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Home My WebLink AboutPermit Building 1978-05-16TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning APPLICANT'S NAME AND ADDRE cc OWNER'S NAME AND ADDRE ss Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call ( ) Completed Subdivision Lot Block- CONTBACTOR'S NAIVIE AND ADDRESS Phon Phone Phone (owner, etc.) when ready STRUCTURES NOW ON THE PBOPERTY -HIs PERMIT IS FOR # BEDROOML# PLUMBING CONNECTIONL \A/ATER SUPPLY SEWAGE DISPOSAL S.l. # TH IS PROPERTY IS WITH IN ONE M ILE OF THE CITY OF-. PLUMB ING BY -- I hereby certify that the above statements are true and accurate, and that I have the Iollowing legal interest in the propertyi -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (iI not rhe owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply with al! applicable Codes relating to this permit. Fee Paid $Signatu re Date { )NEWADDRESS l FACILITY PERM IT TO TRANSPO RTATION DEPT.- () SPECIAL PI\4T. AREA. IV]IN. ELEVATION: - SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Comments: roup ire Zone lomments: By:Date B Date \ PLANNING REOUIREMENTS SATISFIED. B Date:Date lssued: ZONE: SETBACKS: FRONT SIDE FACING STREET (FROlVl C/Ll lNT. SIDE YARD REAR (FROIM P/L) LANE COUNTY DEPARTI\4ENT OF ENVIRONIVIENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BIJILDING AT SITE c55-13 \ \ \ TRS, TL \\'t:5',1 ,\'LE \t,r.-i Job Locatlon (Add ress Permit /iPlcrt frlan Permlt il Permit /l Subdivision Lot Block For For For Vg,er.1 T .8',,j /d r\ Permlt /l Pernlt /l Permlt \h 1 - Pr.,nr* &'/J - Cre f I fa ?,,? li'' *. cnt! <--_} r For For 'gc €\\ I ,PN I r#Y rI I 5o I I h fI I TTbt { t,t $-r4t*(" T c74-L50 Vlclnlty Hap Br tf { I -71 I I I f;o I tin eH I TRS, TL ! \rtl 5'-r,\'-:.4 \ur-(Job Locatlon (Add re.ss Permit // Permlt /l Permit Subdivislon Lot Block D Cre fForPemnlt # Pernlt il PermltPlclt F, Ian For For, ForFor ( rl* 4, gtc (t{c, I 1 I tn II fe ?"'r lin t t1 T of !' hq t\ ?<--) 5a/ -a"r-*S--/.L- ? tt'6 t tt ft I ri { o '{ C7t+-L50 Vlclnity Map RT D / ,-. I'.Bil d $ I \Bb\ "18# Wtitten Directions d Job Location ldBuirdhg Permit Acreage or Lot Size Partitioning#-_-.-- ( ) Completed (r- ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if d INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-- Test holes will be ready- Subdivision Lot - Bloc Pho Pho Pho ne ne Zt AaP'? 7 if t from applicant's CONTRACTOR'S NAME AND ADDRESS Mail permit or results of site feasibility study to (elApplicant ( ) Owner ( ) Contractor i ) Prefer to pick up. Call (owner, etc. ) when ready s. # srRucruREs Now oN THE pRopERTy lLq < p PROPOSED USE (this permit) WATER SUPPLY Pa i rr t.-, r^r r * e r^(existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l. #-SEWAGE DISPOSA ne Contractors O. PLUMBING BY Address rXr PROPE RTY THIN ONE MILE OF CITY ***+**+******+******+*****)t**+* QFFICE USE ONLY BELOW THIS LlNf +****+****{****}**+****+***i***+*****}i++++ ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation SETBACKS: Front To: Pla nn u i ldi ng I nspector/Sanitarian/Su rveyor Side Facing Street (FROM CENTERLINE OF ROAD) By lnterior Side Yard Rear ---{FROM PROPERTY LINES) This applicant appears to have a problem with Your assistance will be appreciated. Permit Processing Section Response By DEPARTM ENT OF ENV I RONMENTAL MANAG EIVI ENT Permit Processing Section 125 East Sth Avenue 687-4394c55-1 2 D ivision TRS, T Acreage or Lot Size Contractor's O.S. # TRS, TL JOB LOCATIO LANE COUNTY PERMIT Partition ing ( ) Completed Subdivision Lot- Blo APPLICANT'S NAME AND ADDR Phon Phon Phon Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready p OWNER'S NAME AND ADDRE ss CONTRACTOR'S NAME AND ADDRESS \A/ATER SUPPLY SEWAGE DISPOSAL P STBUCTURES NOW ON THE PBOPEBTY TH IS PERIV] IT IS FO R- # BEDBOOIV]L# PLUI\4BING CONNECTIONL S.l. # TH IS PROPERTY IS WITH IN ONE Ii] ILE OF THE CITY OF-. PLUINB ING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (iI not the owner) | am authorized to act for the owner of record. and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signature Date ( } NEW ADDRESS ( } FACILITY PEBINIT TO TRANSPORTATION DEPT.- { ) SPECIAL PMT. AREA. IV]IN. ELEVATION: - SANITATION BU ILD ING lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Type of Construction roup -Fire Zone Comments By Date:By Date: Use Classification Comments: PLANNING REOUIREMENTS SATISFIED. By Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROI\4 C/L) INT. SIDE YARD REAR (FROM P/L) LAN E cOUNTY DEPARTMENT OF ENVIRONI\4ENTAL MANAG EMENT, 125 EAST 8TH AVE., EUG ENE, OREGON 97401 PHON E: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - wHITEcss-13 trqc SITE INSPECTION Appnov r o Rruanx s o^',, 24.- /-2,y'I NspecronDr sappRoveo FOUNDATION INSPEC ON APPRovEo Reua nx s n D^,,7/7-7/D r s aepnoveo I xspectoa FRAM I NG Appnovro Reuanxs I NSPECT I ON Dr slppaoveo n ,or,7-/ 7- 7 /I NSPEcToR LATH OR SHEETROCK INSPECTION APPRov E o Dt sapPnovro Dat e I xspEclon RrM aex FINAL INSPECTION Ap pnov r o REuanx s DTSAPPRovED o^,,s&7_/I HspecroR CERTIFICATE OF OCCUPANCY Rreov ro I ssuE ReuaRx s D Nor Rcaov ro lssue D Dore_I NspEcron D N L{,e\.d Cve 7TRS, TL Subdivision Lot Job Locatlon (Add Permlt /l Permlt Perml tlt For Perrnlt /l Peruit PermltPlot Plan For For For For ,a* 2 Block ga 1 I P/.r / ny'" Q Ig ft Fr.Foh lin r. f.iIY -t\-h/..,9i: /ll ryheI^il/ 1_(-) /5o to <. I lr) fY I { (, 7 t*,6 T0-v Z ot c74-L50 Vlclnlty Map N r ( N_F +-- ) I -*,-, f*AL ffi