HomeMy WebLinkAboutPermit Building 1975-7-30
'Y:i"i,.~ --'c:";,;'YL"
~~ ...-~ 0.... _ 1-"7/- .
',' ',....'- LANE 'COljNTY BUILDING PERMIT OR MOBILE ~/,)ME USE
, <c""". BUILDING (.) MH ~X () PERMIT
, PROP,ERTY OWNER'l: MAILING ADDRESS ,
THbMAS'YO~NCl " 33991' EAST MARKET
CONTRACTOR MAILING. ADDRESS
R9GE~ fEGLE'3 37438 IMMIGRANT; ROAD
PROPERTY LOCATION - INCLUDE POST OFFICE
, "-2045 ,HARBOR.,DR I v E;,,.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
5TH ApoiTION TO fiLBERT GROVE
.'...',.c.
. ...,_.....'~,_..':" '.~.....w>. C'. ~.,' .,'U ;',<""''' ,.~..'...""" ''', ..,;, '. ,<r,..-....,~ ~,....;"'.. "
...,.--,. .
PERtZJli ~o3-7S-
NO, MH 403-75
PHONE
CRESWELL OREGON
PLEASANT HILL,
, OREGON
PHONE
747-9731
.
L01' 24
BCOCK', 6 '
Twe
RANGE
.SEC.TlqN
TAX LOT NO.
CODE
CENSUS TRACT
18
3
11.2,2
APPl.
~AME .
&
MAILING
, ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bed rooms
r .5TRUCTU_RES T,? BE B.:-'ILT,:HIS,PERMIT.
\;PER,,\ I.T FOR, Mos,l LE HOME--"',
ROGER fEGLES
EXISTING STRUCTURES ON PROPERTY
~ONE
LEGAL ACCESS TO PROPERTY
HARSOR DR I VE
SAME
PROPERTY SIZE",""," FT.
WIDTH
DEPTH
AREA
-,1'
Connect to Existing Sewage System 0
.TYPE CONSTRUCTION ',SQ. FT. :,J: BORMS
New System D J
VALUATION
2
- ,. PE'RM',.t':TO INSTAL.~. S,EWAGE. OI5f'0~AL,_SYSTEM
,
"<-
SEWAGE DISPOSAL
".: PUBUc?ID OR"' SEPTlC..TANK
1,. BUILDING ..:;' '.
WASTE DISPOSAL
PLUMBING'
PLAN REVIEW
PARK ,TRAILER
3~SURCHARGE
TOTAL'
fEES
PLUMBING INSTALLED BY'
OWNER 0 OTHER: ,NAME
WATER SUPPLY
o
~
'OTHERD
100.00
4.00
. PUBLIC 0
o OTHER
CITY WATER
,0;00
,;12 :
,1,4.12
COUNTY
'$
BUILDING & SANITATION SPECIFICATIONS
. .MIN. SEPTIC TANK .CAPACITY
WITH DfST. BOX: GAL.
DRAIN fiELD REQUIRED
7'iO
UN. FT
1'50
TRENCH WIDTH FT.OEPrH 24 OR. SQ. FT. .
300
I "STALL, AS SliOWN ON ATT,ACHEP PLO:r' PLAN:
TYPE Of STRUCTURE
MH
OCCUPANCY
, I
~ONE
'. PUBLIC UTIL. EASEMENT
BLDG. SETBACKS _ FT, fROM CTR. Of'ROAD RIGHT Of WAY
45' 5'
fRONT SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ J. E. Boss DY,HARBAUGH
5'
REAR
USE .ClASSlfIC.ATION
RoY, BURNS/SAN I TARI:AN
,J/.39/75~
DATE
DLM
BLDG. PERMIT - WHITE'
OFfICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION '- GOLDENROD
IMPORTANT:
Call 687.4065 to schedule all required inspections, All construc-
tion shall comply with Uniform Building Code, D,E.Q. standards, I
for subsurface sewage' disposal' and county regulations covering
plumbing, All buildings require a certificate of occupancy' befpre
being occupied.
(See Details on Reverse Side)
FORM =c 5.5 - 13.
(PO'ST THIS PERMIT ON MAIN BLDG, AT SITE)
lANE COUNTYi DEPT; OF ENVIRONMENTAL MANAGEMENT '
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE! OREGON ;;'7401 '
:,',,:':..''':'',-,.
, ,~Ju--
.' ""~.".
"
au i L~ I NG,,~ ITE
EVALUATlON"-- "'00/G~
PERMIT APPL I CATION NO.H1I-1..;.'o2.-7<'"
(~BUILDING
., .
() SITE INSPECTION
PLANNING DIVISION Not
ADDl icable
I. ,Zon i ng 0 rd i nance Comp I i ance: Zone /2Ajmrl ( )
2. Subdivision Ordinance Compl iance ,( )
3. Required Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T .'} R Q? 'Sj/-2.. 2.TAX L'OT ztklr>
SUB",VISION:
LOT: BLOCK:
APPL I CANT
DATE
No Yes '
T)~6.
( ) ( t..r'
() (~
( ) ("7
( ) ( )
CK'D BY~f 7J/~/~
Setbacks from c!l'of'road:
Front ~
Si L :._~_,:__
Setbacks from interior lines:
Side ~
Rear _~
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YESl ) NDl ) APPLICATION#
Building I Site Inspection:
Can be approved,
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and, further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
Will be held in this office until you can '~esolve the problems indicated.
Is being returned., ''''-.
Your building 'permit ap'pl ication fee is bein!j returned-!![lder se'2S!:l'te cover,
DEPARTMENl Of ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065 '
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
Not
App 1 icab 1 e
( )
( 'J
( )
( )
COMMENTS:
WATER POLUTION CONTROL
Not
ADD I icab 1 e
( )
( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
TO APPL I CANT:
~
""1 /f(;, '
( )
( )
( )
C55-28
~)wJW
( ) ( )
() () {)-1/~'
( ) ( ) CK'D By:f~JOa , ._ r-M"71
ATE
No Yes
T)TI
( ) ( )
CK'D BY:
DATE
INSTA~LER: ,COmplete
" PROPO~'
top, par't 'of--f~..,
. " , ' , . - ~ .
SEWAGE" DI SPOSAl:' SYSTEM RECORD ," , /
to s i gnatu~e' ard 'subm i tboti,,'c6. "".5 wi th app I i cat',; ~n:' ','
" ,.' '" ,PERMIT NO. '/17//467.3-'7.:5"
PROPERlY ADDRI:.~~ "
,"-
,
<,,' .
INSTALlER' ~ NAME
. .',
. '" ''\ .~~
R.46IR' fEerZt:5 jJ^ "2t:J t-l '5, HAlf Bo/{ )N?"f'MJA/6';:/ELP
No, Li"Vi'ng Units ,Bedrooms::",Bathr-- 'Basement", Water Supply
/ ' :) . ' " I ' " Yes NoX " Pub 1 i c X Othe~'-L i sL,.' '
Septic,Tank: " ,,' " "
,F~;,y?",w~Steel,. D ,,", C~tc~~te.J;8I. NO., Compartments.! ,; ,Gar. Capaci ty, It? o,c;1
. Inside:Di'me!"sions:. Ft.,',,' Ti.leDispos~l, Field: ,
Length"., 'Width Diameter.., Oepth 'Distribution Box:; Yes /I
OWN.ER"" '..A"]; ,', ," 'J" ';',... '. ,Other Di,stributIon-Type'
NAME, ' .,/ M^"i4.' "). \ '~tJ~" '.,
, ,',,', '" , '.../' ,', '0/1 ,Feet from ' ,,'
'MAILING 'Z,,<.C;9J', f:.. >," " ',-- 'N.V, :W~ll tPJ~G(L l<i".-k4oun'dation
ADDRESS' " , ' '.,' ,..,Lot'Line '
,,0 ',' c,H\/A""u1 '1:YG: J' 74.~_' , Front
Len~th of,Lines-Ft,,' T,~ench:Total Sq. I F~. Between,
'1.<J62;/<'/3{'34. 5, 6. WIdth 'Ft.<~cVV Lines /D/
, 'lot 'Pian (see instructions):, __ .
, "
',' .. 'I
'" . r
No
,Side{D (
IF i ne~ ' ,IF i 11 er Depth
Tyee " Above T i 1 e 2.
Rear 10'
" IFiller Below
in.lrile t-, in.
~
, ,;'~ M~t;
:,.' .' ;',,//0' L-vT ',,' , ' '<
,,'''if, ~8', '
,:'J~,
~11'::'(r.:::
~..,
,)
"
" ,".::.---:--"'"
~ - ~ '," >
, , '
_.~.
/3 I _ S/J.e'
:::> \ L~
, '/,';'-,
,10. ~,'
'S':Je. '
,> ,
.,: ":.
" .-
.-,,, ,
\
, I
I'
\
,
,I
k"
L"
,d'
...--,::}"
"
'''.
l,~o,~.y .~.
, , ".." ;',: 'CA:L~~~ " I
" '~-'
i,
,
"
\
, i
~'.
.f"
,L~:"
"
}1' 4' .
, "...: - ~...':").
'.,;:
,
"
,,'
,,"" .
~\
'\
I,
\1'"
I
"
i'
I
,'. .'"
Date 7 -:1.':; - 7#" Si~nature ([~-?/? 'r~/L...--
, , ;, CERTIFICATE 'OF SATISFACTORY~OMPLEnON..- " , """'_ " ,
For Sanitarian Use ',Only:: , ", ,~at,:. 1 27 -'Zr-:-'
In accord,ance.with 1973 Oregon Law,s 'Chapter 835. Section 214 ,th.is' certificate IS Issued '
,~s. evi de:nce of sat i sfa,ctory':cOOip l~t ion of a subsurfac'e ,sewage "dJsposa.l 'sy's'temat' the 'above
location.:, _ .., ,__ <'
~, A~proved:, .Sys<tem 'Instal I lit i"on conforms to 'curr'ent stan.d,',ards;
, 0, DI sapproved: Does not conform to current, sta[ldards ,:'-,,',
,Remarks:,', ..,., "
" C55 ~ll
r,
""~~",,
. - Sa I " an (sS j'gnature
. , LA UNTY
ENVIRONMENTA QUALITY'
"~
"
STATE, OF OREGON DEPARTMENT OF
LANE COLJ"ITY
BUilDING L
, f .
BUILDING PERMIT OR MOBILE
MH 0)( '1
MAILING ADDRESS
3!~~.Jl {AG'r 'M;,~tXtT
MAILING ADDRESS
3f:3~: IMI4I.lORAI'T ~Oj\f)
. '')ME USE PERMIT
PERMIT NO,
Vl ~43-7i
PHONE
,~
I
'pROPERTY OWN,ER'
TIIO~IA~' YOUNf.
Uf.~WCl.l. OH;;eOt:
CONTRACTOR ...
:"'r;3CR rt(;,L(~
PROPERTY LOCATION - INCLUDE POST OFFICE
~:~5 HA~~OP :NI; t:
'PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
:; 1'H ADO Il 101' TO V It.r:r!tT ~"O\'-
TWP RANGE SECTION
i~.~ J 11~2;.2.
'.
PHONE
in 1-:':
1".;;;"',\A'IT "'j tl.f. '. O~rGON
lOT ii1)j.
Bi.oefl; (;,
TAX LOT NO,
CODE
CENSUS TRACT
APPl.
NAME
'~oa&;! ftGL.t':!i
EXISTING STRUCTURES ON PROPERTY
no'~r.
LEGAL ACCESS TO PROPERTY
, HARl'!lR !)It I V[
&
~M-lr
MAILING
ADDRESS
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :;; BDRMS
New System 0'
VALUATION
I'
~r~MtT ran ~~IL( H~r
2
"
"".,,:1<11 'ro I',,",TAU >'tl-IAG[ UISl'ollAl.. S,VSTtfol
, ,
I SEWAGE DISPOSAL
~"PUBlIcr-'n'f)A SEPTIC TANK n
BUILDING
,
'WASTE DISPOSAL
I'
, PLUMBING
, I PLAN REVIEW
PARK TRAILER
~ I (;$t"l~(.KAfitG[
OTHERD
, FEES
'09.~)I;)
.q...f-X)
PLUMBING INSTALLED BY
OWNER'ri OTHER: NAME
WATER SUPPLY
PUBLIC 0
D OTHER
Cln' "'''n~
TOTAL
.
3~1.IJtI
.1,
!~j~.I~
COUNTY BUI,DING &
SANITATION SPECIFICA nONS
I MJN, SEPTIC TANK CAPACITY
. WITH DISl. BOX: GAl.
7'j)
DRAIN FIELD REQUIRED
150
lIN. FT
TRENCH WIDTH FT,Il~;>TlI Zit
OR SQ, FT.
300
1"1.>T"..L All '''WI! ON ATUC.llP n-::T ,,0~:
\\~\ "
' \
~ '- \ \
:'Ii
)
~"
t",
}II' ;:\ ", '
\"1'1" ,
.' ~ t
, ('
"
I I TYPE OF STRUCTURE
II 141
BLDG. SETBACKS._ FT, FROM CTR. OF ROAD RIGHT OF WAY
'I'" '"
I FRONT J SIDE INT, SIDE EXl.
/ ! AUTHORIZED SIGNATURE ~ DATE
~, J. E. !)OS~ In' HAOSAl}I)H
OCCUPANCY
I
lONE
PUBLIC UTlL. EASEMENT
5'
REAR
USE CLASSIFICATION
Uvt SUANa/$"nIVA~'''~
7/39/75
D~M
......t. i\i'-..
I
Call 687-4065 to schedule all required inspections. All construc-
tion sholl comply with Uniform' Building Code, P,E.Q. standards I
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before I
~eing occ~pi~d~... .\. ',: ~'. ,i,,\
~~ ~(,~ee Detail~ o'n Reverse Side) ',' 1
(POST,' JHi~ \~~RMITd'N MAIN BLDG, AT SITE)
LANE COUNTY, DEPT. OF'ENV'IRONMENTAl MANAGEMENT
COURTHOUSE ANNEX~ 135 EAST 6th, EUGEN~, OREGON 97401
" I
\
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
I
FORM::::: C55 - T3
;:.
"." ~"
\,
SITE INSPECTION
ApPROVED / / DISAPPROVED Cl DATE
INSPECTOR
REMARk 5
FOUNDATION INSPECTION
APPROVED I
I DISAPPROVED ~I DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED I
/ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
,
-,'-.-.
ApPROVED
Cl
/'q'lt
D1SAP,PROVED ~/ I DATE /J
44 f~pp q~,J,,$"76'kI
, , .
INSPECTOR
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
!11-1L/()3-7~ h
-
':<'D'iS 71~..."
;(~c1 W t-
'.~, .
. --..~- ..
. ,.jJ
,"
LANE COI'''lTY
BUILDING tL .J
BUILDING PERMIT OR MOBILE1 ",?ME
MH ~X '-.........J
MAILING ADDRESS
33991 EAST ~AQ"ET
MAIUNG ADDRESS
37438 1e:~lonAl\1T ReAD
,
USE PERMIT'
PERMIT NO,
7
f ....
~j}!
'1 ...'
~03-75
PHONE
PROYE'RTY,.OV!,t;.lEr<
11'1~s c YOl.lr:13
CONTRACTOR
RoO!W fE(j,L,~!> <"",.~::", '-, ,
PROPERTY LOCATION - INClUDE POST OFFICE
2o!l5 ~AQOOQ 'o....U V i> I
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
5T~ ADDITI~ 19 flLOEAT GQova
CRltSl1aLL Ol'lEOON
Pt.EASIlIIT,.,!4I'1.l:';'..' o.'qECOII
PHONE
747-9731
lOT 24 D1.0tu 6
TWP RANGE SECTION
18 3 11.2.2
APPl.
NAME ROOleO rEGl.ES
& tJllr.;l!
MAIliNG
TAX LOT NO,
CODE
CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
E:oNIt
LEGAL ACCESS TO PROPERTY
HAAOO!l Orll VE
PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ, FT. # BDRMS
New System n
VALUATION
PEA~IT rD!l ~3IL~ HQ~E
2
PEA~IT TO INSTALL SEl1AGE OISPOSAl. SYOTEM
SEWAGE DISPOSAL
PUBlIC.f>!O en SEPTIC TANK
BUILDING
. WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
3j'jSUI1CIlAOOli
TOTAL
FEES
PLUMBING INSTALLED BY.
OWNER 0 OTHER: NAME
WATER SUPPLY
D
, I
OTHERD
100.00
~.OO
PUBLIC 0
o OTHER
CITY ~1AVItIl
?,O.OO
.12
l~lf.12
COUNTY
L
BUILDING & 'SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITy
WITH DIST. BOX: GAl.
DRAIN FIELD REQU)RED
7'iO
UN. FT
150
TRENCH W'DTH FT,OltPTtI 24 OR,SQ, FT,
3G:>
Ir,$1/)LL A6 6wo:m ON ATTACl'lflO PLOT PLMl:
TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT
t.;H I
BLDC, SETBACKS n FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT &5' SIDE INT. 5' SIDE EXT. REAR 5'
/s/ J. AUTHORIZED SIGNATURE - DATE OWltJO/flAN I TAil IAN 7139/75 DATE
E. Goao BY HAROAUtlH Roy , Cl.l-1'
BLOC: PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687.4065 to schedule all required inspec'ions, All 'construe.
tion shall camply with Uniform Building Cade, D.E.Q. standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a' certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM:= C55-13
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
~'~\
SLAB FLOOR
PLUMBING GROUNDWORK
'.
ApPROVED /7 DISAPPROVED /7 DATE
'1 NSPECTOR
,REMARK 5
GAS PIPING GROUNDWORK
ApPROVED t., / DISAPPROVED I / DATE
INSPECTOR
REMARKS
ROUGH PLUMBING'
ApPROVED ~ DISAPPROVED /7 DATE
INSPECTOR
REMARKS
ROUGH GAS PIPING
, '
ApPROVED -C;' 01 SAPPROVED ~ DATE
INSPECTOR
REMARK 5
FINAL PLUMBING
ApPROVED ~ DISAPPROVED /7
DATE9-,e y. /:71 NSPECT~r
REMARKS
',FINAL GAS PIPING
ApPROVED ~ DIS'APPROVED /7 DATE
INSPECTOR ;
REMARKS
'CERTI F I CAtE OF OCCUPANCY
" '
READY to I;:>SUE /-/ ~OT READY TO', IS~UE / / DATE
INSPECTOR
REMARKS
,NOTE: . NO PERMIT
7-
CONSTRUCTION c====J
c::J OWNER ',II IJ #I A S
Name
~CONTRA~TOR R 0 6: E I?
,~ Na1p.e
, '
LL BE ISSUED uNTIL THIS ApPLIC
APPLICATION FOR:'-
PERMIT i1.1f 1/'" f/ dJ ~ 7S
BEEN APPROVED, //
CHANGE 'OF OCCUPANCY c====J
IN'HAS
MOBILE HOME ~
PLAN REVIEW c::J
YOl.A#6- "J:J9'1/ i.N1l1tr/:Tc-IU;swftJ. 17'1~C
- Address ",City' .Zip
','
Phone
r&:tyt.~.f t"j...
Address
j: ,All I!Ii ;: Cr!f/("vT
City,
IIfJ
Zip
/j,?J( II I
]7/i 16
>
0.5. REG. I(
1'wP" \ P'\ Range ~ Section \ I ,~TaX.Lot
, - - ~Ttt AI7I.1i!r.>, '.
Subdivision FiL l3e IlT f.-If(} "E 'Lot '2 If Block
ACCESS TO PROPERTY (Road Name)
Code
6
Prop,erty Acreage.
HAil II/) I?
DK/Vb
Exis'ting Structures a.I?- Property.:
Property Location - Address/Directions:
Below
2<> '-i Ii
I-Ict-I< BdR,
fo r Off ic e Use OnI vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXJPO{XXXXXXJOOOCXXXXXXXXXXXXXXXXXXXXXXXXXXX
~-f~ ~--L f' Ft. / .(~) Valuation
I / '-'-----
I '
I /
Exis.ting' Sewa~e Di/posal s~:' c::J
'. PUbl~
Other (;. cry Community~, . Name of Community o~ Public
~
~
SEWAGE DISPOSAL: "
Site Inspection #~
WATER SUPPLY:
Well
FEES:
Bldg.
Waste Disp.
Plumbing
Pl:an ,Review
'Mobile HQm~'
3~ Surcharge
TOTAL
.-:!S/2.J?
Spring
,/O(},OO
~.()O
:30.00
.j:;.....
;-::r./,;)...
or New System Required ~
sYstem~,
PLUMBING:
Installed by Own~r ~
Other c.:=J Name
PLUMBING FEES:
./F'-of 'Fixtures
Sewage
Connection
Water
Connection
:;~
' CHECK
PLANS FURNISHED FACILITY PERMIT
.~ .
'l-d, .' .',
, Y~S', :.c=JN~ ': ~ ~' c:::J NO'
Signature .of ApPlicant:);' ,f(~ r~' "
Fee Received By: W~ ,T)ate:~//):'/~)~
, , t:7. '. ' . ,/,' ;/
Min.
Septic Tank Capacit~' ~ 76 0
"TA,...r')-r-a,.,L-- A--(
Maximum Depth -Z "LJ J..
'.{{)4/1- f''-'''''''h
Type of Construction ~,~
Bldg ,Setbacks -
Front 45"
Drainfield Required - Lineal Feet. /1.,-0
P )..Ju-v'"",, 0"" eJ-'tY"t:J.<;;.(t.-L,
Group
I
Fire Zone
Use Classi~ication
from Center of ROad Right of Way:
Side Int: 5: ~.:....;_ =..~"-~...v...
PWjNfXG.:.,
~7hlth:'
, , I
C55- 12
DATE:
Rear
~/"
Zone I!tlJ-m 1-1
, ~ATION: DATE: ' BUlr>>~IJ6: ,~ '
D~~!~; ENVIR::t{ ~;t!!/M-f;(4 ~~;Z?~
,LANE COUNTY
,v
;1'", "',,'
!..":', ^,!~~;.
,:'f~:
.<''',-t
"",.
.'
~~
,': :',.:,~f~~i~~~~t~~~~~c:~;0~~~
J~/ //'
//~, ",':;/
,-/~j:S:-_______ '. , ,'fi}i
/ ----<.:...' '"
I:\) . /' ""~: __'~. ". ':
I~., , .. ", ~'-;;-::-".y;~c:o~;cJ...;.,;~b~{.",;:';i<;~'.~;~~~".,;.",~;;.%1h~?*,<Y'%;,t,:"", Ij!"
~,.....:.*-", ::-"i'~ ~,..<...~. 'fr~.;.-, - ~~...~;,r~~~~':"~~~;U,"~"~::'.~;il,;.c;.:~-;i-~~;..p'J:t~~:..t.rt<l~~!~!ti~~ '~.~ ~~
19:--1';2,~,::::;l~_:~i'~-':'" :~."s.~~~-.'::':i>~~t.r'~a-~~~b{;~:;{,:~~",,~-~~~~~~~r, "'~:',' ~,.~
~:h'~~~' _ - ~~..:t'~~~\.~~~Z~~~.~...:';;_t.~:~~t~~'~mJ;;~' ~/-_7'5!'~ ~;~~ . ~.;.~
"#~."".' """"''''t ."~': -~~. ,l f:'J:' -...""':~ - b"'~'" ~;{""'I'"'1'};~'-' ';.~- .J"~1fl~-',:.;;r.:; ~~~;.".I,...~. "'ltc;";:'~.~";:""~.::.'i'J:.'~. .:-_... .... _ '_" .., ,
~..!~'~:.--'~ ~":'i..::,.)..:~t;'~~'f",;,~~"",}:~~,'~~N")'';-?..\~'~;L-~~-':,i:' ;'~~~.1:~,;;!~~~j~:'-:'~l='~, ::"{~-; ii-~'~~~ ~.,jf
I.: 'i,,:-~~..':>: - - ~ ~. -; ~~ .f2;"-~';'J:.-:~'~7.!l c2.y ::.()~: :~~"-~~~;~;t.l:;: ..~q:':l~~,:~~~~~i:~;~r.,~.~":-~.~ ~-t~ ;~,~:,~:~~,~;~~~ '"2~ ~ ~':'~
'(1' , ....." , . ,. x . .( / ...0....,. .. . -"',:" ~ '- "'. ~ ~... 0<";.17'- "- ~ ' ~
-... .1, I . ;~~~':-:.t;t~ ,:"(;;- '\" ,~!O./tJ"~;~ ....~..L3~.'.:~~~' - 1~~~;~.~~ "-.'.-.:~~'" "
f ..~~. ", /'foh,/",!"." , ,__ _ ___'__'
. -! '; O'71~,
I i,:;..;r<,-
,!",.
. J'IJ/~#t, 0',":' i="/ /-1. \?2J:"::it~.
-- ~ L - ~/.Ii,'.::.'..i':.J:p;-:'"
. II >lbO',l, Y ",;yO? .
, I,:, p' 9,
I
i
. :~ '. :::,,~"~;' ~
"'. '. .- ' _"..: ". ...,~,~.~.-
....,,"',.
+'/tJS
..;
f-
~
I
1
",1
~'
'I
~
~
I
I
I
i
,
I
,
i
1
i
I
(.' 10(;,//
,
\',< '
5e~ 'f-
/. a 1'\ ~
\ ~'
100"
"
,
,
/5 '/l'/
,
I'
,
I,
v
I
I
NORTI-/
, '
----------
<"
"
,
,~
K$
!,
~
l:
J..c,~ 'll-d"l
I
,
,,!./,5"'
i
I
.I
I
d,
"
!
'!
i,
,~ .-...,-.
.'.7'-
~;.j&~.. ~.
ib7.'10
A"
..., w.
.. "
~....
,...
~ .;;;..-
'"
<::>
--..
"
v
'1%"0 '"
:.'
r~
" Q,
, ?y"
<<~;;(
......... ,~
, ',- '.
"i'"
~'f
Q
i!
I
~,
' , , ---.......
, "
!~~~
'-I
,J
,
----59 "O//} i
~""-':',I
.~' , ~ '.~,
. ---1...
~
"
" -
~:'.
,.~F-~
~~~~~
,,.
1-.0:':'
j,',(
.t::'i"
'f
l:
~!
'~:
. ,'-<)
~
.. " -----::::~::-~
~j,\.
"':; ." ~~{)~
I-/' --
- ---
...~,.(
~:.,
"J
;!\'
""~","
- '~.' .
.' ..'
. .'
'. 'd
.':;\'
.... ,~ '
/~ 'O'!'; .
, X,3tJ /0//
CCWC.RETE. .
.. ,~:
J.
"
':,
-.....
'-
,C/.
r
"-
.,
~
~ ~(
':1-
..,.'.......
:0'
....-
----<;-2: '.
,. ...,
(".~ ll::t c::'7'e. -
0",
u t.: //
X rJO
I
/
i
<<:
~"
p
f
I
._~- '.- I
. :----.- :-----------..J
-'1M,1
c?//
:'
",
- ' -~
."
'(J
~
it'l.
',,:;
9'1/\/\
"
i.
M,
'f' .
,