HomeMy WebLinkAboutPermit Septic Tank 1986-01-30t Ky
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Lane CountY Authori zation fo1'
I f app ,/PARCEL
ONAtb I
:RIPT ION
RIS NAME ADDRESS
I .t,
S NAME
I }TAVE CAREFULLY EXAMINED THE APP PERMIT, AIId dO fomation hereon ls true and correct, and that I
: the following legal interest in the property:owner of recof,d; []cc,r,tra,,! ptlrchaseri T authorized agent.
-rther certify that any and all work perfomed sha1l s of Lane Couty and the Laws of the State of Oregon
Eainj-ng to the work des cribed herein, and that NO oCCUPANCY out the pemission of the Building Division. I fu-
r certify that registration with the Builder's Board is in full force and effect as by oRs 701.055. that if exemPt the basis for e
noted hereon, and that onIY subcontractors ed emPloyees who are in ance wl I.055 wiu be used on thi's Project. I ltAvE READ AND
APPLICATION THOROUGHLY
READ THIS SECTION CAREFULLY YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITI ONS :
I pr,al'twrnc,zzoNrNG:zone partition *- Parce1 *- Parcel siz.-
c L,s ide
tiiy that all in
be done in accotdalr:e with th': ordlllance
will be made of arri'strtrcture with
cL,interaor rearMinimum
CO}!\lENTS
front
I senrtetros
Installation calLon
soecifications: Tank
I er,ans TION
Lineal Eeet
of t)ra ield
Grouo Use
Date:
: S. I. *B. P. *Insta Record Issued?I v." f]r,r"
Maxj.mum Depth
of Trenches
Date /*
rCE USE ONIJY
ApplicaPermit #
o3 ffnesidential
T commercial
fl rnaustriat
I r'ruri.
SED USE OF PROPERTY
zld ZLPc'I
f140c!-
rn
Cglbr
5PE!lr !L
sed
xis tiEES
TELEPHONE NUMBER
ddt
COM}IENTS:
LANE COUNTY
cL4-25 R*
nDaLe r
/do
APPROVED BY (per ORS 456.805 I DATE
OF PUBLIC WORKS LAND MANAGEMENT DIVISION' 687.4061'
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION