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Job Location
Subdivision
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INFOR TION SHEET (
( ,' ) Building Permit
$A.r.ug" or Lot Size / oo'4rfu
Partitioning +- (,&mpleted( ) Pending
( ) Site Feasibility Study for Septic ank. Number of sites-
Test holes will be ready
tot / / Btoc
#orr.'
Xowrtre}fcorur
CANT'S NAME AND ADDRESS e 5 7C
R'S NAME AND ADDRESS, if diffE '"w1;4l,ricant'sRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to ( ) Applicant I rT.Owner ( ) Contractort I Prefer to pick up. Call (owner, etc. ) when ready.
STHUCTURES NOW ON THE PROPER {
Contractors O. S. #
existing or proposed well, etc. lf public, name of system)
t p6onu '717*7a7e/
Phone
Phone
PROPOSED USE (this it)7 /c
,7ri t'/ *
o /4-t)
JL.c tWATER SUPPLY
SEWAGE DISPOSAL x s
( ) pRoPERTY rS WTTHTN ONE MrLE OF C|TY
(existing or proposed septic tank, etc.) S.l4l. f-
PLjMBING RY ,/LO , .2 Address
(l
ilfi,rroFFtcE usE oNLy BELOWTHIS LtNE *+r,*r*r*r+**
( )New dres ecessa ry
TONE
)
S BACKS:
( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation
Front Side Facing Street lnterior Side Yard
-
Rear
(FROM CENTERLINE OF ROAO) (FROM PROPERTY LINES)
By
To: Planning/Building lnspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
Permit Processing Section
Response
By
DEPARTMENT OF ENV I RONMENTAL MANAGEIMENT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
Division
TRS, TL
Acreage or Lot Size
Contractor's O.S. #
PERIVIIT #
JOB LOCATIO
LANE COUNTY PERMIT
Partitioning #-.-----( ) Completed Subdivision_
Lot Block---
APPLICANT'S NAIVIE AND ADDRE ss Phone
Phone
Phone
OWNER'S NAME AND ADDRESS-
THlsPERlvllTlsFoB#BEDRool\4s-#PLUlV]BlNGcoNNECTloNL
CONTRACTOR'S NAME AND ADDRES
lVlailpermitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call_(owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
VVATER SUPPLY SEWAGE DISPOSAL-s.t. #
THIS PROPERTY ISWITHIN ONE IVIILE OF THE CITY OF PLUIVIBING 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) I am aurhorized to act for the owner oi
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.
Signatu re Date
() NEW ADDRESS ( } FACILITY PEFMIT TO TRANSPORTATION DEPT.- I ) SPECIAL PI\4T, AREA, IVIIN. ELEVATION
Fee Paid S-
SAN ITATION
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
a...""*
Use classification
roup ire Zone
Comments
B B
PLANN ING REOU I R EIVIENTS SATISF I ED By Date Date lssued
Date
LAN E COUNTY D EPARTI\4ENT OF ENVIRONMENTAL IV]ANAG EMENT, 125 EAST 8TH AVE., EUG ENE. O BEGON 97401 PHON E: 687 4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
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Date:
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L)
5YLVAI'IUS SMITH
PRESiDEI]T
rREO MCMAHON
VICE PPESIOENT
TITLE INSURANCE
ESCRowS
Our No.
Your No.
134965
PRELITJII}IARY REPORT
September 2, L977 gur Escrow No. 77-20305
Cascade Title ComPanY
1347 Market Street
Sirinefield, Oregon 97477
Gentlemen:
We are prepared to write Title Insurance (pntf) covering the following
iescriUeO Premises, to-wit:
CASCADE 1'ITLE COlv\PANY
1075 OAK ST'REET ' EUGENE, OREGOII 97401
TELEPHONE 687.2233
Lot
and
in
11, Block I, FIRST ADDITI0N T0
recoroeo in Book 39, Page 25,
Lane CountY, 0regonl
EL BONlTA
Lane CountY
AILEEN ROSE
he entiretY
and
Iien not
as set forth bY ins
41288, Lane CountY
GARDENS, 3s Platted
Oregon Plat Records,
HERBERT WAITS DeV0S and
as tenants bY t
Subject to the usual printed exceptions t
1. Taxes f'or the fiscal Year,
res t ri ct ions
Reception No.
L977-78, a
vested in:
DeV0S
yet paYable.
trument recorded
0regon Deed Records.
feet as shown on the
by
sh
NOTE:
It27Lt,
mr
ce:
ng titl-e as of August 30 , tgTT, at B:00 A'M"
4. Mortgage, including th9 terms and provisions thereof' executed
Herbert Hait" o.vo" und Aireen Rose DeVos, husband.ld wife, to the
state of oregon, represglteo ano acting bi t,he DirecLor of veterans
Affalrs, dateo--o"tobu r 29,
-igo-ril
"u"o"dud" o"tobu" 30, 1964, Reer No
274,Reeeptio,rlo.-a0oa:,,r,,necountyOregonMortgageRecords,to
seeure payment of a note' for $15 ,000 ' 00 '
2. Conditions and
January 2\, 1964,
3. Publlc utilitY
recorded Plat.
easement over the Northerly 7'0
been made against, ARTHUR
find none.
I
Taxes, Account No. 200715, Assessorrs
a;e;-ig-o,l , tgT6-77, iD the amount of
Map }tro. L7 03 24 4 2,
67i8.67 , PAID IN FULL.
RAY WARNER, and as of
JUDGI'IENT SEARCH has
August 30, 1977, w€
Very t,
CASCAD
B
MPANY
1y yours,
Ray Warner ReaI
1430 Mohawk Blvd.
Springf ieId, 0regort 97 u77
97 /50
No tiabilitv is assumed hereunder until full policy premium has been paid'
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OWNER'S NAME AND ADDRESS
PERTVIIT #
TRS, T L JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot Si Partitioning #) Completed Subdivision
Contractor's O.S. #Lot Bloc
APPLICANT'S NAME AND ADDRE qq Phone--
Phone-
CONTBACTOR'S NAME AND ADDRESS Phone
lVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
THIS PERIVIIT IS FO # B ED ROOIVIS-# PLUIVIB I NG CO N N ECT IONS
WATEB SUPPLY SEWAGE DISPOSAL S.I. #
THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVlBlNGBY
I hereby certify that the above statements are true and accurale, 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 {if not the owner) I am authorized to act for the owner of
record, and thatsaid 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 PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION
SANTTATTON BU ILDING
Minimum Septic Tank Capacity (Gallons)Type of Construction
-Group
ire Zone
Drainfield Required - Lineal Feet Use Classification
lVlaximum Depth Comments
Comments:
BV, Date, By, DaE
PLANNING REOUIREI\4ENTS SATISFIED. By: ' Date: Date lssued:
STRUCTURES NOW ON THE PROPERTY
ZONE: SETBACKS: FBONT SIDE FACING STREET (FROI\4 C/L) lNT. SIDE YARD REAR (FROlVl P/L)
LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL MANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
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SITE INSPECTION
Ap pnov E o
Re uanx s
Dtslpenoveo Drre I NspectoR
FOUNDATION INSPECTION
APPRovEo D DrsAPPRovEo 7/ Drre I ruspecton
Re ltanx s
FRAMING INSPECTION
APPRovEo
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CERTIFICATE OF OCCUPANCY
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