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SURI'E\OR5 G,FICE - FLOOD PLl,l:; t'.;,;~Gt:r':"T
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,,,E 1,3Cll'E SuBJECT IS Jl. I, S?EClhL PEP'~lT hREI,
THE ABOVE SUBJECT IS lNCLUDED IN ThE H U D FLOOD JNSUP~NCE ~qEP
PEt:';"1 S 1=1....~\c:...\-\F-n ~Loo\'2... E:.'-E:.'-I. '-0 eo\='-_ t;.'"I L"':~S\ 4~?-, 00 .
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Date
.MAl2.CM
I"') .107,'1
. .
Permit No
4{Pfp-1g
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com,
misSioners of lane County, and It IS the opinion and Judgment 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 perm.t be and IS hereby Issued to AA-:1' \ J 7.(;>1.\0 tJ ,Ji..)l ~ F-~^" ~
CoPlPtWy J 154'8 (1. 9AQ.vvA<1'C.R_LiJ., ~Pl= D for placing, building
or constructing the follOWing facIlity
1-0.(' E> B~CK: Z. of 3120 000. ~ M.(~ ~RlJOJ f&;(A('&~
(1075 Co1-~ WAY.)
upon the right-of-way of County Road No - Mile Post
In strict conformity to the exhibits attached hereto, and sublect to all terms, conditions, agreements,
stipulations and provIsions contained In the application 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 regulations, law or ordinance
SpeCial PrOVISions
1 Driveway will be constructed In accordance With the attached driveway approach speclflca'
tlons (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 Sldewa1ks wlll be constructed 1n accordance wlth the attached sldewalk
speclflcatlons and drawlng M98-49 The Standard Curb Type shall be
constructed unless otherwlse speclfled
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
ThiS permit shall be VOid unless the work herein contemplated shall have been completed be,
foro JJ.A Q..cvr
r
I nspected and Approved
1~/"
./
1979
Expires
, 19_
......
Approved by Board of County CommisSioners
By
Datp
O-t- DOl I) F.b- / W
Director of Pubnl Works
By
WHITE - OFFICE FILE
YELLOW - REAL ESTATE
NK - PERMITTEE
jRANGE-BUILDING & SANITATION DEPT C74-129
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SITE INSPECTION
ApPROVEO ~SAPPROVEO
CJ
OATE 4-- t/- 7,{
I NSPECTOROt'A ~
C/
REMARKS
FOUNDATION INSPECTION
ApPROVED ~I D'SAPPROVED ~I DATE
REMARKS~. (')K -h ~- ~
/ _/ 1/
~~"'I'j/. ?'.$~ rj r- '/~.:)
INSPECTOR
t./-c./-7rt
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y
,,>'- -.x - 7.9
FRAMING INSPECTION
ApPROVED I~'SAPPROVED 17 DATE 7-/2-151 INSPECTOR n. L/
C!o-r-r-' _. ~ /.
,t:A;~~~~~~,L ~~R":H~.-!,,:"~~--;-_~j' :".%-7-
5--k _. ,:;:--:::# ' /M:;. /.~ _ '_ ~ ..-0., ...,....z::;__ '.o..<.~ ..,,';r~ ~
~- b,....,'/ b, r A ' 4/..A'- -tl.__...iC_ q~ J~
!~ '7" 7-~Q /0.-"'- .; , ,- ,j7
LATH OR SHEETROCK,INSPECTION
ApPROVED ~(DI SAPPROVED c=l DATE/- 2 ~ 1 NSPECTDR~r-L
I ~: ~:r.P.. ~ ~.J'1L.f?...J"., ;;:.....--.....~ zq;rr cLeo, J~ . '~
.fld' ~L7' ~- $_.--.:r ",'- .... /. ~ ~ 1-7-/- 7 ~ pr~r-e
FINAL INSPECTION
ApPROVED ~ DISAPPROVED CJ
DATE.Gt;;> ~/'::>)(' INSPECTOR ___ (2 ~ ./
~-, ~ '
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE I / DATE
INSPECTOR
REMARKS
-~=.'",,' ._--....~.IIl\l!..'"~..~v.......... ~ ~l!i'LWI~--~..G;.......!..;;:L>1..L~'lI brut.';..,-=,
ADDITIONAL INFORMATION REQUIRED
- .
Sub~~t the folloWlng items to the BUlldlng Offlclal at least ~ weeks prior
to lnstallatlon. Return tins form with tv.u C'oples of all required information. .
j
/ /'YIANtJ(AaUW.s TfltJ~ I>l:SIf:tJ.J R;I!.. ~I' GIfU)~ 'rn().iS ,
~CO~T/2.J.)cno1-l. PGrAl45 Fo~ AIUEf'LA<:..C AI/<.. ""L6r
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Slgned: ~p (~
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Btllldlng Per'lUt No. _ 4~C:>'7&'
Apphcant JUT. V~AbJ lA.JvE<rmOJr (' ~~.
Job Locatlon (....,€ WAI./
Btulchng Inspector M~
.
.
.
.
Date
11-
I t
I'l. ,rn;':-j
Permit No
/0.
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,
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
~
WHEREAS, the attached applrcatlon has been fully considered by the Board of County Com,
mIssIoners of lane County, and It IS the oponlon and ludgment of the Board that the said applrcatlon
should be granted, and that a perm.t should be Issued, now, therefore, It IS hereby
~ 1 I \ ~ l. I; ',)_ \.
hereby Issued to ,l "I ',,-~.tl.lrlf\.1 " F -r/\ "'".'
ORDERED, that a permit be and IS
,: , , "I I r '"I. """" I . ^ - .. I ,f n:' () .
'_1 II J r\.':J ) I L....A:/.f...~~'"''--~, I I ct.. ~..v., r
or construchng' the followong facllrty
.-() ! l 1 JI.'('L r_ .... Ot- ;'il
(I' rr;,. :j I"';.:... "l/f\ I.) J
upon the rlght,of,way of County Road No , M,le Post ,
on strict conformIty to the exhibits attached hereto, and sublect to all terms, condlhons, agreements,
shpulatlons and provIsions contaoned on the apphcahon and permit, the Rules and Regulations Gov,
ernong Facllrtles 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 regulations, law or ordonance
~-
for placong, buddong
..
.~jriLJ. {(.,
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Special PrOVISions
Driveway Will be constructed on accordance With the attached driveway approach speclflca-
hons (Drawong M98,50)
2 Permittee Will be responsIble for the Immed,ate removal of all mud, dirt and debrIS from the
roadway and right of way caused by hiS operahon, leavong the roadway and area on a neat,
acceptable condition
3 Sldewa1ks wlll be constructed ln accordance wlth the attached sldewalk
speclflcatlons and drawlng M98-49 The Standard Curb Type shall be
constructed unless otherwlse speclfled
Th,s permit IS revocable at any time, and WIll be strictly adhered to and no work other than
that specifically menhoned above IS hereby authOrized
ThiS permit shall be VOid unless the work hereon contemplated shall have been completed be-
fore
, ':
, l
-, .
19~
Expires
,19_
Inspected and Approved
Approved by Board of County Commissioners
By
Dat"
J ,
/
By
Director of Public Works
WHITE - OFFICE FILE
YELLOW - REAL ESTATE
PINK - PERMITTEE
ORANGE - BUilDING & SANITATION DEPT
C74-129
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