HomeMy WebLinkAboutADMIN 7/3/2008 1:11:14 PM Permit Building 15694
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LANE COI'"'TY
BUILDING l<..
BUILDING PERMIT OR
MH G:X
MAILING ADDRESS
973 R STREET
MAILING ADDRESS.
MOBILE . ''''lME
Ii) H 1'-/7- 75-
USE PERMIT
PERMIT NO, MH 177-7'1 '
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PROJ'tRl,Y\OWNER" I '
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DICK 'dLAND
PHONE
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$PR J,NGf'+ELD
OREGON
~H-q'1ln
PHONE
CONTRACTOR
SAME
PROPERTY LOCATION - INCLUDE POST OFFICE
f 2008 HAR60fl~Dli'iv'E7
, PROPERTY LEGAL DESCR\PT\~~ MEIES, BOUNDS
rILI3ER't GROVE ~LOT 36 BLOCK 3 ~s.o L-r ;::1(..7
TWP RANGE SECTION .; TAX' LOT NO.
18 3 ~.t?';?(3.3
":1')-400 "
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(Let- 3("
W4.S ttiJ"W
CODE
!:t,f' C/O /
CENSUS TRACT
APPL.
NAME
&
D I CII BLAND
EXISTING STRUCTURES ON PROPERTY
NONE
LEGAL ACCESS TO PROPERTY
HARBOR DRIVE
'-
973 R STREE,T
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MAILING.
ADDRESS SPR I NGF"U:tD OREGON
FOR MOBILE HOME PERMITS ONLY
"No. of Bedrooms
STRUCTURES TO 8f: BUILT THIS PERMIT
( MOBI~~ HOME-&_SDsJ
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing
TYPE CONSTRUCTION
I
Sewage System 0
SQ. FT. ;:: BDRMS
New System 0
VALU~TION
'-l
"
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
l%SURCHAflGE
,
FEES
PLUMBING. INSTALLED BY
OWNER 0 OTHER: NAME
WATER 'SUPPLY
SEPTIC TANK 0
OTHERD
<;0,00
-4,00
PUBLIC 0
o OTHER
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX, GAL 900
<Q,oo
~ ,oIL
$....BJw:lh
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
UN. FT
1,0
TRENCH WIDTH FT. .or PTH ~n OR SQ. FT.
'-lon
TYPE o~ .STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
2
f.'lli I
BLDG. SETBACKS _. FT. FROM CTR. OF ROAD RIGHT' OF WAY
FRONT 4'3' SIDE INT. '5f SIDE EXT.
AUTHORIZED SIGNATURE',--;- DATE
USE CLASSIFICATION
REAR
"
BLDG. PERMIT - WHITE
OFF ICE COpy - WHITE
.COUNTY TAX -;- PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
....
~.~ DATE
JOHN'SHODK/sANITARIAN I~,~.....
Call 687,4065 to schedule all req~'iredi;;sp'eetilns. All construe,
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: _ for"subsurface sewage disposa,1 ~n~ .c~unty regulations covering
. plumbing. All buildings require ci certificate of occupancy before
. being occupied.
(See Details on Reverse Side)
,
.to
/s/ J. E. Boss BY C. HARBAUGH
FORM::: C55 -13
(POST THIS .PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
C.~UR~H.OUSE"ANNEX, 135 EAST 6th,. EUGENE, 'OREGON,?7.401
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,.LANE COUNTY ENVIRONM.. .AL MANAGEMENT
PLOT PLAN
.
NamQ and AddrQss of Owner
Telephone:
The building being. cons tructed uLlde'r. this permi t will be used for
Date this property was purchased
Do' you now, 'or did you ever own property adjacent to this tax' lot? If so, jllease
lis t those tax lot numbers or draw those properties on the plot plan below.
Indicate on your drawing the location of all homes (including'mobile homes) now on
::'~T the~roperty, :s_~e_l~ a~,~::e~~o~~;:~n~~\~~~=;'~~-::;~~~ -l1flllILE::..:.,
~-I" ' - " - - - - --
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In~: n~i~C ,c:/-:::~o~~o~:!~~~}u
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-',- -. -,'- -. --,-' n. -. --1-' ./;.....,.;
Name of Applicant (if different from owner):
Address
Telephone
,- -,-,--
,- -'1'-;'"
Map 1"'1:-'0 "6-1/
'Tax Lot
M 1f/7? ~ ?5
Applicant's Interest: B?y~r
M74-99
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Seller 0
Agent
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'Permit II
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~U I LD I NG S l'rE EVALUAT I ON
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SUBDIviSION:
, LOT,:
S 02:-3. ::ST AX LOT
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(...-y aU!LDING' PERMIT APPLlCATlO'N NO.I-i\\-\ Ill-,)~
() SITE INSPECTION
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BLOCK:
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4.
5.
Not,
Appl icable
Zoning Ordinance' CampI i,ance: Zone'R,A-,,^,\-l( )
2. 'Sub<!ivision Ordinance' Compl iance ( )
Requ i red Access' ' ,( )
Building Site (Area, Width, Frontage) ()
Other (see comments) ( ) ,
, ,
AP~LICANT
DATE
PLANNING DIVISION
1.
No Yes
() r:1 6.
() ~
( ) Vi
() (.-1'
(.> ( )
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CK'O' BY<r-L.\C2<T4!'2,!:,,41I:-.-
Setbacks from cll of road:
Front ~
~ S,ide ~1ltef'i61'.-.
Setbacks 'from interior 1 in6S:
Side " ' 5'
Rear ts
, COMMENTS;
, ,
PLANNING OIVISION ACTION PENDING: YESt ) NO() APPLlCATlON#
,BUILDING INSPECTION DIVISION
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Not ' , 'v~ l j
Appl icableNo M' ~
!/l ..f!! l. ..".;",d1.d..fH-9'
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7. Plans Submitted
8. Soil St'~bility (footings)
9. Flood Plain
10. Other, (see comments)
, COMMENTS:
,
II.,
'12.
, ,
Meets Department of
'Qual ity Standards'.' " ,C
Other (5ee comments)
, '
Environmental
Not
Applicable
( )
(, )
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WATER POLUTION CONTROL
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No y",s
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CK'O'BY; \r~,er! /76
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COMMENTS:
TO ,APPL I CANT: '
, , '(o~,):.:Bui1ding I Site Inspection:
, t. ")~,>, Can be approved.
t..-:/'-:; ( ), Cannot be approved at this time as indicated on ,item NO. above.
: {/:;i'Y, Questions and f~rther inforinatio~ onitems'l thro~gh 6 co~tact ,t~e LANE-
':I ~, COUNTY PLANNING DIVISION. Qu~stlons and 'further Information on Items 7
'~ through 12 contact the LANE COUNTY BUILDING AND SANITATION OIVISION.
( ) Will be held in this office until you can re$olve the' problems, indicated.
, ( ) Is being returned. , ' , , ,
( ) Your building permit appl iC'l.!.l2iU',~,~,l..~,:,be,ng,J~t.uined under 5eDarat~ cov".,
..:PARTMENT OF ENV I RONMEl-ll!\L 'M!\NAlil::MENI
135 Sixth Avenue East ,Eugene Oregon 97401
, PHONE: 687-4065, , '
LAt!E 'COUNTY PLANN lNG, 0 I V I S I ON PHONE;' 687-4186
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, C55-28'
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LANE CO'
BUilDING
'TY BUILDING PERMIT OR MOBILE
MH 0
MAILING ADDRESS
)ME USE PERMIT
PERMIT NO,
PROPErlty QWNER
PHONE
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
APPl.
NAME
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
&
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PROPERlY SIZE - fl.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System n New System n
TYPE CONSTRUCTION SQ. FT. :::; pORMS VALUATION
SEW AGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEPTIC TANK 0
I
OTHERO
PUBLIC 0
o OTHER
TOTAL
$~
MIN. SEPTIC TANK CAPACITY
WITH OISl. BOX: GAl.
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANllAllON - GOLDENROD
Call 6B7,4065 to schedule 011 required inspections. All construe,
tian sholl comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
FORM:: C55-13
I
SITE I NSPECT I ON
APPROVED-,~ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVE,D L-/ 01 SAPPROVED L-I DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED II 01 SAPPROVED 1/ DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApP~OVED L-/ DISAPPROVED ~ PATE
INSPECTOR
REMARKS
FINAL I NSPECTI ON
ApPROVED I ,-'J ,rv:SAPPROVED 1/ DATE ",', ,! NSPECTOR ()
Rp-;t/ h;trfUr &<<'tU. ~ t ~tt/.'7tJ ~
. .' /J1"Jaf'7':AgJA-7 f17 /.:-6t /-1'~~!. I!
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CERTIFICATE OF OCCUPANCY
RE'ADY'TO ISSUE 1/ NOT READY TO ISSUE l / DATE
INSPECTOR
RE-MARKS
11/1/ '17-75
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LANE COI'.'TY' BUILDING PERMIT
BUILDING L i ,., MH dJ;lt
"":T'" MAILING ADDRESS
973 R S?fllttv
MAILING ADDRESS
OR MOBILE . o'""lME
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USE PERMIT
PERMIT NO,
;'-:-11-'iS-
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PROPERT.y'OWNER .
0, C~ '~LoAnlli
, SP~IIl<::'IlU.O
Or.eOOfJ
IOi n;V/'3
PHONE
, 747-0/.D7
CONTRACTOR
, SA~~
PROPERTY LOCATlON - INCLUDE POST OFFICE
2008 HARI3O!El OalVO:
PHONE
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PROPERTY LEGAL DESCRIPTION - METES, BOUNDS.
F I LOltR'i" eootfe lOT 36 &OCll 3
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TWP
18
RANGE
SECTION"
TAX LOT NO.
CODE
CENSUS TRACT
3
n
3'i"!joo
EXISTLNG STRUCTURES ON PROPERTY
r:oNG:
LEGAL ACCESS TO PROPERTY
tltlRDOll DRIVE
APPL.
Du:<< BLAl:ID
NAME.
&
973 R SiRlZeT
MAILING
PROPERTY SIZE - FT.
,
ADDRESS SPnIRal"llILO OREGOll
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
T;YPE CONSTRUCTION SQ. FT. ^:;; BDRMS
New System 0"
VALUATION
('..'oaIL~ HtrlE: eo. ~D3
,I
':),
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
l~uRe~l\Rclt
SEPTIC TANK
D
I
OTHERD
r>o.OO
, /j..":n'
PUBLIC D,
o .OTHER
TOTAL
~.llO
, .04
, till. ell !
COUNTY' BUILDING
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MIN. SEPTIC TANK CAp,ACITY
, ,,,-,,,. ."
WITH DI$T. BOX: GAL. . '::"-,A.,
......
,~,~....~..~ -
DRAIN FIELD REQUIRED
...\ 1;"; ~..)"_"
lIN~FT' r '..,.SO"
&\SANITATlON SPECIFICATIONS
..--.........
TRENCH WIDTH FT. OEPTH ':It I OR SQ~ FT.
qoo
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TYPE OF, STRUCTURE
~
OCCUPANCY
ZONE
, PUBLIC UTIL. EASEMENT
~,
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT' 45' SIDE
USE CLASSIFICATION
,;
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INT. 51 .SIDE EXT. .
AUTHORIZED SIGNATURE - DATE
.
,~. &Joe )Y C. HARB{li;lCl'1
REAR
5'
'DATE
~"",..:
JOHtl SIIOOIl/SAlllTARIAN
_",:.~ lc.j,',
, "'-',-"~.'<.
Call 687,4065 to schedule 'all required inspections. All ~o';';;truc::
tion shall comply with Uniform Building Code. D.E,Q. standards
for subsurface sewage disposal and county 'regulations covering \
plumbing. All b'uildings require.' a~ 'cer.tificate "c;f oi:cup~n!=Y-:i~D'efC?re
being occupied., . .
(See: Details on Reverse Side) ,
(j/q/7d
BWG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX -'- PINK'
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDE,NROD
\. \'.
-.
.-
IMPORTANT:'
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FORM:::: C,55--13
(PO?T'THIS PERMIT ON MAIN BLDG. AT SITE)
, LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE' ANNEX, 125 EAST 6th, EUGENE, OREGON 97401
.... .
;0
......!i.
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SLAB FLOOR'
,PLUMBING GROUNDWORK
ApPROVED / / DISAP,P:ROVED CJ DATE
REMARKS
GAS PIPING GROUNDWORK
ApPROVED / /. D'rSAPPROVED /'" / DATE
Rq.tARKS
"J'"
,,; ROUGH PLUMB I NG
ApPROVED / / DISAPPROVED /. / DATE
.REMARKS
ROUGH GAS PI PI NG, ""
ApPROVED
d
"
DISAP'PROVED. 'CJ
DATE
REMARKS
FiNAL PLUMBING
A,PPROVEO 0DISAPPROVED, ,CJ" ,DATEo/':'/3-:'7{',
REMARKS
FINAL. GAS ~IPING
ApPROVED CJ D~SAPPROVED ;---y DATE
REMARKS
, '
CERTIFIcATE' OF OCCUPANCY
,.
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_ ~t,~?y",:O ,I :_~ liE '. I I
"NOT RE ~DY T~ :~,.S5Y_E
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REMARKS
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t.:
rNSPE C..TOR
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INSPECTOR
INSPECTOR
INSPECTOR"
INSPECT~ '~1td,,'
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INSPECTOR
DA TE
t=:.
INSPECTOR
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, INSTALLER: '
INSTALLER'S NAME
PROPO~ SEWAGE 0 I SPOSAL SYSTEM RECORO. ' .
Comp1'ete top part 'of fo,,,, to signature and submit both co,...es with appl ication. ..
PERMIT NO. fn J..I. 1 ~'7 -'7 ')
G-(;
PROPERTY ADDRESS'
PIl-6&r2-T e~ 116 "
, J.1...4o1Ll(o~ D Poo'\ ,Ii'-',
Basement' Water Supply" ,
Yes No Publ ic V. Other-List.
T'E. J) S () P T Ii- ).: g:./J., N
, ,~!o. Living Units' Bedrooms: Baths
Septic Tank: .
Ft. from well
Inside Dimensions:
Len9~h Width
OWNER
NAME
Steel 0
Ft.
Diameter
Concrete rrNO. Compartme'nts Ga I. Capaci ty I 5 () 0
Ti Ie Disposal Field:" ,'__.' "',,' "
Di5tribution Box: Yes V Nifi If' If' If' MUir ~.
Othe'rllistribution-Type Iil. Il:". V Ii:. D Ji !Ii ;;;J
1/. 1'<,,'\.',.
Depth
<j),{.~ RI.lW ^
.-..,-",,_1.
\p;:
I,'
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I W,tl P. t3 0 t< 0 R I Y Ii
Datel A-Pf</~ /,'}- 7b
Feet from
!'IA'ILlNG Q"7~, 7? ~<::,r WEll 'Foundation APR 161978
ADDRESS, <Sff!,A JJ1:6P' eAD;,c01, cr?Y 77 ~~~n~ine/ -0 Side / 0 LAN!~aUNTY
Length' of LJ nes,.Ft. : 'tT~ench I Total Sq1:)'1 F~. Betwee~ IFi 11 er.J. IFi l'ier~lll1lN.Mafl~lelfy1~
,'752~3.1 4.. 5. 6. W,dth1..' Ft. 1 0 Lones <7 Tvpel '2.. Above Tole;2.. ,n.tr,le bon.
'lot pftan (see ins.t.r.u.ctl.o.ns.k ' , :, ,
'--00+/S....H) ",', ' Lx
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';- ; I 1:0~ p~ opot~O,
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HI I., v\v'"" ./ to
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CERTIFICATE OF SAT-ISFACTORYCOMPLETION /;/ ,7/
For Sanitarian Use Only: Date: '1-I,~ J'
In ,accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is iS5ued
as evidence .of satisfactory completion of a subsurface sewage disposal system at the above,
location. ".
~ Approved: System Installation conforms to current standards
c==J Disapproved:" Does not'conform to current standards
'Remarks:
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San i tar ian I y,p i gnature
LANE COUNT~ .
ENVIRON~ENTAL QUALITY
C55-11
'STATE' OF OREGON DEPARTMENT' OF
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~ ~ APPhICATION"FOR:
CONSTRUCT~ON c=:::J- . ModLE 'HOME,' ~ PI,AN REVIEW~ t=J~iW;.GE OF OCCUPANCY', t=J
OWNER JI1;j,~,-!. Y'7:J I?, &,U/ ~^,: ~OY'7~77
. Name.... ,Addr.~~s ,G1~p"-4 .Zip .
,
LL BE ISSUED UNT,IL THIS APPLIC.
,.
ON HAS
PERMIT IF
BEEN ,APPROVED
H~
N,OTE:, ,NO PERMIT
7 7' 7, f? 5C'7
Jlh~ne
.
c===J CONTRACTOR
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Address
City
Zip Phone
O:'S. REG.: II
TwP.'-""-:-/1: Rang~. () ~ .S~ction' i I. Tax Lot
, or/ I _.-L /I' ,f)/l---9/
Subdivision It J:X./rl (JY'D7,X'. 'L9t' .:..::>-b
~o09;
-
Code
:~e~~us 'Ttact'L:r.L)-ljfYO
ACCES~' TO PROPERTY (Road. Name) '>
Block ..3
t-h' ,Lor
'0
Property Acreage
Prive' '
~Width______Depth
Existing Structures "on Property:-
Property Locatio.n-- - AddrE;ss'/Direct!oTIs:-.
',,:
Below fo r Of f ic e Use Onl yXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxyyvvyyv"!ryxxxvY~nrYvvxxxxxxxXXXXXXXXXXXXXX
'~~'()b~ \~~, fu \M.~" + ~D~~ Ft. " IIC~\' Valuation
SEWAGE DISPOSAL:
Site Inspection. /I ,-
WATER SUPPLY:
Well
ExistJng
Sewage Di~posal.. System.
PUbliccXJ
Cocimu'nity., 0
t=J
or, New System Required ' ~
Name of Community or'Public System
Spring
Other"
,.../
FEES:
PLUMBING:
I~stalled by Owner
CJ
':'1.
Waste Disp.
PlUmbing.
Plan .RevieT';
~'..:-
4, ~
Other, c=J Nam.e ./
s~wag/ . Water
,/
, ~ ynnecq~n -Connect"ion
-do.,. ~,,~'::'"~~: " ..,~mt~~oo
~Z'" "o~;""", ,,,,;,;:.J{, j'~~,' ,
, I' ,', see Received By: "~ Date: LJ - ,<'1Cl::'>c
, ! ~i I '^-I 7')
qO"O f Drain~ eld Requ~ired - Lineal Feet IDb Maximum Depth "-q
'1/'
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Bldg.
TOTAL
,
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_t)V
II
1;'9.0 ,
Mobile Home
'1% Surcharge
- ~in. Septic Tank Capacity
. ..Type of Construction
,
JV~Gi:oup
I
.Fire Zone
Use ~lassification
,Bldg Setbacks
Front .1;<1
from Cen~er of Road-Right of,Way:
Side Int. 5' - Sid~ E}[t!eEi,j);
, I
Rear 5'
, Zone
'0 A. -l-I\~
"', ..
P~+lL.cvh~
DATE: '
,,~ON;
DE~TI1;~; OF
, -i DATE:~ 'j'(J"Bll}:ryGj.r;~&bl 'pATE: _
!;, II /7.,~ " .J'J1rrv~f:::a J - j-"7 J
ENVIRONMENTAL~~AGEMENT I ' ,
C55.12
, LANE COUNTY