HomeMy WebLinkAboutPermit Building 1979-9-29
. POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: ~ IL,C:;;F~'i.'y~~oj<:-j ~jJlL'~~A~"J, CONSTRUCTIONPERMIT# L C ^943-?9
TRS, TL: '8 - 0 'Z... - t> C . a...q It.. "3(i?) I Subdivision:
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane C;ounty's Infraction Ordinance, and/or other remedies allowed by law.
, . . ~747T
/14D jG..",t Z~'Y ,40/<- SI"A,".vf-t".-/..d Telephone: 747--;'--18'
Telephone:
Telephone:
Applicant/Address: 13.iZ-.AJ '''Y' 1M. o,A..<../ /lo4t! "''-<-,
Owner/Address: <;"+.... ~
Contractor/Address: D..,z.o/> y C<:J''''<;''''''~<-+-;,..J
Contractor's OS # I fJ tt!:J Total Construction Value:
Jg 3 7#',
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; Construction approved by this permit:
Water Supply:
P!-ANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
.
Setbacks
I nterior property lines
Edge of road right,of,way
Building foundation
Wells, other water sources
CONSTRUCTION
PERMITS/I NSPECTION
DIVISION
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# Bedrooms: jJt./(4- # Plumbing Fixtures:
-4
# Employees: ~/::l,
Zoning: /Joe.. 'f- Partitioning # Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: I J ; interior property lines: ).. 0 ;rear property line:
Special Instructions:
Parcel Size:
,s-O ; centerline of road,
'.4 3 4 C..4 <j
For information call 687,4394,
Site Inspection # Installation specifications:
lineal feet of drainfield required; max. depth of trenches:
Special Instructions: ,
J
1M C)l.. ,~t::< ...,v
gal. min. septic tank capacity;
....
j?(~~(...( {/Lit
7c r-1J.-;lcte...J
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
For information call
between 8:00 ' 9:00 a,m" '
Type of Construction: 5 -/o,J Group:
Instructions: ')'e.e /Ilcrf<',) o,v
M Fire Zone:
Use Classification: G"l-;t....?..<- t!..p-~
3
pL"'''''' S
For plans information call 37 ~3 between 8:00 a.m. and 9:00 a.m.;
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
bne county
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Directions to Site: :;.2 """.!. < /IA A.. '.v
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Date Issued:.;Z. 9' - 5/7/)1' - "7 9'
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
BY:~~,
C55-13
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SLIP
lane county
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APPLICATION # LC.- '2A4?:'-i1
"6\2-A-'ouc~.'-( -v M()\J.J12S.Autb.::.
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Name
Address
(/'14-1/
Zip Code .
The above application
;;:.reasonS:1) 'PR-cNn:)'C.
, ~ ~ (.,LA-e.\~'-(
( ,1\'99\"\\ 0 l-\
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is being held by the Permit Processing Section for the following
r.;..\-..l,GJ"\E'i:;:...\<- "\"e.\.Y:;.S ~_S\~"\ r-:o~:).c" I ":)9A"\
\v -J:€c\2.. '\~\wN. ~"-\::5\\1-\.(\ +\O(Y.;,1i;.. A"\D
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Divi sion:
1",111 "" "-I (, 1:N. ~?E:C:T"\ f\~
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Si gnature:
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Division: ~'i2.f\.\r\'" 1l:2.C)('~l--,":',\\o...\(,
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Signatu-re:'~,QI'-\r\ (()\JTDnI \.1<:::oVDate 4-\Ci.'1c,
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This application will be held until '1. 'l(,,-'1(j . If the information
required above,has not been furnished by that date your application will be cancelled.'
Fees paid for waste ,disposal systems ('site inspections and/or applications to install
the septic tank\and drainfield) are nonrefundable. Some refund may be made on the
building and plumbing portion of your application if cancellation is necessary.
In the event a Planning or some other long-term problem exists over which you have
no control we will hold the permit until the problem is resolved and we receive word
from you as to whether to proceed with permit issuance or process a cancellation.
PERMIT PROCESSING SECTION - 687-4394
C74-139
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FLOOD PLAIN MANAGEMENT
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Department of Public Works
125 East 8th Avevue
Eugene, Oregon
687-4195
TO:
J~ PERMIT PROCESSING
PLANNING
PUBLIC WORKS
PERMIT NUMBER ...ZC)4.::z....-.,C)
PARTITION NUMBER
SUBDIVISION
OTHER
'.
APPLICANT'S NAME
SITE ADDRESS
1\40 K...I t--..lTZLE.'Y /::...-....)F!::,
PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT.
YES t./""
NO I~
NO
SITE IN FLOOD HAZARD AREA
YES
SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA
PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL
BE REASONABLY SAFE FROM FLOODIrJG. MOBILE HOME TIE DOWNS REQUIRED.
SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
1. MINIMUM FIRST FLOOR ELEVATION OF (M.S.L.) REQUIRED.
2. MINIMUM FOUNDATION ELEVATION OF _ (M.S.L.) REQUIRED.
3. MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOME
WILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST FLOOR ELEVATION.
SITE LOCATED WITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED.
'RECOMMEND/HIONS:
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DATE
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BY
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C99-21
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DEPARHiErn OF EfjVIRmH~EinAL nANAGH1Ern
, 'PSB. 12S EAST 8TH AVENUE
EUGEljE, OREGON 97401
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Township, Range, 'Sect/all. Tax Lot '/~_/'}"'7 _ (J&, ?,r---"'7.. ~
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Subdivision ~',.",.-::--?! ~~.~.d..,_~ La... "h,. Block I'>'L..
Appl ication for-e--.r.,..,.~~;; r.. .- De;;r;, ~ rl oI,.+rO~ - ,-
- . ,. ,- .-
Structures now ,on tf2.g~~r?pelO;ty 'D."-'Uj,/~ !,tI. A.p m 1-/
Proposed use of property: fKi Residential [) Commercial
Affidavit: 1,'~ ~/..e'f n h1m.,,,,,p/'J..._
I(please prfnt)
If this application is for an agr'icultural building it '.>,ill be used for purposes allowed by the State Building Code and
Lane County 'Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
')C owilej" of record; contract. purchaser; lessee; holder' of an exclusive option to purchase;
duly authorized to act for the 'owper'o, II'ho' is t;.nOl->,ledgeable of this applicati?rl. . A ./
Signature/Add,'ess ...,g..,_~p7/.,~-:;iJ~'~_ _ ~ , //#0 f<- -1?:.(,.,.,,, Av-e -;;:"~(zio) 97"'-7'7
TeieRht;~ .~ ,I ..... or Date / tl r ,
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When pennit is ready notify: I-I Appl.icant' lfil Owner I I Contractor i!L: I-I mail I-I
Owner 'K11G41) /I?11"rWR.-,....do.P.t<". '(;;;UJ'_.I,J.,,; <",h"../~~-(Z1D) <J7'/77 Pho-;'.
Contractor 'lJ,..~av fJ>...;;;+. /{/ (ZiD) 'j 7 'ff7'? Phone
Contractor's OSR# 1'R7.- 'S('~ P,l,umbing by
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Job Address
~RP1.ication ~ s
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Assigned Numbers
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CI Industrial
() Public
, hereby certify that this information ;s true and accurate.
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phone
?~ 7 9'/f?!
747 7'1'i'1
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Fee
Code
Description
OO'NOT WRITE BELOW THIS LINE /
of employees # of units ~~ c.&e. ~
SDS: U Existinf- BP I ~, \ "<=---.. \
(d 'JiO,;,:::' "'";~:E ;0 ::"~
(C) "~'::""'(') / I; 1.._\ $'
--..~ ! $
If Commercial: I of stories , ~~I
Residential: f o~ bedrooms ~~
;; tes t holes ,'ead)\
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R;:ceived by " -,\ \f\ 6.....
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Water Supply
Proposed
Year Installed
Existing
'\ lata r'fal uati orl: $ ..'$ .,
Plumbing fixtures at $ each I
\ I $
Sewer/wate(.conn. at each
'SubtotJl $
4;(, State :lurchi1rqe $ .
Plan'; check fee $ ...\~
Chan!"Jc of Occupanc~ $
TOTAL $ \()'c--\
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PERMIT PROCESSING
Minimum setbacks:
Zonnr_ '-:1-- "ar.t,-II
s., f~ont-( . .=--r\'
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.../
Parcel # - P.arcer:S,ize \ k.\ ~~ _~.>../J
int, r \6' ""-, rear ~~'\~
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Comments
To be typed on permit
WATER POLLUTION CONTROL
..~ ~-
By ~ -L)~Y~
Date ~.- \1\_';\9
Installation specifications: gal. tank;
, To be typed on. 'permit JM.. (\ ,-., ~'^^~ ^
<:i..J ..... <l (J '-:;(1 o,,^,,-\-..,..... r~.'-V\ ,
M fti j,;ati~~ld'r;,..t~";:cheS~j--s
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I-laId Shp l\1t~'~ Date to
to pee Colilplt.:trd pee
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I-,I"WPC
/~/ Planning
I-I Publ ic Works
- - /:
/J/ Elevation
CI Address
CI Facility
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Pl ans to: CP&I
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set(s)
Date
ReqlJ; red
Directions to
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PermH
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C/ Environmental Health
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FOR
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INFORI-1ATION about progress of yo'ur. appl ic?ti.on .call:
Permit Control Center
687-HELP
(687-4357)
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lane county
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BOLD
APPLICATION # u:-'2cH~'1{l
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Name
Address
41-4"1"1
Zi P Code '
The above application
reasons: i\ In
v (OG-O\!I1,)S
is being held by the Permit
r~ ~...\{,! "-\~ ;~ ~ ... "'i!,..J">'J
Processing Section for the following
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This application will be held until "! - }(, -1'1 If the information
required above has not been furnished by that date your appllcation will be cancelled.
Fees paid for waste disposal systemo (site inspections and/or applications to install
the septic tank and drainfield) are nonrefundable. Some refund may be made on the
building and plumbing portion of your application if cancellation is necessary,
In the event a Planning or some other long-term problem exists over which you have
no control we will hold the permit until the problem is resolved and we receive word
from you as to whether to proceed with permit issuance or process a cancellation.
PERMIT PROCESSING SECTION - 687-4394
C74-139
.OEPAfnnCIH 01' [NVIROIil1ENfAI. 11MAW,CNT
psn, 12" EASl 8TH AVEIJUE
EUGE;~[, OREGOH 971101
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Job 'Address d.!l.h /4.-,ft~v" /Jue. . lem! s;#t:l
~11~1~~~[I~r(!g~~i?~KRrg'~B~-A ,~.:t: .L/O{' 7>~~~ ~~j6tM_~
Application for/I~/]; ,.... Dee&> €Lridl ft()AI _
Structures now on the prope.,(y , ~.blLW.uie.. 'Y11 t-I .~ J
i~!YPii~~~,4~ilibJTjlr<ipilft9!i ~ '~ilgj~l\il!tilj; {} 1~9ii#~~HU; 0 lliiilV{tr'l!ill O'~4~jJ1W; f ' " .
Affidavit: I, ~J~)fPJA~;;P~~~~/'- . hereby certify that this infor~;tion isl true '~nd accura~e:
If this application is for an agricultural 9uilding it will be used for purposes allowed by the State BUilding Code and
lane C9unty Code Chapter 10 (zoning) and for no other pUlpose. I have the following legal interest in the property:
J<: owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
duly authorized to act for the owner, who is !-:.nowledgeable of this application. .'. .
Signalure/Address ~-",--,/:!~~~~-<J /F/o f<-" kt-e.v Av-e ~#iP) 97'177
Tele~e ' (or Date " j' I .
When permit is ready notify: () Applicant IN Owner ,() co~~~or .I!.Y..: CI mai] "1/) pho~e .
Owner _TI~ ~e...del<' ft't'DJ:A.,I,.kY"'rOK6-1IiP) 17'177 Phone .7'17 9'19'1
Contractor ~K-(.3V J..DV\<77; / (lio) ~ 7 YF77 Phone i?'t} 'fYi'1
Contractor's OSR# /~(.,'ii'3 Plumbing by '" . .
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'~AIll.'lj'4~~fill;; ..
riqC\.'......; '-\:q,
111\~$.!s'li~1f;!~lim~~&l1 ,
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If Corrunercial:
Residential:
~ DO NOT WRIIE BELOW THIS lINE
. # of employees
ready
I
. SI test holes
, BP #
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'Fee.
Code
'o..scrlot1on'
. Valuation
Fee
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r _ ng. x ures at
$~a...a"'~onrt': at $
,,;;I.lll PROCESSING
Minimum setbacks:
Zon(1(,..,":1-- . , Pa~' -
t, fron; ( . ""=--:Y:\';'.:"j:.:.' ,side
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Parcel #
$
each $
each $
$
.- $
. $ ,
$
. $ \ ()~
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Subtotal
Water Supply
Proposed
Year,Installed
, .
4% State surcharge
Pl ans check fee
Change of Occupancy
~~
. Existing
TOTAL
'.0nunents
'II l)(> typed on perm; t
ff~ Type
fa be typed on permi t
Group
".Fi re Zone
By n_ ,-G'C\~
Use Classification
Date C\ - \.~__\ -\9
,
,
,"
.:f
By
Date
!' plans informatio~.call (area inspector) _
,'c.:tlOns to sita~~'" ~_ <\ 'l. \("-0, Y'oo
l..J _"""r, c::._'Y~ ~d \ 'i'.'--+
s/cl Plans 10' CPSI _ set(s) Date
~.7'V. WPC ~ set.(s) Required
ILler.
C WPC C)/~
() Planning " ---
CI Pub;5< Works
. 1]( Elevation CI n/a 9/'-4.~C;
CI Address F'
() Facjlity Permit
/~/ Environmental Health
"Soo+
'--..... Phone
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I~ 'Date to." ':
PCC , ., ."
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Date
Completed
Hold Sl ip
to pce
~Jlol/7 4
~1 FOR
c74-171
lNFORr~TION about progress of your application call:
Penni t Control Center
687-HElP
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(687~4J57).,"';" '
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LANE COUNTY BUILDING.-PERMIT OR MOBILE HOME';USE APP,L1CATION
P!'RMIT TYPE - BUILDING 0 MOBilE HOME DO'SC~EG# ...PER~IT :#: MfI,!o/---;t/
PROPERTY OWNER MAILING ADDRESS PHONE
me.&.d/-t;/<<; ,'/JO/fMc.Ll . LIe. / 8/'7'xL/3(//I-'.''-..)A.7L1cJl...,' 7(/7~,PhtJ.t)
tONTRACTOR.' :. , o' " . .- MAILING ADDRESS 77. PHONE'
V~ ,','~
Rei' zf; ~{j &.// V;4~~/J C'(<-'l~tf?P?8P() ~ it:
, . V. C/. ..' " - METES & BOUNDS .0 YES
ATTACHED [] NO
,
SEC.
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TAX tOT, #
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, ~ CENSUS TRACT
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DESCRIBE".EXrSTlNG STRUCTURES ON' PROPERTY IF ANY
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Lt:.trAL, ACCE,S. S. fo ,p.ZO ERTY - ROAD NAME 0.' #
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P~OPER~Y _siiE-=~D~~ r. _ DE~TH
'CODE
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'D:::2.
APPLICANT .'
"
NAME
AND,
MAIli"NG
;rL/..t~.J
~ ;-','
':
AREA
ADDRESS .
FOR MOBILE HOME 'PERMIT ONLY
Number 'of Bedroo~s ('3 l_
STJeU:S;" ~;;;Z'~_L' L~ .
": Connect to'EXisti~'9.s~wag~: System :\/ ~r New System Rea,'. 0
T,YP~ CONSTRUCT~ON. ,_ '-: SQ. F-T';','4 . #. BoEDROOMS VALUATION
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."ji/$~ ('~'<~;jdfl//~. \
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SEWAGE DISPOSAL . , -.
PUBlIC'D .', SEPTIC T~NK . ~ .
BLDG. . .t.
, ~-
OTHERn .. 6WNERn ,'.,OTHER n NAME'
FEES . WATER.SUPPLY:, . PLANS, F,kf.Jre FACllITYPER^:\IT 1/
"PUBUC 0'--' OTHER.~ YES'ki NO 0 , YES 0 NO..er .
.~PLUMBJNG F~ES" . s1G~ATURE j>}tPPlICANT ~ . ./ 1 DATE, /,,;/
_FIXTURES',' , . AY~..j/?1//~ 4-//~7w, ,
'CASH~ SEW~~ ..:'~- -. .'fEE~ RE]EIV~ BY -. ' ". _JAi~../ '
CHECK n CONNECTION'FEE Y 5:LA-.L.' L/ -/,/,. 77'".
. '. ~~~~E~tj~RFEE' 1f'lTio/-; tij /
COUNTY BUILDING & SANITATION, SPECIFICATIONS: c' /u -
D~AI.N ~_FIELD.~~QUJRED . .' /.
lIN, iT, .,,,"'" TRENCH WI~~;FT. , C',:SQUARE F~~T
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/
"c';/; /, '.,
PlUM~I~G -INSTALLED_BY
WASTE "DIS.
PLUMBING
PLAN REv-rEW
PARK TRLR.
4. CJCJ
~ 'TO, otf!)
'.
.
d~ {)()
TOTAL
MIN. SEPTIC TANK CAPACII:'.'
WI1H D\5T. ,BOX: GAl.
,
TYPE OF. STRUCTURE.
, ,
17 /-1
FROM OR. bF RtJAD"RIGHlOFsWAY .
OCCUPANGY.
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ZONE
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'~;A'D .
,
PUBLIC UTll. EASEMENT
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BLDG. SETBACKS,...- FT.
FRONT
~. , USE- CLASSIFICATH?N
SIDE INT.
SIDE EXT. REAR
PlANNING Date' BLDG,
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INSP/l~k ~.;&;U L/~/? __D~
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Directions to ,find Property:
,- ,
COPY T'- OFFICE.
COPY 2 - JOURNAL
COPY 3 ;- AUDIT'
Form #' C55-12
'.