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FILE NO:
E. / ELjGENE, OB 97401 / Pl.tONE (ri03) 6t17.4186
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PARTITIONBRI
NAHE: I{AY WAItNIitl
';'l;:l,l 84 il
A.DDRESS z 14 3O Mohawk trl vd .
Sprlnqf l.o1d,()regort ()'7 4'77
PHONE:746-1674
II.TTEREST IN PROPERTY:C)wner
Indtcate one: owner, contract purchaaer,
optlon holder, other)
fiNBR OF RECORDT
NA}IE:SAMB AS ABOVE
ADDRESS:
PTIONE:
;r por tl on
TAX LoT: oJ 1Oo MAP /, | 1't-o1-2A
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r-rlr nor Ot 2?0-._76 MAP PRIPARED BY:
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_-" jdaE_
WATEN SUPPLY:
PEMIT #:
SEI{ACE DISPOSAL:S.I. llz
EIAOTRIC SERVICE!
ZONING:RA
Slub-surfaee
1ctRa
I
lane aounty
Water Dis
DATE STEMITTED:
RECEIVED BY!
FEE PAID:
IIEARINC DAIE:
--
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for offlce use only
BY:
Act ttee DatePEen
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Land iew,
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PLANNING DiVISION / ENVIRONMEN'rAL IAGEMENT DEPARTMENT / r36 EAST 6TH A ., I EUGENE, OR g74ot / PHONE (503) 687.4186ck-r5 \ sheet I of 2
Spfld. UtllJ.tv Boarct ..
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TRS,'TL J Job Location
Subdivision
.1/ 2 /r..f /+1
INFORMATION SHEET
Building Permit ( ) Site Feasibility Study for Septic Tank. Number of sites-
Acreage or Lot Size 3{'N /// /( ) Would like to meet on site. Call
Test holes will be ready
Partitioning #- ( )Completed( )Pending
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS, if different from applicant's *s *t?
CONTRACTOR'S NAME AND ADDRESS nrC
'{ail permit or results of site
,' ) Prefer to pick up. Call
feasibility study to ()d Applicant ( )Owner ( )Contractor
(owner, etc. ) when ready.
STRUCTURES NOW ON THE PROPER Ho,ts r
(owner, etc.)
Lot
-
Bloc v
Phone '
Phone
Phone
PROPOSED USE (this permit)4b Aur).1 *ao/ <A"J
WATER SUPPLY /Vetrx
SEWAGE DISPOSA
PLUMBING BY rUou e
(X PRoPERrY ls wtrHlN
(existing or proposed well, etc. lf public, name of system)
(existing or proposed septic tank, etc.) S.l
Address
**r**** oFFtcE usE oNLY BELOW THIS LtNE ********:r**r
t ) New Address Necessary
.brrr
( ) Facility Permit Necessary
SETBACKS: Front Side Facing Street
(FROM CENTERLINE OF ROAD)
( ) Special Permit Area. [Vlinimum Elevation
lnterior Side Yard Rear
(FROIV1 PROPERTY LI NES)
F
To: Planninq/Building lnspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
By Permit Processing Section
Response
By
DEPARTTUENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
tvtston
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I Srrtai'trision Engineering portation 0perations
Constructlon Permlts & Inspectlon Real. Estate Acquisitlon & Management
Transportation Engineerlng Environmental l{ea1th
Transportation Planning Community Development
Eugene Wat,er & Electric Board Pacific Northwest Be11
Pacific Power & Light CompanY , Northwest Natural Gas Company
_P.U.D. Light & Power Oregon State Highway Division
Soil Conservation Servlce \ r'i," ,rKi.Tr_,
l.laEer Di ct
c ity of
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School ist ct
Soil & I^iater Conservation Distrlct-
o
FtrIOM:
Name
\-zo
uilding
80- 524.
G,e__
Lane County Planning ivision, 125 EasL 8th. Avenue
Courthouse/Public Service BuiIding, Eugene, Oregon 9740L (Phone: 687-4186)
3nor )
(part.iEion) (subdivision) f or (preliminary) (f lna1) approval on
re)
SubJ ect: Dlvislon of Property ff\ a\ E - tO
The Land Development Review Committee ,iff\or=ider the attached
{rx,
or
Lane County Plannlng Divlslon.
(il.n*",,.
",,1.;; [' I llia ::ri t,
:?;:'?:1. Ho : "0: :: :
\\nge:CE>\Br:
ssary for parcel #1 due to an existing b
1 #2 meet.s DFO standards fnr QI-l\ cee SI
of Platf
tq-ot .t{.
Section:Ra TLII
.Send wrltEen recommendation to the Subdivider and the Secretary of the
Lane County Planning Commission at least two (2) days prior to the meeting
daLe noted above. .r
Please check easemenEs, make any changes necessary and return one copy to
i14- 18
P'lot plans have been approved for both. M. l,lil ler March 6, lg8l
t
',-)
Follull.on
PAffTITIONER:
NAME: WAYNL A AZ}JLL
s,DDRnss t 281b NoPtl \br! ST.
5 PF-t,..laflLLCI | oqaeo$.l
PHONE:14A " aegg
INTEREST IN PROPERTY:
(Indicare one: owner,
opt-lon holder, other)
conf-racE pur €fr
G.INER OF RECORD:
NAI'IE: 1AM?- AE2 ASOTI€-
ADDRESS:
FHONE
rAX L0r: l7O _MAP /l z _ ]?_' 01 'ZA.4l
PLANNING DIVISION / ENVIRONMENTALMANAGEMENTDEPARTMENT I125EAST8THAVE. / EUGENE,OR974Ol / PHONE(503}687.4186
C14-15 Sheet I of 2
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WATER SI.IPPLY:
PERMIT #:
SEWAGE DISPOSAI:
S.I. #:
ELECTRIC SERVICE:
ZONING:
DATE SIIBMITTED:
RECEIVED BY:
FBE PAID:
ITARING DAIE;
for offlce. use only
Actlng Chairman, Land Development Review Comlttee
a,pprovaL
BY:
Date
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MARCH 7.
CLYDE A. RAT,{DALL
205
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REGISTHRHD
FROtrESSTONILt-
LAND SURVHYOR
, NES 7' /il .00