HomeMy WebLinkAboutPermit Building 1973-6-19
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50~/Vl-tA
LANE COUNTY BUILDING
BUILDING fX!x MH n
PERMI!_~OR MOBILE HOME USE PERMIT
... PERMIT NO
//07- 73
1107-73
,
PROPERTY OW,"IER
rUTTF'R GUY
CONTRACTOR
MAILING ADDRESS
PHONE
..f
H'N"V. \~_A_
PROPERTY LOCATION - INCLUDE POST OFFICE
?f\1 G""lJVH' OR I vI':
PROPERTY LEGAL DESCRIPTION - METES BOUNDS
MAILING ADDRESS
4410 Fox Ho~~ou RO^D. EUGENl.ORCGON
PHONE
686-1473
~ TH AnOITION TO ~ROVEDAL~
TWP RANGE
BLOCK 18 LOT 1
SECTION
TAX LOT NO
CODE
CENSUS TRACT
17
03
23 OND 26
21-100
NAME
&
GUY CUTTER
C/O ~J.A. HENRY
4410 Fox HOLLm~ ROAD
EUGENE, OREGON
EXISTING STRUCTURES ON PROPERTY
HOllE
LEGAL ACCESS TO PROPERTY
GREENVA~E DRIVE
PROPERTY SIZE - FT
APPl
MAILING
ADDRESS
WIDTH
DEPTH
AREA
FOR MOBILE HOME PERMITS ONLY
No of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to EXisting
TYPE CONSTRUCTION
Sewage System 0
SQ FT :# BDRMS
352 €I 12 4,224
New System D
VALUATION
ADDITION ( NOOK AND HOBBY ROOM)
1 HOOKOP ( PLUMBING FIXTURE)
SEWAGE DISPOSAL
r;.^1;J1~
,
OTHERD
29.00
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
"
SEPTIC TANK '0
PUBLIC 0
D OTHER
'1.00
TOTAL
,
'12.00
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
UN FT
TRENCH WIDTH FT
OR SQ FT
CONNECT TO EXISTING SE~AGE DISPOSA~ STSTEM. No PA~T OF NE~ CONSTRUCTION TO BE OVCR AllY PAnT
00 EXISTIIIG SEWAGE DISPOSAL SYSTEM.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL EASEMENT
5 tJ
FRONT
BLDG SETBACKS
4')
FT FROM CTR OF ROAD RIGHT OF WAY
SIDE INT 5 SIDE EXT
AUTHORIZED SIGNATURE - DATE
USE CLASSIFICATION
REAR
6
/6/ J.E. Boss BY CHAREES HARBAUGH
JOHN CRUICKSHAKK,R.S.
6/19/73
DATE
SS
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
covering plumbing and sewage disposal All buildings require a certificate
of occupancy before beIng occupied
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG AT SITE)
LANE COUNTY, BLDG & SAN DIV COURT HOUSE EUGENE OREGON 97401
FORM = r ~~ 1 ~
BUILDING SITE EVALUATION
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( )
( )
.
BUIlding Permit ApplicatIon
i"
Site Inspection
No.//O'7-7J
Pre-PermIt InvestigatIon
LANE COUNTY PLANNING DEPARTMENT NOT NO
:;;PI I cab I e
Zoning Ordinance Compl lance ( ) ( )
(Zone RA- )
2 SubdIvIsIon Ordinance Compl lance ( ) ( )
3 Required Access ( ) ( )
4 Building Site (Area, WIdth, ( ) ( )
Frontage, Setback)
5 Ot her (see comments) ( ) ( )
=
COMMENTS.
~
T..Lz...R CJ3 S ~3~~' TAX LOT
CENSU' RACT
St:l,...~~~
APPL~ffilT k ~/cP ;;/~/
NAMEC(o /. ~,...,-,<"'"
ADDRESSA;?o~;_ Lt'
PHONE
DATE
&, //2--
/
YES NAME
DATE
(-)-- ~
{.,,-/3-73
( -)--
V)------ ~
..----------
n
( )
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
:;;PI i cab I e y\{
6. Plans Submitted ( ) ( )
7. Soil Stability (footings) W ( ) ( )
8. Flood Plain 0 ( ) ( ) e~~c:t?q~ t/> -/.5- -7 ~
9. Other (see Comment s) ~ ( ) ( )
e:..
_....._-- ,
COMMENTS:
.--
SAN ITAT I ON SECTION NOT NO YES NAME DATE
:;;PI I cab Ie )><1 ~
10. Sewage Disposal ( ) ( )
( ) ( ) 6)17~
II Usab I e Area ~ 9-PAu4 ~~
12 Water Supply ( ) ( ) 4
13. o the r (see Comments) ( , ( ) ( )
-
COMMENTS
TO APP LI CANT
Your
rr
BUIlding Permit I Site InspectIon
Can be approved. K'c (,/I~-
Cannot be approved at this time as Indicated on Item NO above
Questions and further Information on Items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. QuestIons and further .nformatlon on lte;S 6
through 13 contact the Lane County BUlldlnQ and Sanitation DIvISion
Will be held In this office until you can resolve the problems Indicated.
Is being returned.
Your bUilding permIt application fee IS beIng returned under separate cuver
( )
( )
( )
UINL COUNTY PUINN I NG DEPARTMENT
I II, ~ IX t h ih'"nu.. f aq, EugellP. Or..gun 9740 I
"'hINt \/,1_1111 IXI 1,1
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Olegon 97401
PHONE 342-1311 EXl. 411
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LANE COUNTY BUILDING PERMIT OR MOBILE
. ..
BUilDING 5!1l .MH 0 ~
MAI~ING ADDRESS
HOME USE PERMIT
PERMIT NO.
;/(,'1,"",
I HY>.. 'n
73;
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PROPERTY OWNER
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r'~Yl-;;e-L ~ :1u\r
CONTRACTOR" MAILING ADDRESS
IttffMOJ, W A !W.iC. ."4tJ;. OOt.Las.I tj3AD.. :;.'.i~'W1~[..Ctl:Ee-QJf
PROPERT,Y LOCATION -INCLUDE ;P-OST;OFFICE l . ~
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. ,S:.i r,.op....... r,"'ln,,,. , \' _ 1\\ -~ ,,,,,\\.:;.~ ,~\,\,' "'..-\,.;.. ',I' .,.,,\:\ \'k\N\\'\t l"-.
PROPERTY LEGAL DESCRIPTION ~METES',,"9U.ND.S' , .-. \. . .-'-\A .._ ~ "... '-'.... .," '\ \\.' _~...... .,," "'"
.. ~\ -'\"\ 1'>;P.>j""'" JI:\, ,'" ,)~"'" ~ N<""~ ~ "'~ """'"'\J\
c.: "'~l .&ftn'..,bW ....n nDo.VIH't.ia..!:" ALn1.", 'itl tHT 1 . _ _ ... _ i.'I.1
TWP ~':\. ,ll:ANGE_ a..~~,",...~ECTIO~:.~ ~TAX;-LOT, NO. 'I:'-._f'...\.CODE.....' \-\:" ~~~E~NSUS'TRACT~f~..
, 17 ~~ \~.::~ ~~~~~~ .~ 2i~_~ ~~~JX; ~ ,~~~~ ~\ :~.-~tS\~~tt~~tf1~~~"~~ \
'APPL. '. .-.. . \\ .....l. "oz- ,,'XISTlN.G STRUCTURES,ON:P,BOP.ERTY,_ "-.,...:,,. ,.,.
.~ . , ~ ,,~,~'\-.;,.,~ yo ---"'''._ ,-- ~..".,.~,_-.)~ "J~'~~
t!CMt '\l _
lEGAL ACCESS TO PROPERTY......~
t~::!t":~I.C :;J!1\'t ~,.
PROPE~TY SIZE - FT-
,'"
tj iI ~ .!.t/.~). '),
PHONE
PHONE
a;(....1I1T'1,
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allY Cti'I'TllP.
f';{C ':II.A. 1-:21l1'l'ii"
!.JlllO fox ;l1a't.~'lI E:DAQ
EfJlIl\~fl.. OReGON
'C' ~~ ~.~,J~~'~. ~~
NAME,
MAILING
ADDRESS
WIDTH
DEPTH
r"
AREA_~
J/';
. .,:.' -"
FOR, MOBilE. HOME PERMITS ONLY
3 '. 4 J,I
No. of Bedrooms ~ r. ~ /[..!J.,'t'.....
STRUCTURES T,OBE;SUILT,THIS PERMIT
~~t'lC1l1l ( ~~~~6'ifGD." Rt)J~~} , ~' ) it
'./ -;~ ......':i :"i}: ';~
r "COUP (, f'Ll$lSWG fIXTfJRE) C \';., \_
~/ .
\.
~\ ,~.~~.~
'z..:-(.:
t~"''''' -',
Sewage_Systeml '0
SQ. FT. ;+ BDRMS
~~.fjI..12 ~,2Z"
, "
;
C9nnect to Existing
TYPE. CONSTRUCTION
New System.O
VALUATION
"
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-'\('.. '.... .~. -........... .>\.
\,;, ~ \ .~- - ~~ -,'. \:;,:, "
.\
, .... .,~~ '-
J .... '.~,
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~"~~' ..:~~'~' .
'- "
, d
""'-
/
( . --. ",,~
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~.
,- .-..
-\ .
1
/"
'';-. .i::\"
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SEWAGE DISPOSAL
PUBLIC 0
.BUILDINGi
Wf\STE DISPOSAL
PLUMBING" .
PLAN REVIEW'
PARK TRAilER
r,
..-'.f. ,\U.~l;J.~_:. '\..~.)\. ~ ~.' ,...
,SEPTIC" TANK . R\ \.~ oniERCJ .
'-J~ E'i~OO FEES
.',
\."'\.~{; ',. of-
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" I. .
~ ,~' ~ ':; ," \'f ;; ...~.~.'\.;;.:\ ., \~~;.
'.< '~,PLUfABING .I~S~AllED'BY, '~'-, \
OWNER n ,OTHER: NAME
WATER SUPPLY
,'\ '
\
"
1
j
,
.,
PUBLIC 0
o OTHER
,
.,
,.
1;.Cf;..) ,."
c.f' "
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TOTAL
$-
''l2.~
COUNT.Y"'BUILDING
~ ~ ' (\
.c-
_I /
& SANITATION SPECIFICATIONS
"
M1N~ SEPTIC TANK CAPACIT.Yj_ " DRAIN FIELD REQ.UIRED \_ : /
WITH D151. BOX: GAl. ,/.\. '\, UN. FT TRENCH WIDTH FT. '.1 ~ OR SQ. FT.
~~."I!''f t{) Cl~i(l~'\1fA"'E: Oll.Jp\'ifll,\'~~~o PMV' Q. ;l.lI\;f('~"R~~~() 8lr em!fI 111('1 ~;,:",'j
C~ i;ill:;VB<Q ~~~~~~::'_ ~ \t\'.n'~\~ ~~~, \,
~...~~~~~,~y~~~\,\"S'-~\)-'- I:
" . . '\. ~'\j~. y",'~ .~ ""-'~~......
TYPE OF STRUCTURE
,OCCUPANCY
ZONE
PUBliC UTIl. EASEMENT
,
fRONT
:; rj
BLDG. SETBACKS
115
.IrJ! "..f!.
__ FT. FROM" CTR. OF ROAD RIGHT OF WAY
SIDE INT. 9 SIDE EXT:'
AUTHORIZED SIGNATURE.. DATE'
~~8 DV'OIAlt;;CI'I HJlflC~l:l1l'!
, ~. .
REAR
(5'
USE ClASSIFICATION
"c~m &It''''C~~A~lI ,~.S.
0/1<)/73
DATE
-,CI
BLDG. PERMIT - WHITE
OFFICE COPY - ,WHITE
COUNTY" TAX - PINK'
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
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. .
"
(See Stat~ment on Reverse Side)
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FORM = (::'5.=..J3
(POST THIS P.ERMIT .ON MAIN"BL.oG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIY:" COURT HOUSE, EUGENE, OREGON 97401
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SITE INSPECTION
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ApPROVED DISAPPROVED 17 DATE INSPECTOR \
/1 rf10-i4~}~~bU~./ 1-10 ~1"J'
'iutJ p:::Jl'ti f),itL4/l.! - -M ok6 ~"'" ~ <. 14 _ 't3
- -
(V' __..a Ii ';6 / j/J-:z, 2. -77 P ~~ ~ ~
~"J-? ~A~ 1,'1-2'.--.J-.: .--~~ /,~
~~~lN INSP:9JON oj
ApPROVED f77'1' D'SAPPROVED I I DATE 6-2-tJ'- ';11 INSPECTORr' , ,
REMARKS
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FRAMING INSPECTION
"
ApPROVED
J
I / ~IAPPR~VED I I DATE ~ INSPECTOR '
__~'l<-'~~ _ /~d ~_,.,-o? c
'f'1;i l::iB-Jri..4; 't) {j 'I'~ 'f ?J /r' J2,/dUA' /' /;/1 ( "X' q.ft:')f /I.
~CL~;,'~ a.. J' , ,_ ~LL ~bv-/lJ7 ~
41'7
~
LATH OR SHEETROCK INSPECTION
ApPROVED ~I DISAPPROVED ~I DATE
INSPECTOR
REMARKS
~AR;k
~
FINAL INSPECTI N
ApPROVED
CERTIFICATE OF OCCUPANCY
READY TO ISSUE 17 NOT READY TO ISSUE 17 DATE
INSPECTOR
REMARKS
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HOME USE PERMIT
PERMIT NO.
.). ..-
/ I C. 7--.7 .::
1101<> 73
.
,.
LANE COUNTY BUILDING PERMITCR MOBILE
BUILDING CBlr MH 0 .'
MAILING. ADDRE~S
'-
PHONE
. ~
PROPERTY OWNtR
'l>
"..9ynon I'lt1tl
CONTRACTOR
<.
MAILING ADDRESS
lIhlO crOll fml.LI"H I:l;:,AO. EUdll:tlE.C:mGG:3
., \'1": ,,_:1 PHONE
6!36-i~73
'*'!'~
Untl,nv "" ^
PROPERTY lOCATION - INClUDe POST OFFICE
~R7 t'J'Jft'ft"M1.MI,tt f'h",t:'
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
c;, ...... An"'.,..,u. Tft ~arn.r"n.nl v t.'LOr.:1t 18 LOT t
TWP RANGE SECTION l TAX LOT NO.
CODE
CENSUS TRACT
11
O';j
2'll QrlEl 26
21~100
APPl.
NAME
&
Guv CuTTER
C/O Id.A. HENflY
lWl0 rOll H~LL~ (lOAO
EucalllE, OREGON
EXISTING STRUCTURES ON PROPERTY
Hot.1:t
. lEGAL ACCESS TO PROPERTY
Gflltlttll1AU !}::lIVE
PROPERTY SIZE - FT.
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
1 1l0c:l OP
( i:OOll. ADD I1C60Y QO~)
(
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. ;:; BDRMS
352 0 12 4.221}
New System 0
VALUATION
ADOI'i'I41tl
,
Pi. ~S 1fl0 . V' IllTUllE)
\
SEWAGE DISPOSAL
l:oAIU'fl;;i
'.
OTHERD
2Cl.OO
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER.
SEPTIC TANK B
PUBLIC 0
o OTH ER
~.OO
TOTAL
I
';j2.00____ \
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FielD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
lIN. FT'
TRENCH WIDTH FT.
OR SQ. FT.
<..
CO~~ItCY TO Itlll$TI~ O~~AGU OIOPOnAL 8VOTE~. No PART 0' Na~ eO~TRUCTIOl'l TO DE OVER A~Y P~&T
00 tnGSTlroa O~AeE .OIBPOSAL SVOYcr~.
TYPE OF STRUCTURE
OCCUPANCY
ZONE PUBLIC UTll. EASEMENT "-'"-.:.
USE CLASSIFICATION
REAR 6
DATE
JOHU CRu I CIlStIANK, R. S; 6/19/73 os
5 r-J
BLDG. SETBACKS __ FT.
45
10/ .I.E.
FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. 5 SIDE E'XT.
AUTHORIZED SIGNATURE - DATE
OQSS aT CUAR~~a MA~OAurnl
FRONT
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations I
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied. .
(See Statement on Reverse Side)
.'
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
f'
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
FORM ='C55-13
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SLAB FLOOR
PLUMBING GROUNDWORK
.
ApPROVED ;---? OlSAPPROVED ;---? DATE
INSPECTOR
REMARKS
GAS PIPING GROUNDWORK
ApPROVED ;---? DISAPPROVED ~ DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVED I}( I
REMARKS
D'SAPPROVED ;---? DATEJ- 2q.?, INSPECTOR~4
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED / / DATE
INSPECTOR
REMARKS
FINAL PLUMBING
;---? DATE'ff'- Z1-:J~ INSPECTOR r V- V~~
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~-/,n -7q~/~~ ~ t! I. (.../"
?-lFJ -/C/--<-r~
:; .!J -
ApPROVED ;---? DISAPPROVED
REMARKS.~"""'" J,l"JkL_
,A(" .- !li;"'"
)1/ ,.,.-f"" ~ D'" ~
FINAL GAS PIPING
ApPROVED ;---? DISAPPROVED / I DATE
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ;---? NOT READY TO ISSUE ;---? DATE
INSPECTOR
REMARKS
~
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, LANE COUNTY BlJ ING PERMIT OR MOBILE HOME l
PERMIT TYPE BUILDING ~ MOBILE HOME Dose REG #
~ ~AllING ADDRESS
CO~~ACTOR ". V ~A)L.I~G ADDRESS .-1 I J /) \
,..Pi//1VU4 /~ (t- 4#-/OJ-?~
PR6PERTY,}1fN -n:~~S;:;I~ ~/ Ik /
PROPFRTY LEGAL DFSCO..t,O~ '/,-+-I ; " ./ 1-1 j J1
LOT - BLOCK - SUBON' ...:> '4t.-IX,/'-{-p ~ .d.AA)
TWP RANGE SEe TAX LOT :#
/ U /) ,:? :Zi5 <t ;2 h
APPLICATION
PERMIT # //tJ7~Z3
PHONE
~ PHONE
~&!b-r'f-73
ff-/t d- /
~/.
/
METES & BOUNDS 0 YES
ATIACHED 0 NO
APPLICANT
NAME
AND
MAILING
p
~
ILA 1l..-l.A-<Ll_U
CENSUS TRACT
~/-/ tJ..o
~RUCTURES ON- PROPERTY If ANY
LE~ ACCESS TO PROPERTY - ROAD NAME OR #
(M,f ~~/fr(1..1-, J~-!> .
~PERTY SIZE-WIDTH DEPTH
AREA
CODE
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to EXisting Sewage System 0
TYPE CONSTRUCTION SQ FT
or New System Req D
# &EDROOMS VALUATION
J~c~ (.?l ~~Jh.-/--4t kin )
~.- (/ -
U J _?:tY:J.Z:> L
SFL~~ / ~4) PLUMBING INSTALLED BY
PUBLIC 0 SEPTIS TANK -xlr-"""~THER D
BLOG $ ~C-I_ d-o. FEES WATER SUPPLY
WASTE DIS PUBLIC D OTHER
PLUMBING <-'I}. ~ PLU':)"'NG FEF~ 3, tfI..-V
PLAN REVIEW -L- FIXTURk'"
\:r5'.7~
/2
.2/22 q
/
MIN SEPTIC TANK CAPACITY
WITH DIST BOX GAL
COUNTY BUILDING &
DRAIN FIELD REQUIRED
lIN FT
OWNER 0 OTHER D NAME s'/
PLANS F~ED /",,,, FACILITY PERMIT
YES~ NO 0 YES 0 NO 0
S7JP/11.";ff ~ 6-/:i~3
~ECElVED.r . ,j/ DAn
(-4>> / ~ -/2-'7.3
"'--P'fRMIT
,//01(- /f3
PARK TRlR
TOTAL
,9:? "tPtJ
CASH D SEWER~
CHECK ~CTION FEE
PUBLIC WATER
CONNECTION FEE
=
..'
.. OR SQUARE FEET
,r"'nwr 10 PJO$fJly ~~1jf:r S-y<7"_ No put': ref_,
fOJ?d)(}rf,J~tM -m At'> cut'.. ~ rAu1~/ c/;s./JO>:td S o~'"&Y~ _
- ,,/ i/ ' ,
TYPE OF STRUCTURE ,~ Ai OCCUPANiY / ZONE REAR YARD
BLOG SETBACKS - FT FROM CTR OF ROAD RIGHT OF WAY V USE CLASSIFICATION
!RONT -4- S SI~ INT 'S" ~E"S<t____ - REAR C _ .
(r::;;:'RIAN ~'n Il Lh Doy PLANNING Dote BLOG INSP d~ g /'//7 Dote
?t~1/P/(ILI.flM'~ r'l7{''f1Vl9--.. ~ - J <::'-7 ....., f'n3 ~ '7 ~ ? -I r' 7 ?
Directions to Find Property
PUBLIC UTll EASEMENT
COPY 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form:1i C55 12.