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HomeMy WebLinkAboutPermit Septic Tank 1989-01-24rH Lane County Authori za,ttot:. for' ea /-ay' SEPTTC INSPECTION FOR LOAN REVIEW Permit # L7 RA}JGE 03 SECTION 24 600 s'JBDrvrsroN/eanrrrrox GT appti I BLOCK FRCPOSED USE OP PROPERTY ffi nesidential l-l cc,nunerciat n lndustrral flruuric ZIP ),4M Yera Drive Road to Harvest Iene, STREET 1d ON oR 97477-L633 t on Delrose, left on Vera Drive, on the PTION OF PROPOSED I,iORK - BE SPECIEIC side of road SEPTIC INSPECTION FOR LOAN REVIEW = OF BEDF.OOI4S # oE sroRrEs # OF EI,IPLOYEES LY Proposed Exi s ti GIen & Bnenda Peterson O;NER'S NAME AND ADDRESS (site addr L TELEPHONE NUMBER 345-8591 TELEPHONE NWBER paRrtrrr ro BE MATLED To (NA!4E ANt ADDRESSJ Glen & Brenda Peterson (site addr) r HAVE CAREFULLY EXAUTNED THE cotIPLETED APPLTCATTON !'oR PERMTT, a.rd do hl-r.Lt' certify that alL inforratj.on hereon is true and correct, and that r have the folrwing legar interest in the property,fi|orn". of record; []co,rra,,,;. prrrchaseriIauthorizett agent.r f:rther certify that any and all work Perfomed shall be done in -"".-L1.,r,,- L.ith tL,- ordrnantes of Iane cowty and the raws of the state of oregonpertaining to the work described herein, and that No occuPANcY will be nade of ani srr,lctrrre qithout the pemission of tle Buj.laling Division. r fr-ther certify that registration with the Builderts Board is in fulr force and effect as required uy ons zoi.osi,-in"a-irli"rpt the basj.s for exenptionis noted hereon, and that only subcontractors dd enployees who are in compriance with oRa zor.oss will be used on this project- r HAVE READ N,tDCHECKED THIS APPLICA?ION THOROT'GHLY Glen & Brenda Peterson L/24/8e DArE I Drop Off NA}IE (please print) YOUR AUTHORIZATION '{AS BEEN BASED ON THE FOLLOWING CONDITIONS: IRED. Date: Installation Record Issued? f, """ f] ," Installation Specifications: _ TEmk tr 6fr'rlis COMIlENTS: Date rear caIlon COI'lI'lENTS \- Use tr SANITATION: S. I. *B. P. # 644P-.{: 4 Parcel Size col'T}lENTS READ THIS SECTION CAREFULLY. fl pmuNruc/zoNrNG: Lineal Peet of l)rai rrfield Uaxitnum Depth of Trenches NO SPECIAL PLANNING ACTION Minimum Setbacks, CL, frort Partition #_ Parcel #. "", "id" interior L '"-/2 BY BU LANE COUNTY D IALIDESIGNEE (per ORS 805 1)) ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687 DATE 4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE EOR INSPECTION INE'ORMATION cL4-2s R* Applica NAME AND tr T I * ,00I ,09 sStlnos Jotps Jorllo ',srIal ,0T ,s uorlppuncl bulqlrng r0I ,CI '{en-;o-1tr:r: Peor lo a5P3 ,0I ,01 sourT ,/.fradold f,orfafuI :uoi.i plorlu-rero \NJ, rTtaSa iilrc,tiiE ilr+.r- iSEi:irqn:- - s>treq:q' -or^ e salnlridJb: i,u.1 ajdetrcide_;,r e urqrr$ "";l:ll,::ui,:l:.::t;::t,:] :33"I:i.:E:,':rl"]l:l ol aJnIrrJ .aJrtrllrJJaf, aqf burnssl aloJaq uor?afduo3.{fofJeJSlles arrnbar Ileqs pue roploq .?Turod -aq1 .AJLf ou-IlEqs lualulr.E.deo aqf /q-ornf qcnq qga-d1duof, f os saop uorlsrlsuo3 aq? JI :ap1o'.i lltu:ad aqi ol uorleTduoc ^ro13els11es-lo alEctrrlfor p anssr IlPqs fuaulfedoo ail? 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