HomeMy WebLinkAboutPermit Septic Tank 1967-12-06Recerpr No. AllSe
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REQUEST FOR SITE I NSPECT I ON Dare __jA_- 1 - B?
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TAX
rl RANGE r SEC.Ilf
LOT NO. CODE
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LI
S80-SBt
fuoElE. oREBG*r
OwrurR or PnoprRTyllguf Srzr or Pnop. tl6l.S6 X BO Leoru Accrss?
CoNsErur or 0wHen? ttl I s pRoprRTY coNT r euous To ANY crrY Lturr? Ita
Ex t st r Nc SrnucruREs oN Pnope R T Y ltr|rrr
SOURCE 0F WATER SUPPLY: Puat- rc I SpRttto Wrlu: Dntuleo Dnrve N Duc
DESCRIPTION 0F SITE (DtnecrtoHs, LANDMARKS, HousE oR Box No., rr arv) : tlg fogggf1j gtl6.
Lfi I BLX. 22, ftr?ra too. To 0noyEEAtE 8uo.
PR0P0SED USE 0F SITE (E.G., NUMBER oF DwELLINGS, coMMERcTAL oR lNDusrRrAL usE, suBDlvrsroN):
'IIELC
f*IILY ETILLIIO
)
UngaNtztNG AnEa.
Specrat Psnurr Anee.
FEE:
No or S trEsJ_-
or AcnEs
TOTAL-
$----u-
$ nrn
No
RESULTS OF I NVEST I GAT I ON :
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TnIs Is A PRELIMINARY REPoRT h/HIcH DoEs NOT INSURE THE ISSUANCE OF A TUTURE BUILDING
pERMtr. Aruy ptANs oR ExpENDrruREs MADE rN RELTANcE upoN THls REpoRT ARE AT youR owN ntsxl
BEF0RE CONSTRUCTION lS STARTED enrNc rHrs FoRM ro rHE Butr-orNG AND SanrrarroN DrvrsroN AND
MAKE AppLlcATtoN FoR A BUtLDtNG PERMlr. lr rnE pRopERTy ls A poRTroN oNLy oF A TAx Lor, A
METEs AND BoUNDS DEScRlprtoN oF THE pARcEL MUsr BE FURNtSHED. Exacr spEclFrcATtoNs FoR THE
SEwAGE DtsposAL sysrEM wtLL AppEAR oN THE BUTLotNG pERMtr. Two srrs oF THE BUILDTNG pLANs
AND PLOT PLAN W I LL BE REQU I RED.
LANE COUNTY BUILDING AND SANITATION DIVISION:
4f,,'^o{',.I;:"g+;jt'u.,/\ .*l)norik, {, , ll
12.6 ,-67
UILDING I ruspEcron SarutraRtaN Dlr e
THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING INSPECTOR AND SANITARIAN'
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Lo? 1, tloc* 18, gao loDl?lor ?o offitmu.
Date Xln$r e?' t969
TeI" No. f,l ?34?a
$ ITE.;
I\u?ose:
c{rl?}ucrrffi sr s-llDtr* nct}ofst - tl*tlN3 orrtolrl ntt. reiaB t lrt ?1il
lptolrlelr?totl rsi ?t* tmrG otrlsrt lrt?3r fs nfi lForl?GG? ta tiar m
;ottr;Lf. lttll; €nLL sl. l}rtI:x lrfirs {t3g ffit? tr t? c,rr rf; *ti*|nmB
egtrB EUT ?o rrlx8 lx l*sPgc?loll.I .C.
"Olri :'iiS i.'1..!' f.ri; ::
A 3oo'31l, rlttnr. Ltqutg clpAstty E[prrc rAHx Btr]r A oroTRtgu?roil 6oxlc srQtllREoS 15e LttrtAL rE[? oF 9-rsor rtgc rngilclrr lllxtrE 45o *quARErGfT or LtAcHrm tREt.
{ir appRc\rED", pl$tsE BB:NG ?iiis tr'o*i{ Ai\D LEAI Duscnrprioirr urF 'nir pRopEHTy ro r,trs cFFrcE
I'{l$i{ Ai'PLf Ir\C FCR BUILDING PEtu,li " 1'
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