HomeMy WebLinkAboutPermit Building 1978-2-14
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LANE COUNTY PERMIT
Acreage or Lot S17~
Contractor's 0 S #
08 X 170 X 30 X 129 X50
.
..
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
~
I hereby certify that the above statements are;true and accurate, and that I have the following legal Interest In thp oroperty _owner of record,
contract purchaser, _ potential buyer, XX re~ltor or agent I further certify that (If not-the owner) I am authorized to act for the owner of
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record, and that said oWrler,Js aware and approves of th,s action I hereby agree tQSomply with all,appllcab)e'Godes 'lelal1ng to this permit ~
F.ee P.ald $ dO. \. O~ ~ \" <~, 'Slgnature (;( r:t: ~~ ~~E' b "i- ~ '\
B NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ~PECIA~ PM-f'AREA MIN ELEVATION * ,c'<,.,t)
SANITATION BUILDING F L 00 [) P<...A I AJ
7r7C> MInimum Septic Tank Capacity (Gallons) . VN T e of COrlstructlorl "1:::- Group
11'3'0 =C...J I
Dralnfleld ReqUired - Lineal Feet . 'd>.J../ Ilse ClaSSlflcatlo~
3D MaXimum Depth IlL. ~ I
Comments J2.""..;.:W'....e, a- ~.J1 -~.A.-'t~ ,.Comments F, IJ'~"" FLtJol2 To at: 4 BlP .1)0_
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/!-I ~ ,~<fl....- U...... <7,4.., fer'- ^'fdc~ OF blXl1: b2lVE 4 CD('~/WAY
+;:tb__ oe~~~. / ,~ AT A ~ EI...EI), of=' <Ja3,9~'
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By ~ ~...4J-o",-- Date ~rZr;;t(- 78' -----"By k ~/l ~L.l::.-l""" Date ;2 ....:21-70
PLANNING-R~Ol.!/.IREMENTSSATISFIED By'........... ,\O~~~./_ Date __Y-e- ~ \"-Date Issued:::;'!-~7-7~
'-ZONE~~ ,. SETBACKS FRONT N;::::;-SlDE'FAC'ING STREET (FROM CIL) INT SIDE YARD ","-J REAR"=:' (FROM PILI
LANE COUNTY DEPARTMENT OF ENVIRONM!NTAL"MA:NA(;~ENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401 PHONE \-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
C5513 SLOG PERMIT - WHITE, BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
v!lt.""
APPLICANT'S NAME AND ADDRFC:C:
OWNER'S NAME AND ADORES"
CONTRACTOR'S NAME AND ADORE""
Mail permit to ( ) Applicant ( ) Owner
STRUCTURES NOW ON THE PROPERTY
NEvI DWELLING
GARAGE
THIS PERMIT IS FOR "Tru,."... AD'"
U1A..1\.
~LLAMETTE WATER DIST:
WATER SUPPLY.
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Partitioning #
) Completed
NT VERNON ESTATES
SubdiVISion -
Lot.t...L Block
SPRINGFIELD OREGON
747-5774
3rd AL'D:
ARMSTRONG CONSTRUCTION
1023 DIXIE
L.l.l.1. ~1..;lJ.r..V~~\:J
Phono
Phono
Phono
(owner, etc) wherl ready_
APPLICANT
) Contractor ( ) Prefer to pick up Call
NONE
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- ~IU sq
tE; VALUE $44,056.00
&.. INSTALL SDS
tt:
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# BEDROOM" # PLUMBING CONNECTION~
PROPOSED
SEWAGE DISPOSAl
S I #
SPRINGFIELTl
PLUMBING BY
TWIN CITY PLmffiING
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Date \.hbueu11J Q1.. 107 Z
Permit No _
;)85-'75
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached appllcahon has been fully consIdered by the Board of County Com.
missioners of lane County, and It IS the opinion and ludgment of the Board that the said application
should be granted, and that a permit should be Issued, now, therefore, It IS hereby
ORDERED, that a permit be and IS hereby Issued to ~~(jY"'\O r I"II\'?A:,. ;
102..""5 C2.lx,u.., _, ~~"\(j-f-o.--td. lM'5(c9"l\ for placing, building
or constructing the following faCIlity I....J L
--'i": II R.J\{"~ 2.. Uk- VEeISlOtJ &:AA1~7? ~rf! o..dd.J-toY\,)
u~~t~ ~9htt;;{:Ja; of ~:;2 Road No , Mile Post ,
In strict conformity to the exhibits attached hereto, and sublect to all terms, conditions, agreements,
shpulatlons and provIsions contained In the appllcahon and permit, the Rules and Regulations Gov-
erning FaCIlities to be Permitted upon County Road Rlghts.of.Way, as set forth by the lane Man-
ual 50 190(2) any amendments thereto, and any other applicable regulahons, law or ordinance
Special PrOVISions
Driveway will be constructed In accordance WIth the attached driveway approach speclflca-
hons (DraWing M98-50)
2 Permittee will be responSible for the ImmedlOte removal of all mud, dirt and debrIS from the
roadway and right of way caused by hiS operahon, leaVing the roadway and area In a neat,
acceptable condlhon
3 Sldewalks w111 be constructed 1n accordance w1th the attached sldewalk
spec1f1cat1ons and draw1ng M98-49 The Standard Curb Type shall be
constructed unless otherw1se spec1f1ed
Th,s permit IS revocable at any time, and wdl be strictly adhered to and no work other than
that speCifically menhoned above IS hereby authOrized
Th,s permit shall be VOid unless the work herein contemplated shall have been completed be-
fore . ')ohu~
Inspected and Approved
;;),1
,19~
Expires
, 19_
By
Approved by Board of County CommiSSioners
By
Cl De.LIJ~ (A)
Director of Public Works
Datp
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WHITE - OFFICE FILE
YELLOW - REAL ESTATE
PINK - PERMITTEE
ORANGE - BUILDING & SANITATION DEPT
C74-129
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Job Location
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INFORMATION SHEET
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Wrltten Duectlons
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ytJ) BUlldlrlg Permit " ) Site Feasibility Study for Septic Tank Number of sites
Acreage or Lot Slzefl.,X /70 '/.. :5,,:; ;( /;19)(00 Test holes will be ready
Partltlorllng # ( ') Completed SubdivIsion '/11 /JV 4/7 {/(7/'1. /V,",-1./~ -3M Lot
( ) Perldlrlg /! .. ~
APPLICANT'S NAME AND ADDRESS />/-/2/VY1 <;. T7JC/~ ~/<' 'TJl vcfil<<-'<./
OWNER'SNAMEANDADDRESS,lfdlffererl)jfromappllca-rlt's" L D. ,/-C,J"/OflA- 4-11....... "r7?<_/'4 Phone"'7bL6 t7c;..;<
CONTRACTOR'S NAME AND ADDRESS /f-i?/lM ,rn-"'j C -~/~71h..c..'-';J~ /0 ~ '? D ,> i '- .PI?.. Sp/i.....'f~/dci Cd,... Phone /'.' .? ,,')? fl.
Mall permit or resu Its of site feasibility study to ( ) Applicant ( ) Owner 5..11) Contractor ? 74 ., 1 " I
"/1) Prefer to pick up Call //,.1 7 >7, ') (owner, e:~wherl ready C" ~ Contractors O. S. ~ g f'99
ST'UCTURESNOWO,"""'OPE'TY ~v~ ~"""cs-~~ ()~ (~
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PROPOSED USE (thiS permit) P e..5" I rI f"'..-./ C r o:Ji a...+dv.d ijcucu::<<. ,J:)8-W Sf) ~j! P?v'1rlY'on'i "3
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WA TER SUPPLY U /..,- LI.A.A.-,~ ... 77:? !...~ ~ 0 ---'7t?V--""f( ~XIStl;;';;:Jg r proposed well etc If pUbl:-;:me of system)
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SEWAGE DISPOSAl ~ l.eXlstln~s~tlctank,etC) SI 1= c-:J,
PLUMBING BY --r;,_u.~ ~ A .ff~ Address . ~ /~- .. ..~//-e/
17....... (/ / v.. ,/c...i'.. I /r
Ylf) PROPERTY IS WITHIN ONE MILE OF CITY (eV I'/1A~(; ~// / ~
'*** **** **** ************************** ****** dFFICElU~E ON L Y BE LOW THIS LIN E *** **** ** **** ** *****1* ""*** * ** -11-;"'* ** * 11- <I- **......;;"""...
( ) New Address Necessary ( ) Facility Perml1 Necessary ( ) SpeCial Permit Area MlnlmulT/Elevatlon y ~JI
ZONF SETBACKS Front Side Faclrlg Street Interior Side Yard Rear I
(FROM CENTERLINE OF ROADI IFROM PROPERTY NESI ~-'~ (. ;n/ i',!
To Plannlrlg/Buildmg Irlspector/Sanltarlan/Surveyor U l7
ThiS applicant appears to have a problem With \ /'
Your asslstarlce Will be appreciated ........./1,
By Permit Processing s~1h
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C5512
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processlrlg Sectlorl
125 East 8th A verlue
687-4394
Responsp
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For Of lice
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Yes 110
UrbaOIZlnq Area
Soce,al Perrnlt Area
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TillS IS A rnELIHllIARY nEPOnT WIIICH DOES.MOrlllSUnE TilE ISSUANCE OF A FUTUnE BUILDING PERMIT.
I PLANS OR EXPENDITURES iHADE IN):Ij,E~ltfCE UPDU THIS REPOnT ARE AT YOUR OWN RISK. .
", ,.3'rJ~)'PlEASE PRINT ulk5CI-2S}')"
If SubdIvisIon - Ilome Mf.';: \(d-/'17<P/'? B1k 2- (r;-11.)81ftrH-IDjot 1/1// IBlock #1-
~~ ' ~; I I3.l-'ar_a~ E'-' v ~ No ;0 ~
Section TaxjLot No. Owner of Property Owner's Consent
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Uame
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Hall ing Address
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1'jlft-307':J. X IZ-V: -b'~<.e. ;;'r...-y....Jt:.;?tAheck
Telephone # S,gnature pf Applicant Date
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Appl icant's Interest Buyer
In Property: Other (Specify)
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2 \.V'
Range
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, Proposed Use
of Prop,erty
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Property Size
Legal Access - Road'Name
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'Is Property W,th,n One Hlle of City?
Yes ~ What City? <;h-rrl
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No. of S,tes
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$
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No. of Acres
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EXisting Structures on Property
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Proposed Water Supply
PubliC V District.
Spring _____ Wel'
Other (Spec I fy),'
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Property Locat Ion (0 I rect Ions) 42!d cf- I/d<;! <r.r ,P, /
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When Will Test lIoles Be Ready?
MARK TEST IIOLES WITII OUR FLAGS
Location of Test lIoles on Property
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MAKE CHECK PAYABLE TO HEALTII MID SANITATIOU
HAIL TO LAIIE COUIITY BUILDING AND SANITATION DIVISION, 135 E. 6 th Ave., Eugene, Oregon 97401
C55-55
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TO
LANE COUNTY PLANNING
~ CONSTRUCTION PERMITS & INSPECTION
?MF-t::. t"")
OTHER
FROM
SURVEYORS OFFICE - FLOOD PLAIN MANAGEMENT
DEPARTMENT OF PUBLIC LANDS
PHONE 687-4195
SUBJECT:
PARTITION NUMBER
SUBDIVISION
BUILDING PERMIT NUMBER ~-.,~
OTHER
RECOMMENDATION.
THE ABOVE SUBJECT IS IN A SPECIAL PERMIT AREA
THE ABOVE SUBJECT IS INCLUDED IN THE H U D. FLOOD INSURANCE AREA
REMARKS_ T ];>\OU'T l2.~rco\."e. -n-\\C;:. ~RM\\ U).{'{ILL ~1?
IT" v..J~ rlS5ueO-2. =IU(C;.,H!n ~12.. Ie ~ 4~'
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DATE
BY
Lot Size :?.f X / If) 'I. 3" ,( 1.;7'/ X ~O Test holes will be ready .
_M ,
ng # ( ) Completed SubdiVIsion ~7;1;_ I.- /v-/ I. h/ /v--'-1.- (-~ 1.(,-, JI A' -32c(l . Lot
ol- tl[IOnl
, "' ( ) Pending A d,t'cf!
APPLICANT'S NAME AND ADDRESS /7-k'rV>! \ T7J.c "'-:J: (<,~ T7l ~ '-- /(<_ ,:.- ~
OWN ER S NAME AND ADDRESS, If different from applicarlt's _ L D. 'I- ,-,) ,_ /lp 7- 4,1..,) n', 7..--1_
NTRACTORSNAMEANDADDRESS '7--(',..,. ,n<-.-; G~_'C"-,-j" ~ ;'-'.11 1)'YlrJ)/<- '/)"""/,",c/r!Cdc.
dil permit or results of SIte feasibility study to ( ) Applicant ( ) Owner .!.-1") Contractor <( 74'" 1
,( i') Prefer to pick up Call -7L1 7 S-}) 'J . (owner, etc ) when ready Contractors O. S. If-/:- X'..F,,/c;:'
;; 'UcrUR;~ NOW ON T" E '"Dee 'TY /Vu ~ .~ ~ -,,-, . ",,1c. _ - '" \, < 7._< 0 0- Pc / '. _
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PROPOSED USE (this permit) PCSlcJrl/~'?: O~/r7 /1 'dJvu~ ~-,Ir:;0JJ--;;/)d# RPdrocms""-.3
WATERSUPPLY {(/", 4)..(,-..-,,,.? (~ t(~l"l:...<- C~) ~:;-f('v''''!C(exls~~rproposedwell,etc Ifpubll~meofSYSten~
S vl..;.?-{Uc~- r---~ r
SEWAGE DISPOSAl ,r- l'exlstln~pose_d;s..!7I:Jtlc tank, etc) S I ~ \... -,
PLUMBINGBY_ -T::rL'~ C<:~..-I /7id.~h~ _ Address ;;~l,"",4-1./Lr'-"'~~A'~__-.J-t'2-<",/ ~.
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!~')PROPERTYISWITHINONEMILEOFCITY( '\ /:..;..,~~.. 1./ "
'HHH-;'~-'-:':;'H'HHHHH'HHH'HH'H' OFFIC USE NL Y BELOW THIS LINE 'HHHHHHH HHH'HH' H';'>H'", "., +
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I New Address NeCessary
ZONE
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Job LOcation
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INFORMATION SHEET
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Phone //4- 7 .5-7 ) ~
Phone /,~t. I ? ~'-1
Phone-,d,'." _'-.I ?_...z
Front
) Facility Permit N
) SpeCial Permit Area Minimum Elevatlorl ~
Interior Side Yard Rear I /(./J
IFROM PROPERTY lINESI ,/"? I/. {> _ ,1
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Permit ProceSSing Ser:rlo'h
SETBACKS
To Planrllng/B UI Iding Inspector/Sanitarian/Surveyor
ThiS applicant appears to have a problem with
Your e will be appreciated
~'\'/. '\3147576' 7
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c.c R,:CEIVED
W?
\."'" cAlVE COUNTY p,;
'(.,.> oURVEYORS ~
~5 12 "'/ ~....~
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Side Fac g treet
(FROM CENTEfu E OF ROAD)
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By
By
ARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Sectlorl
125 East 8th Avenue
687-4394
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MAP JB-2-~-z-4 T.L ~
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TO
LANE COUNTY PLANNING
"c
~ CONSTRUCTION PERMITS & INSPECTION
'?MF-J:.l)
OTHER
FROM.
SURVEYORS OFFICE - FLOOD PLAIN MANAGEMENT
DEPARTMENT OF PUBLIC LANDS
PHONE. 687 -4195
SUBJECT'
PARTITION NUMBER
SUBDIVISION
BUILDING PERMIT NUMBER ~~-.,~
OTHER
RECOMMENDATION
THE ABOVE SUBJECT IS IN A SPECIAL PERMIT AREA
THE ABOVE SUBJECT IS INCLUDED IN THE H.U D FLOOD INSURANCE AREA
,
REMARKS T b lOU', '2.1:.1" c;.l\Je:. ,'-"'"::0 ~~M\"t UtoSTILL ~1<.
rr -.J>,iJt.5 -1~_ll=D_ J:IUl'SHe:f\ ~12... ,0 P-.E:. 4~.t'Y'\'
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DATE
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MEMuIZANDUM
bn~ county
-
TO JOHN SMEED
FROM GEORGE CURRIN
SUBJECT SPECIAL PER~lITS
~
DA TE MARCH 28, 1978
Mt Vernon Estates Th1rd Add1t1on lS located 1n the Coast Fork and Upper W1llamette
Spec1al Perm1t Area as des1gnated 1n Chapter 11 of the Lane Code .[',
The Lane Code 1n Chapter 11 510, requ1res th1S off1ce to determ1ne the m1n1mum f1n1shed
floor elevat10n pr10r to ~he lssuance of perm1ts
Dur1ng the course of determ1n1ng the f1n1shed floor elevat10n for Perm1ts Number 466-78
and 467-78, 1t was f hat the follow1ng perm1ts were not referred to th1S off1ce.
2857-77, 3464-77, 5- nd 376-78 Perm1t Number 2857-77 lS bU1lt and occup1ed,
Permlt Number 3464- s 80% f1n1shed. Construct1on has not started on the others
Th1s off1ce has chec ed the elevat10n on Perm1ts Number 2857-77 and 3464-77 and f1nd
that both are above the 100-year flood level
Th1S off1ce would ecommend that a reV1ew of your assessor's maps and subd1v1s1ons be
made to assure th y have been stamped as spec1al perm1t areas
If th1S off1ce ay ass1st you 1n 1dent1fY1ng these spec1al perm1t areas, please feel
free to call
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Job Location (Street, mile post) 1060 CLn..f'_ De . ~ln"5<'ftold' _
SubdivIsion 3120 o...dd.t.hon t6 -^^mAn\- J \romf"m C<8ta...to.r Lot ,y Block ~
Plat Plan
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i'xi System Approved 0 System Disapproved
~~(Q\~\78
FOR SANITARIAN'S USE ONLY
COMMENTS
o Needs Correction
Signature _ ~~
FOR INSTALLER'S? Trench Depth_ .';'n" FJI~ Depth Belo Tile 6-/2"
Tank Capacity jOtJt:J Manufacturer W,,1/,,"~ G,.-~<;
Measured d,stance to well from tank hbf lli. ("t~ from dramflefn
Date
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INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed by the County Sanltanan, this certificate IS eVidence as per ORS 454 665 of sat-
Isfactory completion of a subsurface sewage disposal system at the above location
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Return this form to Permit Processmg Section, Department of Environmental Management,
Public Service BUlldmg, 125 East 8th Avenue, Eugene 97401 C5511
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LANE COUNTY PERMIT
X n.: V:l!;;'.O:! ...5'fl'~~j.'i;l!f.
) C6mpleted",,(2.\lbdiVision,. . ,::. }
,. '-J CJ'" -" '" I ....t'dt1 H B loc~
10:13 :OIXrE S~:U:~IELD OI\::Gmi
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Acreage or Lot Si7Q
Contractor's O.S. #
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W!S'i'RO::m CO/,lS'l'RUCTIOU
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) Contractor.
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74i-5772
Phone
Phone
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(owner, etc.) when ready.
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APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AN.D ADDRESC:
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( ) Applicant ( ) Owner
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F1~t'j!n^'~~nn
STRUCTURES NOW ON n!.!=,;JiR,,91~t':l1tl
QAtW:;r.
THIS PERMIT IS FOR ~~;JAGI\ ARm,
tJIl.LM1ET'in B'A'IE'R ::lI:iT:
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#BEDROOMC: # PLUMBING CONNECTIONS-:-.'
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a'll sa ~!:t rr.S!6Lt SDS
WATER SUPPLY
SEWAGE DISPOSAl
SPRI!'lCFIE'LD
S.I. #
WrN CI'lY ptmmnU;
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THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
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I hereby certify that the above statements arett';:~~?d accurate, and that I have the following legal interest in the property: _owner of record;
. contract purchaser; _ potential buyer;\~ .!.e~ltor or agent. I further certif.y; th~t., (if not'the'''bWner')I..am authorized to act for the owner of
" .record--and,that saidowner,is aware and approves cif'iliis action. I hereby agree to,comply v.lith.aILa"pplicab.le~C6aes 'relating to this.permit.
Fee p.a'iO $ :;;f-., \. .:.:::;....\ ( . , '. . \<, .Signature :~. ,r: ...,..c~~ Dw -"..-1>(:' - \ ~ 1- {
(y.i NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT I SPECIAL PMT. AREA. MIN. ELEVATION:
SANITATION BUILDING 1 r,
, , ,. , Minimum Septic Tank Capacity (Gallonsl vr.i Type of Construction ,,' Group -' Fire Zone
Drainfield Re.quired . Lineal Feet '_.~.i"" llse Classification
Maximum Depth
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. PLUMBING BY
Comments:
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PLANNING REQU'IHEMENTS SATISFIED. Bv:',,",- ,'Y.. >--;~;;-....--'~.,,-._Date: -,.
ZONE: 'Y."~\\: SETBACKS: FRONT \ -\:'.:? SIDE F~C'ING .STREET (FROM C/LI
Date: :-... ,,:"' "7... <It (..
\...., '\ Date Issued::>l7.o;l- {0-
INT. SIDE YARD 'GREAR ~ (FROM Pill
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
C55.13
BLDG. PERMIT-WHITE; BUILDING -GREEN; PLUMSING.-CANARY; SANITATION-GOLDENROD; OFFICE COPY-WHITE
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JOB LOCATION .. - ..
COLE DRIVE
SPRD'GFIELD OREGC'?j
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LANE COUNTY PERMIT
10~3 DIXlL
Subd IVISlon
Lot -'J
SPRIUGFIELD
}IT VfRNO!T FSTAll~S
3:r.d i~'J
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APPLICANT'S NAME AND ADDREC:C:
OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRESS
Mall permit to ( ) Applicant ( ) Owner
,'-'.l,'lSTRO.;;G CO;:STR!J~llO,<
Block
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) Contractor ( ) Prefer to pick up Call
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(owner, etc ) when ready,.
747-577_
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WATER SUPPLY
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# BEDROOMS_# PLUMBING CONNECTION~
STRUCTURES NOW ON THE PROPERTY
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THIS PERMIT ISFOR C' -,~.,..~ 'n,,-'
SEWAGE DISPOSAl
PRJPGSr--j
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THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF
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PLUMBING BY _u
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I hereby certify that the above statements are/true -and accurate, and that I have the following legal Interest In thp property _owner of record,
contract purchaser, - potential buyer, ~ realtor or agent I further certify that (,f not-the .owner) , am authonzed to act for the owner of
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record, and that said owner,lS aware and approves'of th,s action I hereby agree to gJmply with all ilPpllcable Codes relatmg to this permit
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Fee Paid $ ,,-... -\ \ --- -- \" "" .Slgnature /.. f ~./ f ......tf....",/"'(/rr.,-? Datp _- ...~~- ~
i ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT - ~PECIAL PM-( AREA MIN ELEVATION V
SANITA~1~--> B,-!I~DIN~ F L 00 [) "'el-A I Ai ~ ~ E" A
Minimum Septic Tank Capacity (Gallons) I'" I . T e of Construction / r.roup _ Fire Zon
/' / - Dralnfleld Required. Lineal Feet ~.::>'., ; I Jse ClasslflcatlOr>
- MaXimum DeRth W-C t FlAIl ~.LI F I ". T ':l) =- .A I
Comments~THt$.PeR M!T.WI\S tSSve(;),1,) e~R.o~ ommen s tv ~ n ...()O,Go 0 c__ ., B~ ,/)0,
s.uce r+l~J>E~IM'-"'_;.b~ b..'9~TJ~'~u 06.c:'f:#(f:., F'IA//SH &raA SS CAP IAJ Me, Co tJ R'P.:, RA-Ol/.i
f'Loo~(e~ATtDA1'eEQ();gEcn::oeTtle.s'?c.IAt:)~eeMITAlEAoF bIXH: brl.IV6r<l C.Of...(S WAY -
~~~~:~,A,':J:';:~~.e;~~;:~;::~~~~~~~~;~ IS AT A tV t:l-cV, a1=' <H33,93'
ELcOATIJJ~ lleQullZ~l:>- ?LeASEAJorETHE' c:.D~Me"'TS, ~-3o-7a ~5S
ACI)7;~ ~_~ A~'p!.~/~ .!."e- ~lflJ/~a~/^F~~~~'~. St-OO'\t~,EcJAT~()AJ~~~< 0 Date--
- -=-
PLANNING REOUIREMENTS SATISFIED By~ Date '- , ", -Date Issued
ZONE ,-- ,'-' SETBACKS FRONT, 1 SIDE FACING STREET (FROM C/L) INT SIDE YARD REAR
.
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, (FROM P/U
PHONE '\ 4394
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
C5513
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLOG PERMIT - WHITE BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY _ WHITE
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LANE COUNTY PERMIT
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Acreage or Lot SI?~
Contractor's 0 S #
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Lot
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APPLlCANT'S'NAME AND ADDREf'''
OWNER'S NAME AND ADDRES"
CONTRACTOR'S NAME AND ADDRF""
Mail permit to ( ) Applicant ( ) Owner
) Contractor ) Prefer to pick up Call.
......~ ,......-,,, ""'"=-..........
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7/,"'_(;,.,..,..,
Phon~
Phonp
Phon~
(owner, etc ) when ready
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STRUCTURES NOW ON T~,~.~~_O.~fl';:
Gl\.; "p.Gr
THIS PERMIT IS FOR <(.'?( U'(!T' ,,-,.n,
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U!L1AIffil'i'!!: BATER l)IS~:
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WATER SUPPLY
SEWAGE DISPOSAl
3 Y
# BEDROOM" # PLUMBING CONNECTION~'
lmOPOSlD
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~~~~e::~:~~:~~:t ~~:~~~v~~~a:~Le~~Fa::t~~d Oa:curate,S~n:!::I~:ve the fOllo:,~~~e~~~~t~:st In t~~f tc~
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contract purchaser, _ potential buyer,,~ realtor or agent I further certify that (If not*the-owner,)..! am authorized to act for the owner of
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record, and that said owner,ls aware and approves of tn,s action I hereby agree to.cof'ply $h a!.J.lPplicabj.e'Codes r~latlng to this perm~t _ "-. { '.
-::,U \ '-~ -', " . \-' .'-", I ~ -'\'-1 -4/''''' A __r'*.,.
~ee Paid ~ -....~.-\ -- ' \ , "'" Signature .../ .. \/ / t ~... I ./7..A":7~-1-9" Dat~~- ~ \..-'
(V) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT ( I SPECIAL PMt AREA MIN ELEVATION
"
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SANITATION
1/.0
MInimum Septic Tank Capacity (Gallons)
Dralnfleld Required. Lineal Feet
MaXimum Depth
BUILDING
VtlJ Type of Construction '1
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;'-'A Ilse Classlflcatlo~
Comments
r,roup
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:;- Fire Zone
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ZONE -"" "'.-,+-\.' SETBACKS FRONT \ -\-..,) SIDE FACING STREET
. .'
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Date
\ "\ - Date [ssued' -;I. __d 1- 1<5
INT SIDE YARD: REAR":':'" (FROM P/L)
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(F ROM C/L)
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE 687-4394
C5513
SLOG PERMIT - WHITE BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
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stAB FLOOR
PLUMBING GROUNDWORK
ApPROVED ~ DISAPPROVED ~
OAT -i/.;lS~NSPECTOR
{Pi-
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
INSPECTOR
ROUGH PLUMB I NG
ApPROVEO m 01 SAPPROVED I I DATE~'- - ,J..y-7! INSPECTOR t? JI
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARK 5
FINAL PLUMBING
INSPECTOR
DISAPPROVED ~ DATE 7~;J f1'7J?-INSPECTOR
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ApPROVED ~
REMARKS
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED / / DATE
REMARKS
CERTIFICATE OF OCCUPANCY
,
INSPECTOR
READY TO ISSUE ~ NOT READY TO ISSUE / / DATE
REMARKS
INSPECTOR
THIS PROPERTY ISWITHIN ONE MILE OF THE qTY OF
.......,.."
I hereby certify that the above statements arelrue and accurate, and that I have the following legal Interest In the oroperty _owner of record,
contract purchaser, _ potential buyer,,,X)( re11tor or agent I further certlf,y that (If not-the'owner) I am authonzed to act for the owner of
record, and that said owner,lS aware and approves of tn,factlon I hereby agree to_com'fj'ly vC,th all ~pplicable'God;;S',"elatlng to this permit " r,
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F,ee Paid $ -., . . ---' ,\, 'L " Signature v .\ ~ :rfi 7/!.m Datp'-- .... "-.'
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Contractor's 0 S #
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APPLICANT'S NAME AND ADDR~C:C:
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDR~C:C:
Mail permit to ( ) Applicant ( ) Owner
,."
) STRUCTURES NOW ON THE PROPERTY
,-!...tJ DlJELLiL:U
G.CI.lJilGE
THIS PERMIT IS FOR ,J'-W!l' ^r>f'^
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. :'!:i.:_:;r:-:'; TlA'Im DiSi:
WATER SUPPLY
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JOB LOCATION
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LANE COUNTY PERMIT
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,-
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Lot
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Block
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Phone
Phone
(owner, etc 1 when ready
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MInimum Septic Tank Capacity (Gallonsl
Dramfleld Required. Lmeal Feet
MaXimum Depth
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Comments
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BUILDING
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Comments
F Ire Zone
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By /,../1 ~/ :.-___ Date '-...,.::.(~/y 78' By I" l-;t.., " ( t,
PLANNING R~QLJIREMENTS SATISFIED By........... , ')'f" ~~,-,-"" '-...._ Date ___~"-
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ZONE- . ~c:;..~~~. SETBACKS FRON,! '''\Q SJPE FACiNG STREET (FROM C/U
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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401
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Date ,....... "",.- ~ t'
~ '\" --Date Issued o! - c! (-To
INT SIDE YARD-::-)REAR...'::::> (FROM P/U
PHONE 6874394
C5S 13
POST THIS PERMIT ON MAIN BUILDING AT SITE
SLOG PERMIT - WHITE BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVED d DISAPPRDVED Cl DATE .t/-/I- 7Jf INSPECTOR~~
REMARKS
FOUNDATION IN5~ION
ApPROVED L:::../ 01 'APPROVEO ~ DATE
INSPECTOR
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REMARKS 9--J';i AK: ...,4.-;~J___ ~-/(-75! 0---..rP
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ApPROVED / """(DISAPPROVED /7 DATE I. -/-7:s?' INSPECTOR Q...-L ~"-
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(/ LATH OR S~EE:R~N5PECTION ........ ~ /... "7,d~ ' :5-~2-3 lJ'
d'V ApPROVED DISAPPROVED ~ DATE i,-7-/-7)[INSPECTOR a~ .9t~
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FINAL INSPECTION ~A ~ ~
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REMARK 5
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~DDITIONAL }NFauAATION REQUIRED
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Submi t the follow1ng items to the Building OCf'icial at least 2 1Iaeks prior
to installation. Return this form with two copies of all reqiiI'i=e(J 1nformat1ol1o
CD W~ ?(~-- A~eo ~ ~ ~
@ ~TI~V~ .pu..>e~ W,f, "L..-=,':',IL.- (~o-J)
signed: ~te:L M.o:.-&Q::.,t:.J>...J
Building Permit No. -ze73-1B
Applicant ARM~6 ~c"'-.l
Job Location LOC?'1 ~ f)l~ J:;:Q1i&'-- I 7f"cO,
Building Inspector,~IN\lAMf?
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Permit No.
;;),85-76
CURB CUT
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PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY "
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WHEREAS, the attached application has been fully considered by the Baard of County Com"
missioners of lane County, and it is the opinion and judgment of the Board that the said appli~ation
should be granted, and that a permit should be issued, now, therefore, it is hereby. ."
ORDERED, that a permit be and is hereby issued to Cirrn~tT1 (j")'YX l ~Y,"0 t. . ,
10'2.'5 , ejl.'lUl.-, 0P1..L.Y'lX+l tL.l d. (M5..l'h"'. -- ';:r 'placin~, bUil~li~9
or constructing the following facility: '-...J I U / .-
L (y( II dl.1iCk::2. tv\:;.. \':EI2fSl\OtJ c':!.Kivr;.:....,;/ (;:,r.cJ oddd I 0\\ )
(IOC;:;? CoJ...Z U~.)
upon the right-of"way of County Road No, , Mile Post ,
in strict. conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contained in the appl ;cation and permit, the Rules and. Regulations Gov.
erning Facilities to be Permitted upon County Road Rights-of"Way, as set forth by the lane Man-
ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
. ,
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Specia I Provisions:
1. Driveway will be constructed in accordance with the attached driveway approach specifica.
tions (Drawing M98-50).
2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadway and right of way caused by his operation, leaving the roadway and area in a neat,
acceptable condition.
3, Sidewalks will be constructed in accordance with the attached sidewalk
specifications and drawing M98-49, The Standard Curb Type shall be
constructed unless otherwise specified.
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This permit is revocable at any time, and will be strictly adhered to and no work other than
that specifically mentioned above is hereby authorized.
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Inspected and Approved
This permit shall be void unless the work herein contemplated
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shall have been completed be"
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Expires
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Approved by Board of County Commissioners
By
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.' Director of Public Works
Date
By
WHITE - OFFICE FilE
YELLOW - REAL ESTATE
PINK - PERMITTEE
ORANGE - BUILDING & SANITATION DEPT.
C74-129
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