HomeMy WebLinkAboutPermit Building 1974-8-20
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I PROPERTY OWNER
" Me CARTHY. l.j\ eHA.El D.
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LANE CC ITY
BUILDING ,0
BUILDING PERMIT OR MOBILE HOME USE PERMIT
MH 0 PERMIT NO,
MAIL-lNG ADDRESS
46l:l3 UNION TERRACE SPRINGFIELD
1493- 74
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ORE,
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PHONE' 4583
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CONTRACTOR
SAME:'
.J MAILING ADDRESS
PHONE
PROPERlY LOCATION - INCLUDe POST OFFICE
DRIVE OUT SOUTH 2ND STREET SPRINGFIELD TURN RIGHT AT PARK
PROPERl;, -l6~Al' DESCRIPTION _ MET~^_BOUNDS ;; I 't' tR ~m7;;" ~-; -,::::: ; s a;; ~: :i-:I':"
. "I,.OT"9' 'EllOCK~3r r!lBERT GROVE SUBDIVISION
STAY ON PAVED ROAD
=:1S:. "'1..._. ~~...~~:n
DRIVE ALONG
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RANGE
03
SECTION
02
TAX LOT NO.
CODE
CENSUS TRACT
APPl..
NAME
MICH.AEl D. Mc CARTHY
EXISTING STRUCTURES ON PROPERTY
, NoN!!
MAILING
ADDRESS
FOR MOBILE HOME
No. of ~edrooms
SPR IlIGF IElD,
PERMITS ONLY
OREGON
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LEGAL ACCESS TO' PROPER.TY
Julio HARBO~, UR I VE
PROPERTY SIZE - FT.
&
4683 UNION TERRACE
WIDTH
DEPTH
AREA
STRUCTURES-TO-BE,BUILT THIS PERMIT
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~-
Connect_ to Existing
. _ ._'-::YPE,fONSTRUCTION. /
FOR 'FUTURE 3 '..BEDROOM'"
Sewage System 0
SQ. FT. ::; BDRMS
MOElI L E HOME
New System 0
VALUATION
INSTAll SEWAGE 'D,ISPOSAl. 'SYSTEI4 ONLY
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, SEW AGE DISPOSAL
PUBLIC 0"<
BUILDING.
WASTE D'ISPOSAL
~LU~B,I~G\
PLAN REYIEW
PARK TRAILER
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FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY"
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SEPTIC'TANK 0
PUBLIC 0
o OTHER
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TOTAL
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MIN, SEPTIC TANK CAP~
WITH DIST. BOX: GAL
COUNTY BUILDING & SANITATION SPECIFICATIONS.
DRAIt-:-l FIELD REQ~I~ 21 .
lIN, FT TRENCH WIDTH FT. OR SQ. FT.
300
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No PART OF DRAetlF I ElD TO BE CLOSER THAN 100 FEET TO: RIVER BANK
TYPE OF STRUCTURE
, OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS__
FRONT 50
/S/ J;
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT, 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
E. BOS5 : BY C HAllBAUGlH,
REAR
5
USE. ClASSIF!CATION
J. CRUICKSHANK/SANITARIAN
. 8/20nli
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BLDG. ,PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING:"- GREEN '
~ANITATION - GOLDENROD
Call 6B7-4065 to 'schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering I
plumbing. All buildings require a certificate of occupancy before
being occupied. I
(See Details' on Reverse Side)
FORM'::: .c ~5 - 13
(POST ,THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNE~, 135 EAST 6th, EUGENE, OREGON 97-401
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CENSUS TRACT
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BUILDING 51TE EVALUATION
() Building Permit Appl ication
() Site Inspect ion
() Pre-Permit Investigation
APP LI CANT: " I
NAME VYlII ('t? vi-n u
ADDRESS , J
PHONE
DATE
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LANE COUNTY PLANNING DEPARTMENT
NOT NO YES
0001 icable
NAME
DATE
BUILDING INSPECTION SECTION
6. Plans Submitted
NOT NO YES
aDD~ ) able (~ ~
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( ) () ()
NAME
DATE
7. Soil Stabil ity (footings)
8. Flood Plain
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9. Other (see Comments)
COMMENTS:
SANITATION SECTION NOT NO
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10. Sewage Oisposal ( ) ( )
11. Usable Area ( ) ( )
12. Water Supply ( ) ( )
13. o the r (see 'Comments) ( ) ( )
COMMENTS:
YES
NAME
DATE
0'
w ~1r~N. 2;}117-/
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TO APPLICANT:
nJl.;Vlr Your
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( )
( )
( )
Building Permit / Site Inspection:
Can be app roved.
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Quest ions and further informat ion on items 6
through 13 contact the Lane County Buildinq and Sanitation Division. ,
Wil I be held in this offiee until you can resolve the problems indicated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 6B7-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503). 687-4065
C55-28
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LANE CvdNTY
BUILDING 0
BUILDING PERMIT OR MOBILE HOME USE PERMIT
MH 0 PERMIT NO,
M~_I~ING ADDRESS
4003 UNION TeRRACe
SPIlIM'irIElO
,
Oftc, PHr~i!1l3
~ .PROPERTY OWNER
Me CARTHY. MICHAel C.
CONTRACTOR
I!iA~t
.
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
'ORlvr OUT SOVTH!ND ST~tCT 5PRINGfltLD TURh RIGHT AT ~Aft~ STAY ON PAVEO _OAt
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, PROPERTY LEGAL DESCRIPTION _ METES. BOUNDS n I ...." w..... '"' ,,,. y "'.. ~ oJ -... "..,....
i LOT Q9 BLOCK u2 rl~BrllT GReVE S~IVISIO"
$ !::.
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0111 VI: AI.OltO
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RANGE
03
SECTION
02
TAX LOT NO.
CODE
CENSUS TRACT
APPl.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME
;
. No. of Bedrooms
~1t CIlAltL D. Me C""THY
EXISTING STRUCTURES ON PROPERTY
~ONW
_683 IJru ION TIRRACE:
LEGAL ACCESS TO PROPERTY
HAIl.Oft o.IVE
St'1l IH<I,., 11.0,
PERMITS ONLY
Oft EG iilH
PROPERTY SIZE - fT.
WIDTH
DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT. ::; BDRMS
New System
VALUATION
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'IOSTALL SltIMG!: 01&'011"1. &YlIITEM ON!.., rOIl PI/TIJI'll: 3 IItllllOOM
Melli LE HO"lt
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'1' SEWAGE DISPOSAL
I. PUBLIC ole SEPTIC TANK 0
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.' ,BUILDING
~ tASTE DISPOSAL
, rrLUMBING
PLAN REVIEW
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FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
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PUBLIC 0
o OTHER
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COUNTY
BUILDING & SANITATION SPECIFICATIONS
DRAIN' FIElD REQ~I~ ?
L1N. FT TRENCH WIDTH FT.
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OR SQ. FT.
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OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
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: BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
: I : FRONT ~ SIDE INT. , SIDE EXT.
II AUTHORIZED SIGNATURE - DATE
, J. E. 00&, IY C HAUAOOM
REAR
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USE CLASSIFICATION
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J. CRUICK$HANK!$AHltARIA_
iiI_PATE
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r BLDG. PERMIT - WH ITE
I OFFICE COPY - WHITE
\COUNTY TAX - PINK
.:1 ,PLUMBING - CANARY
IBUllDlNG ~ GREEN
,SANITATION - GOLDENROD
,
IMPORTANT:
Call 687-4065 ta schedule all required inspectians. AII,construc-
tion shall comply with Uniform Building Code, D.E.Q, standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a . certificate of occupancy before:
being occupied. .-s
(See Details on Reverse Side)
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(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97.401
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SITE INSPECTION
ApPROVED ~
RE~ARK 5
.....,.
DISAPPROVED ~ DATE
FOUNDATION INSPECTION
ApPROVED 1--/ OlSAPPROVED / - / DATE
REMARKS
FRAMING INSPECTION
ApPROVED l / OISAPPROVED / / DATE
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-/
REMARKS
FINAL INSPECTION
DISAPPROVED ;----y DATE
(Jf
ApPROVED ~ DtS~PPROVEO ~ DATE
.REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE
REMARKS
~
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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Cq' . ,. " ".P~OPO~ SE~AGE' DISPOSAL SYSTEM 'RECORD" a '. ~. ~,
.1 NSTALLE!l:i;, Compl ete, top ear:'; o!'form tos'i gnature and submi t:~oJh jc,:of",es ,w;a,app) i eat ion. " ~ '
" llf./...-L-., r::J/.fA-:DY , ".', ',' ,0".', PERMIT NO. 1493-74
INSTALLER ,S NAME.. '. '. " "'0' ,P~OPERT-Y AOL)RE~~ ,', "':..., ',: : JC '
t._.....
. HARBOR DR I VE
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No. l'i ving Uni ts. Bedrooms' .Baths Basement , Water, SUPPly, ". '
" . Yes ',No "Publi,c;/~Other~.list
Septic 'Tank: ' , , ~L
Ft.. from well, :Si~el,o ,co~c,;~te ti6, No. c~partl1lent::/.9,:),"capacitY
Insi!le ~imensions: Ft.. . Tile,O,isposal',f:leld: 'I./'
fen9'th . 'Width . Di'ameter "Depth "Distributlon Box: ::Yes 'rNo . ~
OWNER' ',', 0, OJher OistributionTType! .
NAME' ,".. MI CH.AEL' D. Mc CARTHY.'
, 4683 UN ION :TERRACE,
'.
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Feet from -
WEll 'Fou~dation
Lot li ne " '
'Front , S i"de, Rear
I F:~,~ Betwe~n 'IFinerdFiller ~epth~ IF~ller B:low
It! neS /<J Tv De/.;2. !Above T !Ie~ I nJr11 e~ ! n.
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CERHFICATEOFSATlSFACTORYCOMPLETlON ,',.' ~.,O .;, , ' " "
"For Sanitarian Use Only: . Oate ~/i')' 74
In'acc:;ordance with 1973 Orego'n L'aws Chapt'eP'835. Section'214thj'~ eertificate is i~su; ~-/"
:,!s evidence 'of.~sati~fact,?ry. 'c6n\pleti'qn of a, subsudace' sewaged';'~posal sys,tem at .the ,ab,ove ' ,
location-' . -.~ - : ."". ;- . '. .' .'. ..<_.......:
~A~pr.O~~d:; System I~s~~,llllii:on confor"]s t~ currentstand~rds '0. '. ",>: ,
C:J Olsapproved: ODes' ,not.- conform to':current .standards " <,
Remarks:" ,,' ..
" HAll'ING'
': AllORES S '
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SPRI N~F:I ELD ,,iOREGON
Leng!:h'of 'L i nes,~F.t. ' ,.,l,Trench....I.Tota I Sq.
'70S 2.7~.,' 4. 5. 6. Width~ .Ft'.?&'6/',
'lot 'Plan [see instructions}: " " '
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, .~:Sanltarian's Signatur,e
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ENV I RONMENTAL QUALfTY.
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I" " . ',: ,:' --~ DEP~ OF ENVIROl'MENTAL , '.',. "~' Mobtle Horne '
,;' v ,; ;, APPLICAi'ImJ: FOR BUI1ll~ PERMIT OR MOBIIEHCME USE "., '
, ", .' NOIE.:,' ,~o;pepnit/will be issued tmtilthis aPl?lication has beeJl approved.
PLEASE PRINr . . 'f\' ".' ,'" J;, ,fI,.fI~('fl;(fJ- '. 0
,PROPERlY IiYcArIONJ.;JiJ./v.--i_/o-u:%- "'Y1-r~ ,) ,.u: ,(,~k-- ((,c,ti.. TAT (,f).YI\,
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/~ 'eM t1..t5t....-(}.cd~.;;JJe.:/ (/l1l\Jt:t.-::" J1ley7, ;V Ii'~'i:.t-,.L<>:f''f!.... t-J:a.sr ~v 0/' ~
'illP. /fiWGE cJ...3 ' SEC. 'O:i.,' '!TAX LOT if 't.' lcooE. CENSUS TRACT ~
LOT NO. .9'7:' 'BLOCK "\...5.,.sUBIirvrsION "\"-:9-~ .~, xid.' ~7fIf~
ACCESS TO ~~lY Pu~/,Y?Yfifzr~, ~1Y SItE ~~/~r.?jOR ACRElCE '
'DESCRIBE' EXISTIN:; STRUc:rtiRES ON 'mE PROPERTY ~ - ,
'AP~~/:'k~} D )u(f~,'=<(0K:) ~~JPfd~ 7f((;,,{(.r~3
WlHN\CIDR. , ';,' . ,':' (~Lrn::;' , '. '.' .,.,,' ,
NAME' " " " , ,,'.:. , . ADDRESS '. " " , " ,'.. . ,', mONE
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BELCW .FOR OFFICE USE. ONL'L:' :.:..1. :.:. :.:.:. :.:.:.:... "1':':"':' ..:.:.:~'<*'/.-:c:'.,..;.; ,;:. ,'ct,.,; :";,';';';" ..:... :.1.1. :.:.:.:. :.:.:.:..... M..IC'k'k'k
~tructures'tobe built/Mobile ~ " . ,sq; ft. ',,itbedroarns . valuation '. .
~7 o:/I,U:-.as Lhr ' c.....i!:/,u.. '-?.J;t/./A./!~"..7- .fi?fld//jj""}-c'/7V ~ 7'/ ."
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Existing sewage disp~sal syst~'O Of new ,system ~qri;-::ed ~'
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~~~~ Dis: .~nJ) l). Feespi~mg,~t~~led by CMn~r ,L ~ Nane: " " "
Plumbing , , """ . , Plumb#Jg Fees . ' sewer~:~tion ,~ater connection
Plan Review t . ' if of' fixtures inspecFioI). fee ' inspection fee '
Trailer ' ,
l%.surcharge '.. '~~:~k Sigmture o)hl~~;W~tr~~-?f
TOTAL &6. D' 0 " fee rece.ive~ bY!dj<f dCit;e !f. -o:~-j9.--r'
Min.' Septic,tank,capacity . Drainfield required", , I. . ".,'. .-' ", ,
with dist. box: Gallons ' '100., Lmeal:Feet' j.6?:J ' Trencp~p.th,.2.: or Sq.ft: 300
110 ,tarl:, afck4,irFreicl tv, k. do~/ ~~n, /oo.fCzi"to hWr ba-i!:.,
Sewage Disposal:;'
Site Inspection if
Water Supply: '.
Public, fgc. District ,Name
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Type ot Structure. :.' ,Occupancy
~'ire, Zone
Use Classitic,ation
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Fro!'\t',~ 0" . Side Ine.~' Side Ex.terioY""'~'
Planning
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Rear
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Zone _~.,.4 /vt-#'
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date
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(;55-12
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TRS. TI I ct- () _J - ~ 3.. Job Locati5r1~;:Lo~e=/~{;w.~'S-, f)/W'^-L ( l \ P rf-.t( , (Jils;::
Written Directions~ 1 ~I vf: Spf-d.. S7,4.L/ ClV\. ~ PC1AJ~ /L(J~. &A--..Q....- a..tk""1 c..l~M'-0<-
~ ~$~ ~ I )'oT INFORMATION SHEET .e:,-.::.~"" .1 ~""'~ ~o'7G:> tt-.-d 2.0 f'-( t:lax"-u-.
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( ) Building Permit, /tQI'
CooL 7N~'"
Acreage or Lot Size Test holes will be ready,
Partitioning # ( ) Completed Subdivision:0/ ~ 0/1 "rv-q"A- (~c:z,1 4dJ)
, () Pend~~!j., -rl- /' It
APPLlCANT'SNAMEANDADDRES~m/~t1/l-F-( f). />>ccr"vt...-Ut-V/. 3033 b.47~~)q...., IS J
OWNER'S NAME AND ADDRESS. if differen,t from appli~ant's " _S-a.~ '
'CONTRACTOR'S NAME AND ADDRESS ,,\J)JLL.v, a (......(1.( #A'-.L,:/~ dO-W-V:L- ~ ~ ~ Ll.-JO
Mail permit or results of site feasibility study t'o' (, ) Applicant ( ) Own'er () Contractor.
( ) Prefer to pick up. Call (owner. etc.) when ready.
STRUCTURES NOW ON THE PROR-ERLY AJo st;C.1../ 'z<.VU/a./
PROPOSED USE (this permit), it;;i;~;~~{~j~--,,--~c.L~"~ JI
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~A TER SUPpLY (i'(~)v\,:"/VL~ Ju (t:J...t.J..--.A:' tf'/t...vv~' tJ0h4 ('0) (existing or proposed well, etc. If public. name of system'-
SEWAGE DISPOSA' ./' ..1<"/~I;'-~.l / L{ 43 - ,7 C{ (existing or proposed septic tank, etc,) S,I. 4=
~LUMBING BY S,p/t-~1/l1.t..-/,'~:I ,;l' h1...e ~;I ~ ,.1/ ~<Z.--- Address ;:::C/ ct.. a.,--I #~A ~ d; ctr.e...
) Site Feasibility Study for Septic Tank. Number of sites
Lot </q , Block
S/J rt:/
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Phone7zG -/7tYJ'
Phone
Pho~e?2G -og:sl
Contractors O. S. #
~ II RPr1r<Y"'JS.
( ,) PROPERTY IS WITHIN ONE MILE OF CITY (
'*.. * ** ** **** ** 1'"* **** **** ** *** ** *:'"*** ** *** **.. OF FleE USE ON L Y BELOW THIS Ll N E ...."*.. ** * * * * **.* ** * ****"*"** -lH!- * * ** * ~ * * ** * *... *"* -'1"......
( I NeJ:)dHr-rJ!.,c;!:,ssrl _ () Facility Permit Necessary
ZONE?;/, _f r f ~SFJBACKS:' Front Side Facing Street
(FROM CENTERLINE OF ROAD)
I Special Permit Area. Minimum Elevation:
Interior Side Yard Rear
(FROM PROPERTY LINES)
To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
/"
By
Permit Processing Section
ResponsP'
'.
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687 -4394
Division
C55,12
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