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ECTION V E
TO ANY CITY LIMIT
Ex t sr r Nc StRucruREs oN Pnopenrv
SOURCE OF WATER SUPPLY; Pueu t c X* SpR r Ne V/Er-r- : Dn r rr ED_Dn tvEN Duo
R tPT ION OF S ITE (Drnecr t or'rs, LANDMARK$, HOUSE OR BOX NO., tr aNv):d-.t /?& X
T I GUOUS
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OF SITE (E.6., N
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S PROPERTY CON
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UMBER OF DWELLINGS, CO!,TMERCIAL OR tNDUSTRtAL USE, $UBDIVtStON )
I
tNG oFFlcE FEE I
tu""e*
TOTAL
flu**ANlzlNe Anra.
Sprctlt- PEnulr ARea. r' IAr) W
or S r rls // $_r{13or Acnrs
APP
PLANNI
BY
DATE
No
No
RESULTS OF
'
NvESr' cAr r'J,
",ffi6;{ry'{/er'*'&d
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Ts-i tt t$ A pR[L rMrh]Affiy Rf-ps,iT H]{icrt gocs Nor lNsuRE THE TBSUANcE oF A FUTURE BUtLDtNe
I}f.fti,} iT. ITl T TiIiNS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OIdN NISXI
BEF0RE CONSTRUCTION lS STARTED antNc rlus FoRM ro rHE Burr-orNG AND Sanrrarror.r DrvrsroN AND
MAKE APPLIcATtoN FoR A BUILDtNG eERMtr. lr rne pRopERTy ls A poRTloN oNLy oF A TAX LoT, A
METES A,ND BOUNDS DESCRIPTION OF THE PARcEL MUST BE FURNIsHED. ExacT sPEcIFIcATIoNS ToR THE
SEI4'AGE DISPOSAL SYSTEM WILL APPEAR ON THE BUILDING PERMIT. TWO SrrS OF THE BUtLolNe pLANS
AND PLOT PLAN VILL BE REQUIRED.
LANE COUNTY BUILDING AND SANITATION DIVIS
4-1e-7/
B UILDING NS P E CTOR c ANITARIAN Dnre
THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING INSPECTOR AND SANITARIAN.
<5r-097-O7
DEPAR,IMENI OF HEALTH AND SANITATION
LAhIE @IJNTY @URTHOTJSE
EUGENE, OREGON
$rrtumrn p, l9ll
ld-SD ffiSr flttreno
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Lrrc Couxtv Pl^xlm6 Coortrttotr
Count*ouac
Euccru, gnroor
f,r r Rrcnr*D Rosr i{rron $urgrvrBrol
fnr rtovt gtlcnrr€o prorti?y HAt tfEurvrtf raAtto ty ?rl9 orp^ntfrlr?
rrD t8 t{tpEty etyrtr lrtpovrl roa ttlclrxitrll.rrror oF llDrylDulL tut-
BUrfrCr tftrros OlSpOgrL g?3?rlt ptovlol*e putLlc rrA?f.e ls tY'rlLAtLr
,o f^cH Lot.
J$lll C. lTOiatR, fl.$., Dtnrcto*
Burt orre Aro 5^rtrArtor Drvtgron
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IOPY
\:--.
TO:
Lane Council of Governments
County Sani-tarian Sharrel Davj-son
Courthouse, Florence, Oregon 97439
---County Sanitarian
County Surveyor
County Chief Building InsPector
County Public Works Director
County Public Works--c/o Ted Dietz
Heceta Beach Water Distrlct
P.0. Box 25
Florence, Oregon 97439
Pacific Northwest Be1l
LLZ - 10th Ave., Eugene 9740L
c/o Bill Marcellus
BETHEL School Dlstrlct /r|52
4640 Barger, Eugene 97402
c/o Ray Ackerman
EUGENE School Dlstrlct /l4J
200 N. Monroe, Eugene 97402
c/o Dr. L. Perklns
SPRINGFIELD School DLstrlct ltLg
525 Mi11, Sprlngfield 97477
c/o t{alter Cormons
JUNCTION CITY School Dlstrlct 1169
320 West 6th, Junctlon Ctxv 97448
c/o D. McCoy
McKENZIE School- District /168
Finn Rock 97401
c/o Warren Kenton
PLEA-qANI IIILL School- District lll
Route 8, Box 750
Pleasant IIi1l 9740L
c/o Joey Acaiturrl
SIUSLAI^I School Dlstrict //97J
Route 2, Box 4, Florence 97439
c/o Tom Tuttle
SOUTH LANE School Dlstriet ll45J
103 S. 5th; Cottage Grove 97424
c/o Raymond Mullen
Eugene Pl-annlng Department
City Ha1l, Eugene 9740L
c/o John Porter
Springfleld Planning Department
4th & North "A", Springfiel-d 97477
c/o Dick Johnson
City Manager Frank Carlton
City Hal1, Cottage Grove 97424
City Administrator Don Dougherty
City Ha1L, FLorence 97439
Eugene Water & Electric Board
500 - 4th Ave., Eugene 97401
Rinard Damewood
Pacific Power & Light Co.
550 Main, Springfield 97477
c/o Ed Canty
P.U.D. Light & Power
966 Highway 101 N., Florence 97439
c/o Campbell
Northwest Natural Gas Co.
931 Oak, Eugene 974OL
Oregon State Highway Division
P.O. Box L269, Eugene 9740L
c/o Dale Al1en
City of Eugene Purchaslng DePt.
Clty Hall, Eugene 9740L
c/o Phyllis Taylor
U.S. Dept. of Agrlculture
Siuslaw National Forest
P . O . Box 148, Corval-lis 97 330
c/o Stanley Bennett
Soil Conservation Servlce
954 - 13th Ave., West, Eugene 97402
c/o Ralph Cleveland
FROM: Lane County Planning Department
135 Sixth Avenue East, Courthouse Annex, Eugene 9740L
SubJect: Division of Property Filing Fee--$10.00
Ttre Land Developmenr Review Committee wll1 consider the attached ,@it9.r)., (major) plat
for (preliminary), (final) approval on _=-
ate
Name of Plat:
Ins truc tions :
&.
Section: -+ - +,L \op I 7 Range 3 tt ll Z.zt*x.,
end written recommendation to the Subdivider an d the Secretar.,' of
the Lane County Planning Cormission at least tvro (2) days prlor to
the neeting date noted above.
Please check easements, make any changes necessary and send to
Lane County Planning Officer.
t',Comments:eoo??Qr a
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SEP 9 1971
LA.NE COUNTY
PLANNING
SSORS MA
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RANGF.
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Mi.ror S,.bJinist'r'
aJ
NOTE sEF cHEcKLlsr oN REVERSE slDE
TOWNSHIP
OO NOT WRITE IN I HIS SPACE
MI[IOI? SUBDIVISION
8i tt lla tlford
Eox 6af
lVarco!arCr.'7cx
PiTf,;\RED 8Y IAX LOT(S)
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PI-I )NE t7-4-{:-$-?-s:
OWNER
ADDRESS
NUMBER
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tsANE:'COUNTY, OREGON -LEPT. OF ENVIRONMENTAL MANAGEMENT
CG,FIFIECTItrIN NG,TICE
CONSTRUCTION PERMITS
A INSPECTION DIV.
V- ze-82-JOB ADDRESS zdtz t).b €DATE
TO BLDG. PERMIT
NOTE
c55-73 HE-tNapEcrtoN FlEolJtFtEo
Phone etE,T-4oet5 FclFl APPFlclvaL INSPECTOR