HomeMy WebLinkAboutPermit Septic Tank 1973-8-16
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PROPERTY OWNER
LANE COUN1.
BUllDINGlD
dUILDING"P~r.~AiT .OR
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MH D ",,-
MAlllNG ADDRESS
MOBILE He"," USE PERMIT
pfRMIT NO.
,1'1>';-"<';"'1< .
1587-.7'3
,. PHONE
747-5092
PHONE
Proch.,. Oan
CONTRACTOR
554 Andersen Lane
MAlllNq ADDRESS
Eugene. Or-aqon
PROPERTY LOCATION - INClUDE POST OFFICE
Corner of Rowan and DIamond
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
FIrst addition Garden ~av Park Lot 11 Block I
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17 03 34.22
, APPl.-
NAME
"
&
MAIl!NG
ADDRESS
800 32~300
EXISTING, STRUCTURES ON PROPERTY
tlC!lne
LEGAl ACCESS TO PROPERTY
Rowan Ave.
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Ex'isting Sewage System 0 New System D
TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION
DwelllnQ
Garage att. unc.
Frame
1350 ~ 12 (3)
47& @l 3
16.200
1.428
17.6213
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Install S.O.S.
10 PlumblnQ Fixtures,
/
,
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANKXCIJ
. BUILDING t:
WASTE DISPOSAL
.PLUMBING
OTHERD
68,00
20.00
33.50
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
Gofer PI umbi ng
'1
PUBLIC lEI
D OTHER
"
.PLAN REVIEW
PAR.K TRAILER
TOTAL
I
121.50
COUNTY BUILDING & SANITATION SPECIFICATIONS
'MIN. 'SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED
WITH D'ST:' BOX, GAL 1000 "UN. FT 250
HOLD TRENCH DEPTH TO A\~~ MAXR1UM DEPTH,
All; PART!> nr nRAIMI'IHn .
TRENCH WIDTH FT. 2 OR SQ. FT. 500
STAV'TEN FEET FROM PROPiRTV LI~E AND-HOUSE WITH
TYPE OF STRUCTURE
. OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT --
C hi
o BLDG. SETBACKS
, ,,(!.\:Ian
. FRONT 45
,1,,- ,I
- Fl. FROM CTR. OF ROAD RIGtl:i grn~fJ
SIDE 'NT. 5 S'DE EXT, 40
'~UTHOR1ZED SIGNATURE - DATE
Is/'J_E, Boss bv Harbauah
R_I
USE CLASSIFICATION
REAR
7
G.W. Grav. Sanitarian
DATE
8-16-73
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUN.TY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANIT.ATlON - GOLDENROD
Construction to comply with uniform building code 'and
covering plumbing and sewage disposal. All buildings
of occupancy bef<<?re being occupied.
(See Sfafemenl on Reverse Side)
county regulations'
require a certificate
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LANE COUNTY, BLDG.
PERMIT 0111 .N\AINBLD,G. AT SITE)'
"'....,.., " .....'.., . .-..'
& SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
,: '. FORM:# C55~13 \"""_,,
BUILDING SITE EVAeUATION
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BuildingPermit Appl ication No,
If/I
/. ):17'-::t..z
T /7 R -#.3 S .:i"t/2ZTAX LOT fi-.J
'. CE' "S TRACT . /l
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APPLICANT: ~, /3-/ kll
NAME r/zAJ('--LW
ADDRESS
Site Inspection
PHONE
'DATE I' - /03- 'l3
() Pre-Permit Investigation
LANE COUNTY PLANNING DEPARTMENT
I.
Zoning Ordinance comp~cl
' (Zon )
Subdivision Ordinance Compl iance
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() () ()
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NOT
aDD I i cab I e
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NO
YES
NAME
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A~
Di\TE
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8--)Lf. 7~
8 --/c"-T"'>
2.
3 '
4,
Required Access
Building~i~e (Area, Width,
Frontage, Setback)
Other (see comments) .
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COMMENTS:
~ ~S- 9r
'17
/7
, .~
BUILDING INSPECTION SECTION NOT NO YES if NAME DATE
app I i'cab I e c
6. Plans Submit'ted ( ) ( ) yt1, "",,:,;
~^,.7. So il Stability (footings) <<) ( ) ()
~ v
, 8, Flood Plain ( ) ( )
9. Other (see Comments) W ( ) ( ) (j, Il~ t6-/~-73
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COMMENTS:
--
SANITATION SECTION NOT NO YES NAME DATE
app 1 i cabl e
10. Sewage Disposal ( ) ( ) (j'~ ".-
11. Usable Area ( ) ( ) U . .1J1 jJ, ;1A~
12. Water Supply ( ) ( ) ( )
"J. ("/(/
13. Other (see Comments) . "-, ( ) ( ) (.) " . "p .
COMMENTS:
TO APPlI CANT:
>'
( )
( )
Bui lding Permit / Site Inspect ion:
Can be approved.
Cannot be app roved at th i s time as i nd i cated on' item NO, above,
Questions and further information ori ite~i I through S'contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions ,and further information on items 6
through 13 contact the Lane County Build'inq and Sanitation Division,
Will be held in this office unti,l you can'fesolve.the problems indicated.
Is being returned. .,
Your b'uilding permit appl ication fee i,sbe'ing returned under separate cu,er,
~~ .
Your
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( )
( )
LANE COUNTY PU\NN ING DEPARTMENT
135' Sl.><rh Avenue [dOt, Eugene, (lr"gon 97401
f"tlONE: 3111,.1311 lOX I. 231
LANE,COONTY BUILDING & SANITATION DIVISION
'1'3'0 Si'xth jljvenue East, E"'ten,,, Olegon 971,0 I
VHOllC': :..'Jlj 2-/'J 18 fJIT. 411
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LANE COUN1'.A!UILDING -PERMIT OR MOBILE
. BUILDING rl\1 MH n
'<'I ~ " Q"'I MA'UNG ADDRESS
7 '1, ~ ~ U -I~ 554 Andti'1en t,.anGl Eugene. Oregan
MAILING ADDRESS
. )
HO...~ USE PERMIT
PERMIT NO.
1!;,'W-7:l
PHONE
7.1!"..5091
PROPERTY OWNER
V~Oc:tw.. Oan
CONTRACTOR
, f~~'>";'~-,~,;".~
PHONE
PROPERTY loeA liON - INCLUDE POST OFFICE
~lrne' of 'Rowan and Dt~d
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
First additIon <l.u'd", Way Pam l.ot H Glock I
TWP
RANGE
SECTION
TAX LOT NO
CODE
CENSUS TRACT
17
03
3~.22 all~
31-'00
APPl.
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EXISTING STRUCTURES ON PROPERTY
HonG
NAME
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'LEGAl ACCESS TO PROPERTY'
ft.ClWlln Ave.
PROPERTY SIZE - FT.
\
MAILING
ADDRESS
WIDTH
DEPTH
AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
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,;~at:.' I ;J.iI.;J.
10 Pl.fn~ F1Kture.
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(0) 12
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New System 0
VALUATION
16.2(j()
1.'tACO'
17.b2ll.
STRUCTURESo.,TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;:;: BDRMS
())
Friliile
I~SO
llwe III n9
\larege .1;1;. ~,'
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SEWAGE DISPOSAL
PUBLIC n SEPTIC TANK '"'ri
BUILDING t
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTtI~_RD
~..uv
&:u.vT
:U.:>J
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PLUMBING INSTAllED BY
\ .~, ...,. \;-..);~.'I:..,\ 't
OWNER 0 OTHER, NAME
WATER SUPPLY
O\)f.,. flh.'tf<J
fEES
..
PUBLIC D
o OTHER
TOTAL
,
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COUNTY BUILDING & SANITATlO~1 SPEGIF.ICMIONS
MIN. SEPTIC TANK CAPACITY I DRAIN FIELD REQUIRED.', ,: ,of.,. .
000 2)0 2
WITH DI5T. BOX: GAL ~ ,1/ UN. FT TRENCH WIDTH FT. OR SQ.
. 11111.11 1ft..,.,," 1111"'" III ~~~"~II'IUI'I 1IUI". l>IAY It.1I 1"1:1.' ,.,,1Ift .~lInl\n'
;ili.L PARTS OF OAA'NFULO. ~
. $00
FT.1
...nr. I'UfU
!
"",~I: lIf,.rr-
,
~-:'--a'\\~~ 1~
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TYPE OF STRUCTURE
~ If
....(~BWG. SETBACKS _ FT.
FRONT t}5
FROM eTR. OF ROAD RIGHTlOF.4WAY,
r.
SIDE INT. oJ SIDE EXT.
AUTHORIZED SIGNATURE - DATE
151 J. i.:. OtIS, by Harbeu\jll
OCCUPANCY
"J
40
ZONE
R-r
PUBLIC UTll. EASEMENT
USE CLASSIFICATION
REAR
7
G.V. Qray. Slnftarfln
DATE
H-lu-13 .
BLDG. PERMlT - 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 oc.cupancy bef.oje be i...ng. .o,Scupied.
. .. . '- .,J
(See Statement" on Reverse Side)
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(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
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FINAL I NSPECT ION J;' I _ . ' 0 ~
ApPROVED Clc/' APPROV~D DArE t;'" /;;1J~ 'Ii INSPECTOR
REMARKS~ ~'_ I fI.'(!;-'7Q /'. .
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READY TO ISSUE / I NOT READY TO ISS~E / I DATE
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SITE INSPECTION
ApPROVED Cl ~ DI.5APPROVEO"j /
REMARKS
FOUNDATION INSPECTION
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ApPROVED LJL./ . 0, SAPPROVED L-/
REMARKS
FRAMING INSPEC~ .
ApPRO\.'ED ~ DISAPPROVED / /
REMARKS ./M. 1'~ _~-j2 --7j
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ DISAPPROVED
1/
REMARKS
CERTIFICATE OF OCCUPANCY
REMARKS
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CONTRACTOR
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BUILDING. PERMiT .OR MOBILE He... .~
4: .,.1 MH 0 " '"..
IMAIUNGJI ADDRESS . "
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" MAIliNG ADDRESS '.~~
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USE 'PERMIT
PERMIT ,NO.
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LANE COUN.
BUILDING_ ~
PROPERTY OWNER
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1507'-'73
PHON(
~7'-'5@!)2
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Oronen
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PHONE
'.'PROPERTY LOCATION - INCLUDE POST OFFICE
, .
Cftrnnr nf n~~n nnd,gl~nd
PROPERTY lEGAt DESCRiPTJON -~ET~S, BOUNDS
ll'll1'n1I: c:ldlalCl1 Gorden t1ll'1 Por!.l Lot II Dlock r
TWP RANGE SECTION TAX LOT NO
~.t
CODE
CENSUS TRACT
17
O~
34.22
C@O
3a-sell
EXISTING STRUCTURES ON PROPERTY
~on3
.LEGAL ACCESS TO PROPERTY
Rct.1<ln Avo.
PROPERTY SJZE - FT.
APPl.
NAME
&
MAltiNG
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THI5PERMfT
WIDTH
DEPTH
AREA
....
Connect to Existing Sewage SySfem.O '-New System n
TYPE CONSTRUCTION SQ. FT. :tt BDRMS VALUATION
Ih-:a III 0(1
Garogo aU. unc._
i
Ins tollS.0. B.
IOPIQlo'1 ~illturo5
FrO!:)
1350 0 12 (9)
07U l1D ,
lu,altO
1.~tllJ
li;CillU
SEWAGE DISPOSAL
PUBLIC D SEPTIC TANK );'@]
BUILDING 't
WASTE DISPOSAL
PLUMBI~G
PLAN REVIEW
PARK TRAILER
OTHERD
68.00
20.CW
33.50
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
Gc>>'or Plu:i:llog
PUBLIC ~~
o . OTHER
TOTAL
$
121.50
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED
WITH DIST-BOX, GAl. 1000 _ // UN. FT 250
I-lO!.l) 'ffil3tJCI1 [)t!P'i'~ TO A ~~'1Wl8~lJ;1 DlZPTH.
AU DL\[lY~ Oil' IlI<AItJfi:ftIi.lD_
TRENCH WIDTH FT_ :2 OR SQ. FT_ 500 \
STAV Ttm F[!ET fniDN PflOPl1llTV L1CJ~ AC'Jl HJlUSE t1rm
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
II; /"I
ntt~'b1i SETBACKS u FT.
FRONT 45
I "" J
FROM CTR. OF ROAD RIGHJ .~:\-a
SIDE 'NT,!i SIDE EXT. 40
AUTHORIZED SIGNATURE - DATE
Isl J.E. QOGG bv Warbbunh
Ro/
USE ClASSIFICATION
REAR
7
G.~. Grey, Sonl~DrlQn
DATE
8-160n
BLDG. PERMIT ~ WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PtuMBING - CANARY'~
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with - u~iform building 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. DIY" COURT HOUSE, EUGENE, OREGON 97401
... .F;ORM,= C55-,13
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ApPROVED /7 DISAPPROVED / / DArE
- REMARK 5
1
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GAS PIPI,NG GROUNDWORK
ApPROVED / / DISAPPROVED /7 DATE
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REMARKS
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SLAB FLOOR :t' '"
PLUMBING GROUNDWORK
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ROUGH' PLUMBING"
ApPROVED' - ~X / O'S'APPROVED ./7
REMARKS
ROUGH GAS PIPING.
ApPROVED .CI.t!~ ~\SAPPRO~ED /7
REMARKS
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REMARKS-a"",,' ,4,' __-P ..~O
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FINAL GAS PIPING
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ApPROVED / /
DISAPPROVED I /
REMARK 5
, CE[HI F I C;ATE Of OCclJPANCY.
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RE ADY TO liSSUE. /. /
NOT READY T.O
REMARKS
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~NDIVIDUAL SEWASE. DISPOSAL'SYSTFM RECORD
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.1stailer: Compl<)t,e, top part corm, to
siH~rn,l3.\u~e' .'and r~turIl. ~'1th copies to Lane
Coun. ty. Building Sanitation: Depar,tmenL
1:1.--:-87'- n
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Installer's Name ~ .
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No :Li ying Uni ts ,IBe,?-~ooms I_ Baths
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sept1.C ,TanK.: '...:' .
Ft.. 'fiom well<<. Steel.Ll.
.lnsJ.ae UJ.InenSl.ons: otT.. ,-
Length' 9 Width i/'?:i'
\Ppnc~nt
N aIIie
I. Property Address .
,. Basement ./ Water Supply..... .
Yes 0 .. No B"" Public g/ ;01::hei-List...
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No. Co.mpartmenfs", ! Gal. CapacitY/O"2n>.. ....,
. <~ " 'Tile Disposal Field': "~-:--~--r:--
Deptlf'r Di'stribution Box:Ye,s [y', No,O'"
'Other Distribution- .Type
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D.iameter
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'P.i? 0 c. / v),:, ,.'..
"kn{) , ) d ; ( Fwee,eltl from' .1,:
"'" r> fVFoundation, i'rJ:', ;
c: GJ RtF L"t Line ,.
~'v.. 'f E" j.;[[: / ' '. Front ... 'Side)o Rear /0",
I.Trench ITotil.1SqjFt. be tweenl Filler J F i.l.ler d. eoth..'1 F i,l1er' dept~ .
.' W'dtLo:) f .s-// l' )'io-: II-. above ,...below. /. .'
1. '[} . t. 'to 1.nes ...,. Type "2...r)U- tile '2,-' 'in', tile' .<0."', il4.
instructlons} : . - .;'
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Mailing
Address
Length "of Lines.
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Sketch (See
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For.San1tarian Use Only:
~ppro~ep: System' In~tallation
,0 Disapproved: Does Not '.Conform
R~marks:.r ' .
Conforms to.Current Standards
to Current Stan~ards
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Lan,; .Collnty BUildfng & Sanitation'Dept.'
"~) 11m: LANEg';~~T~I' DING PER~IT OR ~O,BILE";86Mr E, APPliCATION
4~e' ' "''''"0)0 MO"," 'OM' , '''' "",)" , ".M" .,' ,Y 7' ''7. 'i
PRO.O~p~ A," ~":,,-,,,~,,R, .,:",", ., I ' ,MAI~N~G A:E:D, RES, ' ,', ," . PHONE
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CONTRACTOR, . , MAILING A RESS - -':,::'i;:::"f .-. I . d';HON~
7'/7'- .:s-V7.<..
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Number of "Bedrooms
. STRUCTURES TO BE BUILT THIS. PERMIT
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PROPERTY. LEGAL DESCR'PTlON ' /_ /_'A .J./ ,.J, /l, "J', . /', ','/} .I";C 1..,t'_M,E}ES & BOUNDS,D YES
lOT - BLOCK -SUBD'V, /.44' ,r~4/~ ,U'-<<4 ~,/4""A' /~IL- U-I<7<" I ATTACHED, 'D NO
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. . DfSCRI._~>EE,: '"IE,X",~~'NG, STRUCTURES ON PROPERTY If ANY
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MAI~ING , . PRbp~~.!y~ S,-I:~~~_yvtDUi .-- DEPTH "
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Connect to: Exi;t!ng'~S~~99~ .System ~D or New System Req. '0
TYPE CONSTRUCTION ~. "'.. SQ FT _ # BEDROOMS VALUATION
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'AREA
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FQR MOBilE HOME PERMIT ONLY
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TOTAL
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OTHER D ".k :6L~~~~~,~?t.S!C~~;~.;; N~ME ~
WATERSUPP.Lv . _, . .:' PlANS'FURNISHED, .-......,. FAof'LITY PERMIT
FEES, ~/~~O~~I~Km' t:;~Erl:A'~')~~.N::r:~/?~~.;L1CAN.T "YES,D NO D~D~)2 /7~
_FIXTU~ES ~L?'-:~'t...1L</~>F);0:'~' :.'..' __ d//J/D
cASH []; SEw.;{' , , ' . ,F E, RECEI E BY:, ( () I, ) , DATE _ /.
CHECK [lftNN'ECTlON FEE j',t9-iJ' ,: t/)''Jj-j..o Or: ~tJ-(!.uA) J";/3LP
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.PUBlIC.WATER,_
CONNECTION FEE
,SEWAGE DISPOSAL
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BLDG. $
WASTE DIS,
PLUM'BING
PLAN REVIEW
PARK TRLR.
SEPTIC TANK )~
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,COUNTY BUilDING & SANITATlON;SP~CIF,ICATlONS
- DRAIN FIELD REQUIRED..' ,:,-,,:;";'oih
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MIN., SEPTIC TANK CAPACITY
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TYPE OF STRUCTURE,
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BlDG.<!SETBACKS- FT. FROM CTR OF ROAD RIGHT OF-WAY
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FRONT '7,:';} SIDE INT,...5 - S'DE EXT, '7' 0 REAR' >.'Ill -/', .
SANITARIAN..vI . Date PlAN~ING , Dofe, BLDG, INSP," "ij
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Directions to Fin/property . -, - , ' ".
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USE CLASSIFICATION
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COpy 1 - OFFICE
COPY 2 --JOURNAL
COPY 3 - A~DIT .
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Form # C55-12
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