HomeMy WebLinkAboutPermit Building 1974-4-16
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TillS IS A I'RELIMIIIARY REPORT IIIIICln1 0 !:SAOT IIlSURE TilE 1"UAlICE or A rUTURE DUILDING PERliIT.
PLANS OR EXPEND ITURES MADE IN, i!JEIlI CE UPON TH I S REPORT ARE AT YOUR OliN RISK. I oi:'
3rJ,~JI_ PLEASE PRINT uI1<3('-;2S';1(.) ,-',li
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Township Range Section Tax Lot No. Owner of Property Owner's ConSent .
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Name
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lIa i I ing Address
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?1f-{'-1(i~?- X ,174/, ..ij'S-.,,~(<,<< .7T-/....//.',:Y-,/Check
Telephone II Signature of Appl icant Date'
No. of Sites
13
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No. of Acres
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Owner
Se 11 er
Proposed Use J.
cf Property: 11".:>,',-/',-,177-" CY'/
l\ppl icant's fnterest Buyer
in Property: Other (Specify):
Realtor
Property Size Legal ^~ces' -- Road Name
'I S ~ lop e rt y \Ill h i n One II i Ie 0 f C i t y)
fes v IIhat City) ~I
'10 -r-
Existing Structures on Propcrt~
_.- ~'l\'ed Water 5upp I y
Pub'ic V- District:
Sp ring lie II
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Other
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Property Location (Directions):
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MARK TEST
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Test Holes
HOLES III TH
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OUR rLAGS
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Location of Test Holes on Property:
DrJw dl. 'of property shol',;ng location of any landmarks and relationship of test holes tc
these landmarks:
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/lAKE C/lECK PflYAOLE TO: HEALTII MID SANITArIOII
/IfIlL TO: LANE COUIITY OUILDltlG AND SANITATION OIVISIOII, '35 E. 6 th Ave,. Eugene, Oregon 97401
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TEST BOLl: 1U':SULT!l
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#2 Ter.t-'!.ole
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TEST /IOU; RESULTS
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TEST HaL); RESULTS
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#2 Test Hole
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