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HomeMy WebLinkAboutPermit Septic Tank 1971-2-17 .... ... '""'l RECE I;>T NO'-Z724~ ~ HOLES ARE NOW READY . 91(::0 f-b,l1(.(t.lll(&n~ TWP.17 RA,NGE 03 SE~. 24 TAX LOT NO. 4uu COPE- DATE 2/11111 ~ " OUT REQUEST FOR SITE INSPECTION BY~hwlrt2. Jeff MA I LING ADDRESS '284 Parker TEL. No. 747-5432 Springfield, Oregon OWNER OF PROPERTY Lenu Palluck CONSENT OF OWNER? Yell EXISTING STRUCTURES ON PROPERTY SIZE OF PROP. 1 Acre Is PROPERTY CONTIGUOUS TO None LEGAL ACCESS? ANY CITY LIMIT? 7 No SOURCE OF WATER SUPPLY: PUBL I C X SPRING WELL: DRILLED DRIVEN DUG DESCRIPTION OF SITE (DIRECTIONS, LANDMARKS, HOUSE OR BOX NO., IF ANY): Down Mohawk Blvd. to 19th street (left) out 19th to 21st turn left and go out 21st to end of road. PROPOSED USE OF SITE (E.G., NUMBER OF DWELLINGS, COMMERCIAL OR INDUSTRIAL USE, SUBDIVISION): Future Dwelling L::7 URBANIZING AREA. ~ SPECIAL PERMIT AREA. JH/gf FEE: No. OF SITES $ No. OF ACRES TOTAL- ~ 5.00 5.00 v:J:1' c(/l/u:fY...4-/ _~'Z~ RESULTS OF INVESTIGAJlON: " ~ .c. ~ ' ~ ~ _ , . '.j.? - [;,,--,,- A /7 " ' - ~t-c./---' ~ ~l.--t!-C-rz...-r ~L{ ~ C&ftl ~t:-tV; .' U/l/IA...... Z~ a)( ~~ / ~/~e~-;~-;::t;:f:;;;~~ ~4JU)~'~ t:. ~~ ~ c:Z 711- '- r;{J'v-.' &~~~~~1cvva~~7 .....~(J ~ ./VJ -r;p ;;-. . J~: ' QJ~~ f1 ,-- ~J / P'VLC~ ..... Jd< /' / '<A.P '~N9 ~(,(I., /hS,f/A'~,!J~ ~fl6'4" s",~-.s4'#::.r.'" /~ .5>~ CqAr eJ,;? /' , ~S>.c.J~"L d,s fbSR I sf'slo;;, THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK: BEFORE CONSTRUCTION IS STARTED BRING THIS FORM TO THE BUILDING AND SANITATION DIVISION AND MAKE APPLICATION FOR A BUILDING PERMIT. IF THE PROPERTY IS A PORTION ONLY OF A TAX LOT, A METES AND BOUNDS DESCRIPTION OF THE PARCEL MUST BE FURNISHED, EXACT SPECIFICATIONS FOR THE SEWAGE DISPOSAL SYSTEM WILL APPEAR ON THE'BUILDING PERMIT. Two Sr.TS OF THE BUILDING PLANS AND PLOT PLAN WILL BE REQUIRED. LANrarouNTY BUILD).NG ~ SANITATIO: DIVI~~ . ~ / ~~~~~( ~~(J-k#~ '. BUILDI~'CTOR . - SANjJ/ARIAN THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING INS~ECTOR AND SANITARIAN. ~/k.t' ,p DATE "~091.01 . .:.. , , ,. ,,\ ~ )- , -. ..;.. l.l ',- 'l'Of!" . " " I ,',. '- ~ " J~ -~ _-:.- ~ - <(/) .... '" ~ \ , , ... , 'j , .' . .- \~ , " J .". to. 'I '. , '. & LOG"yI Jj P ~p n y~o t:-. , /JJt ' ----- .-- " .' I :.p , .~.........-( "\ 'l ' '. y<' .; "_.1 ,'" r