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HomeMy WebLinkAboutPermit Septic Tank 1987-02-25([:m',ACTIVITY INFORMATION SHEET Please complete all ltems above dotted llne Srnrrffn' or Ptdh krr. FILLTNG our {c LTNES wtLL GET you INFoRMATToN oNLy I *DATE -,1-/ J-S-- t-97- *PERSON MAKING REOUEST CITY r ACTUAL PROPERTY ADDR o h /, TELEPHONE *pnOPERTY ADDRES OR MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.) t7 0 t -22. V;U, Townshlp Range Section Tax Lot Township Range Section Tax Lot Township Range Section Tax Lot TOTAL CONTIGUOUS PROPERTY lN SAME OWNERSHIP: ACRES *REQUESTlaescrlbe what you want to do F ATE ZIP (BUS) (HOME)-- STAFF WILL DETERMINE _ Zoned Plain Zoned Flood Plain Zoned Flood Plain orrorrr,yfr q/ cttv C-, Directions to site ,.tr.rtrr.rrr.trrrttstaff use onlytttr.rr.arrr.u...fra ments:Co Land Management Division, Public Works Depailment 125 E. 8th Ave., Eugene, OR 97401 phone 6874061