HomeMy WebLinkAboutPermit Mechanical 1974-5-10
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THIS,IS A PRElIMIIIMY RFPORT WH'C~O(E.SAwrltlSUf\E fHE ISSUAIlCE OF A FUTURE BUILOING PERMIT.
PLANS OR EXPENDITURES 'MADE If~1.ljfh' CE UPON THIS REPORT ME AT YOUR O\lN RISK.' -:1.'h
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:' TO\1nsh/p Range ,Section Tax ;Lot No, Owner of Property I Ownor' 5 ConSent
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I '(1'A"k:'<L F,y I" No, of Sites 1.2 ' $ "'?7S.Cn "'Is---
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'lielephone # SIgnature of Appl icant Date '
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p'roposed Use' '_L I
of Property' /1a,5.'d""-/77;' eY I '
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MARK TEST HOLES WITH OUR FLAGS
Location of Test Holes on Property
Draw diagram of property showing location
these landmarks
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of any landmarks pnd relatIonship
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11AKE CHECK PAYABLE TO HEAL TH AND SAN ITA[ ION
HAIL TO LANE COUllTY BUILDING AND SANITATION DIVISION, 135 E 6 th Ave., Eugene, Oregon 97401
C 55-55
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