "'.'(,' "...' :':' n , "';;:'~;'" '. '< ,:' , "'.~:; > " .,,' , I x."'~o~~~6~ .''1:_: ,:Gk,;t=Pr;r..: zpc, ~:1-t~4t>k'))L' " ,c,;- "" ,', Name, ,.,~,;, '.:,. " ~.,.. Addres's, '<,', I " : I, CONTRAcTOR, ,5 e:.. cP:; ';" ' . , ~ , .', p}f~G~ 'OF OCCUPMi~:', J- . , "I. 1SfD'pfY" :1Jcf;i7~,>>':7't/~ :Clty', ,.. ,?~p: "". ,Ph'one , ~ :-: ':.~~ -', '~ ". ~, '", '~ . . ~i' " . ," ' .. ~..".,~ .:...;~: G. s-o .' , Name , ' ':',.~~dr.~s~~:; :' :t'.~i~Y", "Phon~ ~, -~ ~ ... . .,--~..:. ',:..:>.' ~. . '. r "{; '~~=;,~-, = . ' '0::, , . ':'JO.~ .' 6.s. :~R~,G,.,,-:fl :'~''':'' " ":";,, ,",>}.:;'; .:\ " ., , .' jU./JPb,d'r:V:'/.J"!s',<SoA'."n,',u;,,:::~,f1L,, s,.h"e../.,t,;A,~,~/,'.'A,;,.D;, c~L~O...t,~~~,,:,',",':,',',""'.d.',', :'~:0,fB~-1-'O';'C',-::k' ~o;de" ,:', "".,' Ce~~\I~ T;-ad .' ' - /~~nD'K~, 1'7/1~(P,\ 'r . 54""'.+~~~f't:Y:' Acreai~If-b. , Wid~w3~ I ;'epth /.zjLJ .:::::~gT:~~::::::~~:~o::::;<~f~~~"~;;);};;.J?i~ '~, . .. . ~~'~;;~e~f~'"5f~n~f)i~,!,?:/5;:~~ iN ~." ~VJ:F~ '. - " "'/' " Below fo'r Of f ic e Use' OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX:XXJOOexxxxxxxxxxxxxxxxxxxxxx '-j;~'O 6' : " '".' , ,':: "." "'," ',.,'. " ' Sq;;Fr; ,"n, "...,', , ,IIBe.,dr'ooms'/,' V,aluat:iOn", _ () flt,.' , , ,_'J -..::-, -,:..'- '.', .:>K2}~Xj'1!:,43'1rCJ/:~~5iY< // :"-d.3/~. '(0' ';~-". " "Ii " '. ,,/. ' "/ - ,':' "~rtf ?:': /~, ' ;,..,"11;:: "",.,,~<;, ../ ~:EXis-t'i~{~ewage D~sP~j~{~;stem:~~: System ieqJir,~d ..' .. -- 0..- _ t -" '. " . , ':--"" f t'" _. .' , _'.. .' 'F' :;..': ,Public ':"1,' J:-' -~'r; I ','- . ..' ' " , 'k' . , :J~tT#I~G: FE~S: . '-"" ,; :" '.. ',~: \ ,;' : ',>5V.: " ,,:. ,II, of ,Fixtur~'s','" . '" :.,s~w~g ','. :' ' i!tl. 'C. " ' ,.' r :CClnnect'i6n " ."'-"~:l~:::-;~.~ ".' .;, .. ;.~,,_.~;::.>:, : :, (<I:' ~', .: ", ' , , ,.,~L/fri!S:';~~R,NISHED, - "V" -, " :'I.~~';':I ':~,A~~i<" ,;:,::~" ,'j :S/~,q.']~'" "::':~"" ': _ " ~ign~iture , : ': r!:~~:/:": .' . ~e~;~t~7} ve~ B~. . Min. Septic ~:rik Capacity ", '";'~~~~f~'~l~ :Re;q~?-~e~",- ,i , ; lj"f_~ ,'i/' .. 'A.<~ d<J,: ,;<~r: /-'/' ',' ':,Propertttocat,ior! , (] 12:f/J(~':~ , -, ~ '-~. ' ...... :-1" ,. ~, r> SEWAGE'DIS:\,OSAL:' Site' inspe'ction ,,II ' FEES,: , ~t/.:~ or'Publi,c System' " .:1 WATER SUPPLY:.:"~ Well Sp!!ng " .,;' :1;:.' Bldg.-',' _ Wast~ 'Disp, ' .... ' Plutitbing<' ~. , _ .J z',:- . ,'Water ':.' '~3,~(jnnect.~~h' ,;;-. .' ;..._.t. Plan ;Re:view ,', Lineal; rqri:'::. , , g.;/r" ":}'t';/i~~:- . .. ~'- ." ":.,,,::,:~::,:U-:: ',:- ::'FACIL~TY ,PERMIT, I':' YE!!JijS" , .'i.fJ ".,. L ,,__ ';- // :-.1. - D~te:,--?- -:-7 c) -, ,I .. MobNe" Home t " 1% Surc~a:fge TOTAL -': Type of Cons,tructi~>n:' Groilp" . '7,' Fire,Z6ne ,': Maxl~~ili:cI?~pth :rI~~0/;;j;~'~ ~~ .a~ '.', . . ~ "- . - . . i~',. ".-....:~... .:'~ ,1 '.. /.' \.1/V,' ,.. :-J: ,",,' . <: ~ '1' .- :'.. ~ 't.,,' ... ~ ~. ' ,- '., . " Bidg Setbacks':':froni CenteroLRoad>Right'6'fWay:;;'",:'.-'" 'Front ,-4f:)(. 'sid~ 'Iri~.,2:, " ' .S~.k;~,:,~,,;~~tr- ........., "', '.'" ,~-~:;", "~ .; . . - 'it. ~ , ' .' '". ~ , . 'R~~~;;/S /.: . one:', ~ ~ '. . "'{~ PlANNING: ',Uj~ .' -....~ _",.' ..... ,- . ...."'. r' !:~i,J\~~KDAT,E:'::~:': .,,' .St<NIJATJ,PNiPuA' ' DA~E:': ,'i', ::.jiJJul~:N~", ~ "D~T~=.' : ~y ~ff]I/-":')-'" 4:~/T~?(" cz--'z~~",Ij(1f/[.~~:t?-,<J6 ~?! , ..t:'~ ,MNE ' ~0illfTX' DEPAR'EN~" OF, ENVIRONMEN,tAt'~~~G~EN;{" . /,', :';' C55' 12