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Home My WebLink AboutPermit Building 1977-07-15TRS, TL PERMIT # JOB LOCATION LANE COUNTY PERMIT Partitioning #-( ) Completed Subdivision Lot- BIo Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDRE ss Phone Phone Phone OWNER'S NAME AND ADDRESS- CONTRACTOR'S NAME AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready WATER SUppLy- SEWAGE DISPOSAL- S.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY 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 certily that (it not the owner) I am authorized to act ior the owner ol record, and thatsaid owner is awire and approves of this action. i herebv agree to comply with all applicable Codes relating to this permit. Fee Paid $-*si6ooe Signature ( }NEWADDRESS ( } FACILITY PERfu] IT TO TRANSPORTATION DEPT.- () SPECIA L PMT. AR EA. IV]IN. ELEVATION: - SANTTATTON BU ILDING lVlinimum Septic Tank Capacity (Gallons)Type of Construction -GrouP ire Zone Drainfield Required - Lineal Feet c"rr""t, Use classification Maximum Depth r Comments By Date:BV Date STRUCTUBES NOW ON THE PFOPERTY THlsPERMlTlsFoR#BEDFooML#PLUMBlNGcoNNEcTloNL Date - PLANNING REOUIREMENTS SATISFIED. By:Date:Date lssued: LANE COUNTY DEPARTMENT OF ENVIRONI\4ENTAL I\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687.4394 POST THIS PERMIT ON MAIN BUILDING AT SITE C55n3 ; saNlTATroN -GoLoEN trcc ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) Q U \ \l \ -.s q/ ) 0 N v /y' fo>=rgu€. lLt*o" v(b .R |',okNl \Y" \ ltr/ =(\) af.\N \tn \ F \ a L \ \ \ \). $ {. Art x N =-*N \) \ hsl*r \s { I\ N \ { b \ L /6 TRS,a1t7-O\:iL7-77 fL 4ooD Job Loeatloa (Add P G- Pernlt # Permlt #- Pemlt #- For Plcrt PlFits,t- A-.Subdivis Lon .a), rrf ", 6-n DDlL,Dh Fo AL:- k t For tll For ,-:)-., I .), \ ! t.'7,...,.- -,2 ..U_'rt1,!l,4Lotl/Block 3 -Er' Tr_hx I L!r 5/T fu-^.JJ B*,1 L7 p*6* zL {.--,q eo, I! 1 \l,:-\ _tt(>' \ N' 6"{ r ,y -i /rrse r5 2a<-) \, \ \Fr( l-rtq T /-..fc74'150 Vlcinlty Map N ')..d,'.a c' .+-t tI-\_--- ( ( I r.xs, m. t 7'o'\- 2'7- ? ( /* L r+ a ot Plcrt PlanF, :,cf rl- oL)t C i cV, t-aSubdivis Lon .aa, i / ,. En k ru & w'*, fro w,-*v st/ Tr-I ar,*s2- Locatlon Pernlt /l Permlt tl- Permit tl- q For For 1f For For Lot la Block 3 Wu*4 L7 7ag*zL (,(b -+r5 ,fn se \ \s iFr( I c74-t50 Viclnity Map c) ",t i rl- rer!r1r Perhlt rerfirt t \ It ,t1 \*-L- t a,! \ $'(. l-rl,e +-> ,) ( J N ').. 'a \bG\-\\ TRS. TL ? Wri-tten Directions ( ) Building Permit Acreage or Lot Size Partitioning #( ) Completed( ) Pending Subdivision APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if diffET t from licant's CONTRACTOR'S NAME AND ADDRESS ()Job Location INFORMATION SH T ( ) Site Feasibility Study for Septic Tank. Number of sites Lot - Bloc a d*(. ,r-l Contractors Pnone ?f 4-33Y3-Phone_-. pyron"-V4 z.- gaqt o.s.#i Mail permit or results of site feas lity stu STRUCTURES NOW ON THE PROPE PROPOSED USE (thi WATER SUPPLY- s permit) SEWAGE DISPOSA licant ( )Owner ( )Contractor ready. Co.:-\s\+S ,q,istiEor proposed well, etc. lf public, name of system) (gj-:li11g or proposed septic tank, etc.) S.l. PLUMBING BY Address () PROPERTY IS WITHIN ONE MILE OF CITY *t* t+** t********+*+l*+**t*+*+***********t++FFICE U NLY BELOW THIS l- | [\ f * * * * + * + + ] * * * * * * r * + + * t * * t + t i * * * t * * + * * r + * + + { + ( ) New Address Necessary ZONE- ( ) Facility Permit NecessarY SETBACKS: Front Side Facing (FROM CENTERLINE O ( ) Special Permit Area. Minimum Elevation Street lnterior Side Yard Rear - F ROAD) (FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMiNT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section' 125 East 8th Avenue 687-4394c55-1 2 Test holes will be ready- .id./- ) ( Division rRS, rL /- Oa - 27-?7 fL u:bt\r\ Plot PlanFiylr *ODtCioA 6Subdivis ion .44 r.., / ^ Dtr l< Lot l7 Block 3 nSrt/t t:.'"",l t-7 7a6* zL d.*^t eo . f- Locatloo (AddrJr P P Perolt # Perrnlt #- For t t For. For # For Permlt >--L, t;agn' '^,,- o2 /o v^,,-,-rl I} -> 2a -f ., , t-62, / € s). - >,"f /t ._6r, t\/ru s e'/\F .f\ -}"r { ( c74-L50 Vlclnlty Map N ,/ l7("147 PERMIT # TRS, T Acreage or Lot Size Contractor's O.S. # APPLICANT'S NATVIE AND ADDR JOB LOCATIO Partition ing LANE COUNTY PERMIT ( ) Completed Subdivision kLot- Bloc Phone'-ESS OWNER'S NAME AND ADDRES s Phon Phone_.- s.l. # CONTRACTOR'S NAME AND ADDRESS Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY Y IS PERIV] IT IS FOR # BEDROOMS-# PLUMBING CONNECTIONS- \A/ATER SUPPLY SEWAGE DISPOSA THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUNnBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential Uuyei; -."attor or ajent. I funher certify that (iI not the owner) I am authorized to act for the owner of record, and thai said owner is awire and appr;ves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signature ( ) NEW ADDRESS ( ) FAC|LtTy pERtVltT To TRANSPORTATTON DEPT.- ( ) SPECIAL PlVlT. AREA.IVIIN. E LEVATION Date SANITATION BUILDING Comments lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet [Vlaximum Depth Type of Construction se Classification roup Fire Zone , ^omments B Date B Date Date lssuedPLANNING REOUIREMENTS SATISFIED. By Date LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAtN BU!LDING AT SITE c55-t 3 ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI INT. SIDE YARD REAR 5uF 4 5t SITE INSPECTION Ap pRov E o Rruanx s D r srppnoveo ,g Dare I ruspEcton FOUNDATION INSPECTION AppnovEo D DrsappRove o 77 Dare I ruspecron Rrurnxs FRAM I NG A ppnov r o Reuanx s I NSPECT I ON D DrsappRovco D Drrr I xsprcroR LATH OR SHEETROCK INSPECTION AP PRoV E o Reuanx s D DrsAPPRovEo V Dnr r I Hsprcton FINAL I ECT I ON Reuanx s DtslPpRovEo ,/<2 Dar e I ruspecroR .*T4 /CERTIFICATE OF OCCUPANCY Reaov ro lssue //--Z'* Reuanx s -Zv Nor Reaov ro lss L ,D Dore_lnseecron_