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HomeMy WebLinkAboutPermit Building 1978-10-30 ......:...; .,~, ., JOB LOCATION ~~O '51 -:S::"\\IO:7n~ 1l7f1 d 'to/ - 7 Js .~ - "-., jT'~'s:'f' ~,.. \7-,- "r-O<~ UJclM _ () ,(~ . l \. ( \ / -' ./ Acreage or Lot Siz~ Contractor's O.S. # APPLICANT'S NAME AND ADDRE"" A-\~a\ F... M,.. "'DtIJ,,,,,,,,\ \ -?,q~'i(;i OWNER'S NAME AND ADDRES" CONTRACTOR'S NAME AND ADDR""" Mail permit to ( ) Applicant ( ) Owner ~1\^^1\ . .., ..,;:;.- LANE COUNTY PERMIT ( ) Completed Subdivision t:: \\ b.h-\' G I"Cl\J <;;: - S"'\-'" ctc\ d '1 Lot 1";';1.." Bloc~ 2. .. \"""....r ... Lou,p\\ R\ ~cd Phonp q31-~:<"l.fG;. , q -, Or:::. ).iJ Phon~ ' I ._~ , Phon';' (owner, etc,) when ready: / - . / .~ .t /c}.f i r: q - Partitioning #, Nit- \~ ) Contractor. (>() Prefer to pick up. Call STRUCTURES NOW ON THE PROPERTY, Y!(/'Y'\Q.... " THIS PERMIT IS FOR ,\fY\O \'-',\... \1n'fW1, t:..,,,,,,\,,\.1\k... \4 '(t'lb ) NATE~ SUPPLY c;.', LI. d_ ~ r: R.rnJ~ iJA-t",,;;' ;)~ rf: SEWAGE DIS~OSAI # BEDROOM" ~ # PLUMBING CONNECTiON5-- <!CI..::A"CL u S.1. # \JV\ \<. V\tJLLJ V'I AlfJ- .. .. " THIS PR9PERTY IS WITHIN ONE MI LE O,F THE CITY OF AJ /4- PLUMBING BY ~, I hereby certify that the above statements"are true and accurate, and that I have the following legal interest in the property: _owner of record; contract purchaser;,_ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the,owner of record, and that said owner is aware and approves of this action, I hereby agree to comply with all applicable Codes relating to this permit.. Fee Paid <l: lhln ~ Signature 'f-, I +€..'f" V\ \"J"'lc ~-e_\ Date 'g .;;1.$<,.. 7(i r ,v X' \ I X ' ik: '-"A ~ I vU !l!\ ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ...~ ( ) SPECIA,~ PMT, ~":E~~ ~~.:...:::~AT~;:'I:: ..,. !~ SANITATION . ,'Z f..,....J(O<lJ....... . , B~IL?IN<a,W~~_~~r~"'~ .!2a M,nimum Septic Tank Capac'ty (Gallons) f'll-~ Type of Construct'<(n~ -mu, Group ~ Fire Zone , , J ( Drainfield Required, Lineal Feet 5' rf) I n1 ~J- 'Jse Classification ~+\. ~ ,/_-r. '___ 4-~ ~--'-" Maximum Depth f, u C~mments:-f./'~t2 -tJ:'~-wlr ~ -r~ ........c <:... '-d;' Comments: ;1--//"u'-'~g., +:J CO.....,;..,-""t r v-n-'tt-. ~ ~~ ~/'..........,~..f;~ , I '_ " tJ ~. ..)~ 01 = ....v~ ." 'V{;~ ka ::J;/~'-f _""",L, . . '€ 7- l-l. r, ) ~ 0/l.C ~/:-.td ~..A.-;~ of ~~~ ~. ~} ?~;",(, ~-v'\'f" , 0-, a..". c.-l~".~.J, ...J~ /\.~ ~ JL" ~ ~7:r.--: --. lq Date: /0/'/ r ~~~11.~.f4g.d1:!'~t!~c_~]/~~~~ci-t3J_:~:d~1 "'. '/~ y.~..jJ .~" ~J_"'~-' .,_ '".... _.~~r 1 PLANNING REQUIREMENTS SATISFIED, Bv: ::\G~,,,,, ~\\.r.""" ()Date: "'?5-;;\ '6.-;7-: Date Issued: -,o/.;J:o/?Y ZONE: l),AN\\4. SETBACKS: FRO~.T::>t SIDEFACING.STREET \'\JQ.. (FROMC/U INT,SIDEYARD5'1 REAR3f (~OMP/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 By: 'l'/~ , .J ~]/:.. h J \""("J!<.~".. , ~"i, C55,13 POST THIS PERMIT ON MAIN BUILDING AT SITE - , BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE \~ ~ y--......, ~ ~ FLOOD PLAIN MANAGEMENT Department of Public Work~ 125 East 8th Avenue Eugene, Oregon 687 -4195 TO: / PERNIT PROCESSING PERt,1!T NU~1BER MI-t 2.8,0\ -.,~ PARTITION NUMBER PLANS REVIEW PUBLIC WORKS SUBDIVISION OTHER SITE ADDRESS PERMIT VALUE IS A SUBSTANTIAL IMPROVEMENT. YES V YES ~ NO NO SITE IN FLOOD HAZARD AREA \ \ SITE LOCATION IS WITHIN A FLOOD HAZARD APPROXIMATE STUDY AREA, EXTRA '~, PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL BE REASONABLY SAFE FROM FLOODING. ~ SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA, ], MINIMUM FIRST FLOOR ELEVATION OF ~~\oe' (M.S,L,) REQUIRED. 2, MINIMUM FOUNDATION ELEVATION OF (M.S.L,) REQUIRED. ~ 3, MOBILE HOME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE HOME WILL BE PLACED ON IS!.8ELOW THE REQUIRED MINIMurl FIRST FLOOR ELEVATImL 4. SITE LOCATED WITHIN A DESIGNATED FLOODWAY CHANNEL, BUILDING PROHIBITED. .-- -. RECOMMENDATIONS: lZ.b..\LI2oA.D "->PII<";:' .---- . ~ '.... "'~I~"t>-r ...,.....,-.e:.. 01"'_ />",t:., C'>U ", 1~L.At-.\t'l W/>..'( oPPO"Ori\:;,. C.UL-OE:.- ~ It-...! l"l2l:lt-lT of '26.,~ \ _"...IL/>..l-..lt:J '-NA.--I 1<::' A..-r A.\..J. ~U"_'../J~...-nolJ. ot=- 44-~ D~hl '. ,DATE ~ '-b'I,e;. BY (" ~VY1 r : % l~ o IN I ..... - '-. (\I , ('1'-- -I 3> >< r o -I ..J o o ~ Permit # m !I-,2vo/-f>S' Idne county WATER~, PLY SYSTEM REVIEW .' The following information has been forwarded to the permit processing seftion. If there are any questions regarding the information below contact Lane County Environmental Health. 687-4051 ~ j) I t.n.).. 3 "I ;( "6} WI.~ b",...;e. \ Name "'!as'(Jl2:r Lt>'-<lell ~ Address Zip Code lit! COMMUNITY WATER SUPPLY A. ~pproved [J No knowledge of indicated public or community water supply system c=J Pending approval due to improvements being made n Not approved [J Provisional approval B. ~I Within water district L-J Not within water district indicated, check with Boundary Commission L-J Water District cannot extend services to this parcel at this time C. 0 System not adequate for more services without improvements I~ Existing connection o INDIVIDUAL WATER SUPPLY A. Il Permit on file I I No permit on file; permit required before installation from Environmental Health B. [] Spring or surface water supply needs variance approval C. n Existing U Existing water supply not connected connection to water Comments: S..lA.. 8 '^-~ supply (FJW~ 'w;lw) Environmental Health YG- V cJL, Rs Date 't - s i - 79 ( ,>' -,. - -"'r. .', .', , , .' ",'..-. , . .."A.....~. ....-: '.,-'- _~."~f;..'. < ..,......., ,.. .- -. eo 'J';. HOL,D.// SLIP ,APPLICATION # dJ~~ / >.,..a:y l-<-' A""'-, ~~ -\-t....... /:)0'4 i:"\--./ lane counfy ,^ '.~' '~~...12 7?z& 4/U~ , q'7j~..%''1 (j/7 A./UA. ~t91'.t-lj f jJ ~ ..;;;wu/~hJ'.f?.,f. /<H h t?7' a7 "7 v 011 / -Zip Code Name Address The above application is being held by the Permit Processing Section reasons: .J/t-.U? r e it /:/A/-t<< ~ ~'7V ~~ q;7t ~/~ for the following ,~ Si gnat.ure: Date Division: Si gnature: Date This application will be held until If the information required above has not been furnished by that date your application will be cancelled. Fees paid for waste disposal systems (site inspections and/or applications ,to install the septic tank and drainfield) are nonrefundable, Some refund may be made on the building and plumbing portion of your application if cancellation is necessary. In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the oroblem is resolved and we receive word from you as to whether to proceed with permit issuance or process a cancellation, PERMIT PROCESSING SECTION - 687-4394 C74-139 , . .. .) LANE CC"'NTV, DEPARTMENT OF ENVIRONM:, 'ALMflNAGEMENT 1L:5EASJ 8TH AVENUE, EUGENE, OREGON 97401' '.- , , currc~t zoni~~"K It-/)1 .II. ~~~~dingi[]completed feE AVERAGE PRoCESSING . Tl:ME PLANNING DIVISIO~ Partitioning' Parcel No. , 'W . ,tft-.~,p Partitioni..n_o, Reauired . _ /7..' .$/. W~,. Othero...H1~~t!:,tjJ: A~A4/J./,I' / . t<J9'VJ,k rL//7 - .I. /J.&Z",U,ut// $ ~~J'~ I '(/" /. 1:)O"<ef NA ER POLLUTION CONTROL . o~ Sites ~~ ~/I~ lZl commer~l(~~ustrlal ~qr Employees Other /,U'LlZr:A #7.;//..0-,;- J ' tJ $::J:.~t:,a.o '9=-/~/.r .~ ~ ~ '" on .. c, " . '"1 H" " " n H t".:l>' on' " c;.'8 " ~'" ~Is.. R:~~ ~I~ P-\~ ~H)~ '0 " ~ "\ Nev s.ite InBp~ction'(B) sos Construction [J New Number of Bedrooms! o Repair ,~ $ $ ,~ ~ CONSTRUCTION ,PERMITS AND INSPECTION FEE, L.::SJ (Seo above. for' of bedrooms/. o'f employees) . " ..~ :~ob'i~e. Home" . $8A (<;Z) ~ Permanent [] 'Temporary o .Renew~l Structure Sq. F~. .. I I i I $ $ $ $ I 1 I 1 i I 'I ! valuation Pl~bing fixtures at Sewer/Water Conn. ~t ~otal V~lu~tion $ $ \ S $ s /19, t77? , $,' $ , L/-D $ $ T~^L BUILDING PERMIT fEE" Each, r:a.ch Subtota.l '4\ State Surcharg~ Plans Check Fee Change of Occupancy . $;)/- t? /J Hlnimwn structural setbacks: , - From centerl.ine: of. street: Front ihs'" Exterior'Side /}/:'~ Side~ .Rear ~/ applicant' 0 Curb cut to lIpplic.ant;. . From interior lo~ lin6s: [] Comm'l plans .sheet to ~ o D EI-lVIRONMf:NTAL' HEALTH Chock ,~~~ PUBLIC LANDS 0 Address ,[8 Min.im\.l1T\ Elev.:ition PUBLIC WORKS ,0 Facility Per!:\it' s" . Ca.h Roc'dbyk~ J TOTAl. $ ~k'C//J AFFIDAVIT: If this permit Is for an agricultural building, I hereby declare that ~this ,building'. will be used for 8qricu'ltural purposes as allowed by zonlng and/or the Sta~e Budding Code, and for no other purpose. I further certify that the statements and otherlnformatlon submItted on this appl"icat!'pn are true and accurate, and that I have the fo1'lowinq legal.-interest in the , property: ~wner. of record; c:ontract, purChaser i less~e;, h.older of an~._exclusive opt:lon . to .purchari!; =--.;...du}y authorheOlo act for a .person wfi"()has. the rqIlowinq l~gal inte;rest: ~:- :.or that the mmer of ,record is knowledgeab'le of this' application, if I am not the owner. [further agree to comply with all applicable codes relatin9 :t:hY;:~_7,f' ^pplican~'a ~ignat~re.'i\~z?t.~~2>~. ,bne county, FOa THIS INFORMAT~ON ABOUT IS'YOUR RECEIPT, AND " ' THE\PROGRESS OF YOUR 1 DOES NOT GIVE YOU ~PPLIC^TION, C~LL PERMISSION TO. BUILD',,> PERMIT CONTRO~, 687-4357 (6B7~H_ELP) ...~. . ~ .., ~"_.' DatE' 9-21-78 Permit No M-l 28.01 - 78 CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a perin it should be issued, now, therefore, it is hereby, B. FERN McDANIEL ORDERED, that a permit be and is hereby issued to 39287 JASPER, LOWELL ,HwY.,. LOWELL, OR. 97452 or constructing the following' facility: MOB I LE HOME 2057 INLAND WAY, SPRINGFIELD, 5TH ADD. FILBERT GROVE for placing, building LOT 52 BLK. 2 upon the right,of,way of C~unty Road No, , Mile Post , in strict conformity to the exhibits attached hereto, and subject to all termsiconditions, agreements, stipulations and provisions, contained in the appl ication and permit, the Rules and Regulations Gov' erning Facilities to be Permitted' upon County Road Rights'of,Way, as set forth by the lane Man, ual 50.190(2) any amendments ,thereto, and any other applicable regulations, law or ordinance, Specia I ,Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach, specifica- tions (Drawing M98,50)., 2. Permittee will be responsible for the immediate removal of ~II mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition. 3, Sidewalks will be constructed in accordance with the attached sidewalk specifications and drawing M98-49, The Standard Curb Type shall be constructed unless otherwise specified, This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized, This permit shall be void unless the work herein contemplated shall have ,been completed be- fore SEPHMBER 21 , 19..E.. Expires ,19_, Inspected and Approved Dato By WHITE."""" OFFICE FILE YELLOW - REAL ESTATE PINK - PERMITTEE ORANGE - BUilDING, & SANITATION DEPT. , .......;:J:Il.'"";.,...... .-, "'f"-', - ". ":;"~""" . ....'""'C'....-.-.~';J..""7.. Dat" ~ t~: .;) ',.. ......r' , ":;,Q_;>I_ 7F\ '. -\ , , o (\ 'J Permit No. Mol 2801 - 78 CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of Lane County, and it is the opinion a nd judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to B. F~RN McDAN I H ,q287 'JASP~R LnWHL Hwy,. LOWHL. OR. Q74<i2 or constructing the following facility: MOB I LE HOME for placing, building 20,7 INLAND WAY, SPRINGFI~LD ,TH ADD. fILB~RT GROV~ LOT,2 BLK. 2 upon the right,of,way of County Road No, Mile Post , in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the appl icatiol) and permit, the Rules and' Regulations Gov, erning Facilities to be Permitted upon County Road Rights,of-Way, as set forth by the Lane Man, ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance, Specia I Provisions: - 1, Driveway will be constructed in accordance with the attached driveway approach specifica' ,-' !ions (Drawing M98,50). 2, Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition. 3, Sidewalks will be constructed in accordance'with the attached sidewalk specifications and drawing M98-49, The Standard Curb'Tjpe shall be constructed unless otherwise specified. This permit is revocable at any time" and will be strictly adhered to and no work other than t~at specifically mentioned above is hereby authorized, This permit shall be void unless the work herein contemplated shall have been completed be, forp S.PT"MR.,R 21- 19-E-. Expires ,19_. , , WHITE - OFFICE FilE YELLOW - REAL ESTATE PINK - PERMITTEE ORANGE - BUILDING & SANITATION DEPT. Approved by Board of County Com~issioners BY,C2 // fJ /2. . d_ J.-/ ~?/: v......... 'l.__ - /,eI.:, '-- ....~-........ Director ,/f PUB?~orks --' ~""-. ) 1f --. :" C74-129, Inspected and Approved Date By "'.." . , ., '...", " o -. J " Date , \" 8 . ';<)-;'1,,7 \ Permit No, C}l ~'''-!) 1- fR CURB CUT , PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to j~}~87 JAS'!':;;, t1!1Cr.,L :.lt1l. t LrHJ:LlD G'l. 97t~:;i? 8. yt!T.J Me;)Atn\::'. for placing, building or constructing the following facility: ~.~Oi'l' LC ~'{c;.'jr; ~','~')"I ....A....... '..f-,'- (~:J'J.II..",'I""O . , ._.1.1'4..'" ." . 11 ...... ~... \0._ 5TH :1;):;J.. F 1l8'.~1?'.. r;:~o'J(-: L:':'" :l2 G!.:\. ? upon the right,of,way of County Road No, , Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the application and permit, the Rules and' Regulations Gov, erning Facilities to be Permitted upon County Road Rights'of-Way, as set forth by the lane Man, ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance, Specia I Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica' tions (Drawing M98,50), 2, Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition, 3, Sidewalks will be constructed in accordance with the attached sidewalk specifications and drawing M98-49, The Standard Curb Type shall be constructed unless otherwise specified, This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized, This permit shall be void unless the work herein contemplated shall have been completed be, forp ~r.~':~~;"::d ~~ "fl' ,19~. Expires ,19_. Inspected and Approved Approved by Board of County Commissioners By Date By Director of Public Works WHITE - OFFICE FILE YELLOW - REAL ESTATE PINK - PERMITTEE ORANGE - BUILDING & SANITATION DEPT, C74-129 'l- ;~'(.i;:_.::X'. '~~;s~'-'''''' , ' \} , ".l.-:'jf_,:';:<;". '~'c~.-,/~:"..~'''~ 't,! _'/~~~.';' " _.<'. _.';;,~ """'V,"n',_," <...;}'" :'" .. " ..' /. v!"'\....~'.":~'.,, 'i' .....,r:' . ,', ,,' BOLD SLIP lane cou'nty ca :<' " ; APPLI CATION # (..{ '> eo fYI H- 2 'iJol- 7ft ~ TL...,; N....~,\,~ r- F,.d, t, /VI <. IJ" ~,~ I .4 Gj:Z'i?;7 -:r,~...~, L....L.U~tl 11"...J S /.) f'j. d r~~(J,"", 97~~2 Zi P Code Name Address The above application is being held by the Permit Processing Section for the following reasons: I, Odr<'f;o~' -/"" .s,~e . I' .t. I <';,.{..,...... ....,'" o.+l~,'-I,~, f..i-+,.( "2. U-cr.......(.i<."tiot.--r 0 i"e:<i.5T1v,i' sewa:y""<" ,.sf v.!"" Si gnature: /15.AA-<--U.. / I, ) 0- ~ ~ r f' , II" i- " ".... t~-v<--:... aJ Date 9'/5'/7)'( Di vi s ion: 6g 7- "j 95-7 Division: Si gnature: Date This application will be held until If the information required above has not been furnished by that date your application will be cancelled, Fees paid for waste disposal systems (site inspections and/or applications to install the septic tank and drainfield) are nonrefundab'le. Some refund may be made on the building and plumbing portion of your application if cancellation is necessary, In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as to whether to proceed with permit issuance or process a cancellation. PERMIT PROCESSING SECTION - 687-4394 c74-139 ~. '. 1.. .," 'h~ ,._.;,,1 ,I ~F HOLD SLIP Idne county - APPLICATION # m H 2 go I .. 7'6 " ' ,/ F('-<:!. 'Z 0$7 s"p,J . M. fil/lc. 00-""..1 :z;",lo'& W"-L,. o r--e (J a~", . Name Address 17 477 Zi P Code The above application iS,being held by the Permit Processing Section for the following reasons: I. Oh-ec-+io""f,+O sil--c: i" .{' of. . -I- s "d--e<-<-< - $; e.. c-+--./-o-,L..f-<-9- J -.Q H"', Z, U<-rit-ico,-io-. <' )C.,..s i......J / Division: W 0.-+...., Pr;[/""+r"".,, Signature: /b .1 ~ 11. .i Date 9)/he .6B7-3'7S7 Division: Si gnature: Date This application will be ,held until If the information requi red above has not been furnished by that ,date your appncation will be cancelled. Fees paid for waste disposal systems (site inspections and/or applications to install the septic tank and drainfield) are nonrefundable, Some refund may be made on the building and plumbing portion of your application if cancellation is necessary, In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as to whether to proceed with permit issuance or process a cancellation. PERMIT PROCESSING SECTION.. 687-4394 C74-139 "~\- ~ ": ;. ",", ;;; > ~'",'. ..... ~ . "~ ...:,...., ,.' ,. .... !.' ~:.. -.' 'J C.,' ~ '"'-.''' -, ).. () HOLD ,"-"" \--.-.1 lane county ca' , \ ',' SLIP APPLI CATION # ..:;Jo-!~ ('.J (. ...., - I }'VIii 2e;O/-7~ ~ P/~~H -tL.; s 1'I.,.....,~~r. u.,..... rreJ. 111-1, Ji){}.",:", ~q7."'7 7f'",$J,{"../LD",./1 P/~~/~.. f J..~,'I' 1\{~4 . I /l.J 97</() I Zi p Code Name Address ... The above appl ication is being held by the Permit Processing Section for the following reasons: I) D;,...d""'l L. ,;>,'i", 't) V-er;.tic.",LJ" 0+ ex.isf,.....J ,,'1~le_- 11..,..." (1,+I,,,-,"'-..,'p' I~fl-"'-r. I, Division: I.tJ..J.",,.- Pfl JJ....I-,~..., Si gnature: / f3 , ..Q AA-A.A~. /Z...q Date 9'/1,17(/ / Uf7-3<;nC' Division: . Si gnature: Date This application will be held until If the information required above has not been furnished by that date your application will be cancelled. Fees paid for waste disposal systems (site inspections andlor applications to install the septi c tank and drainfiel d) are nonrefundable, Some refund may be made on the building and plumbing portion of your application if cancellation is necessary, In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as to whether to proceed with permit issuance or process a cancellation. PERMIT PROCESSING SECTION - 687-4394 C74-139 J' _~. ..0... ,",' '_,', f":I.! ;~-.W:~ 'l..:,:~. ';'1:<2'.\ ", ~ ~'" ;. '., -' ,.,;' " r ., ,'." .' , ,','.~ ~ , "'!..~ _". '.:t _ . , ~... *1 5 ~. ~ ~." :t:I tJO r'" ( S ~ ~ '':I~ "" . ~I .,~~ : ,~:~ ~ q~;I~ ,(5' *' '\ 'f .,~S';~ ~ , " (i \ ~ ,'.,,'~ W,~ ": ~ \ I" """.ct,' ~:\) ,: <9' ~~ '.;p ~. . .1.... "rlnt .:. k~lmTI Arplllul('n tel .........t t(Onhl \Jh':n r(',,'!.II'~ Ai'rnl..r_"lOl fl.tt- 0111('11 11.. Onl,. APPLICATION (~ 'U.LICA...,4LRel?tL,E, H'1.2Alf1 l3.L, PHoNE_,C/i32~.:J.,J.11-,-._ ," AIIIlIIIS Aq',2517 JA~pel0../ou)et.LR o (pre:,p;.-f.. a<lC(:j.,~~~ci, Z1;' 97'fEL, O'teIU (lr DIrfUDlT) SA ME. flltlN! SAM c . I<>>rJAm..i!OS7 fd...LdA/....~..A,..IA )f __,c"v,_S~,~~.m '-17 '1'77-' aUITkACTol ~ t'HONE ~I ".umJl.lSI CD:'iT1l.ACTClR'S Uft[. STATE L1Cf:~SE '~,~:~~!:rxi HAIL CUKl'LET!D piRKIT 10 APl'LlCAN~~~TR.AC1'~~ (Cl~CU: ON[)D PREFER TO PIC~ ur. CALl. .~::;;:.J7.-P.UDlT US! or ,lOpun (rnldeftlhl; I,,.. of hrwlnli ~n_rchl or Illduat.rhl; v.c.nt; He.) iff1J":~ " ~C:5' IDE N 'T"/. A L ";~';:'.{~~'~.',' DESCIIIIE STluctulES NOW OM ,ntl: nOPERTY. NUn AN\" 511:I'CTURLS TO Ii: DrHOL15I1Ell. :,~~;~~~'::~" .,...... : . ..,' ,~~~.,...-.., :":;J;,~:,:~:}:~~~'l~,~.~N~_:_.roR. ,T~lS. PAO~~'? (~HI,S APP~lCA~flO~) AU: :'~~'~''@'/?i>-:iWA:-I;:-C-CX.v /yc. X b c:; - 'St1ff1~:' JIlTU" rig . -5 A- U 0" /;~"i:.~.';;;> ~-' _" _ ., _' .. ~',' '.~;"..!.;;,:.,-;-:' "-..~:- .: '";~-' :.:' .,./"- - . .,~'."":,1':.:.,;..'. ., _:.' .', . :;"..~:"-":s. .. PLOT PLAJf. Sketch (.) .II road., (b) bo>.ndulu of propnty (c) flxht Inl/propol.d bulldina. (eI) ...f.Hla.1 ..)/.;;~):~~. ",:':;-,:;'-;"'::/',.:;~::.,.:;' propo..d._a.e dllpo..l sr... (.) ulstlll,/;Jropo..d .,C!'~la (f) exl.tlna/propolud dr1wv.y. ".-_j':r;~,.~t!;~:;t.;~,;::~:'~~>;':.'.:,' (I) ...._nt. (h) dnin.._..y.., Itr~._. crulla. an)' oth.r p.rtin~nt featuru. If coa.rchl :?;;/?::;'~;~~';~(:;I!!18lr.'r:,:..!r ltId...trhl.__ah~, ,'...utandlft. alana. partlna ar.... INDICATE DIHE~SlONS. <':<~X!;;\L:':::i:::: ::,~'::r::.':I:;~ ::::i,::.'l':I' ;rT':i:I':T>:;!';::: ........ JII!li'I),f)'S'i(J .. -!~- T ... r~. .- ,'n.- .." ,... ~tl~f-~:~!~~A:'r/: ,:,J_) .;\...._;,~:t'::.+,,;:,~-~J<~I:L .,::: ..', :};':-~t.7.i~~~.1,1("_;f:':'" _\.Y:;;~' I . ," ' T.: i...1 -:. t.:" ..': .' ~:' . '5"~,:'-C:.'"" '; {I t...'.. ,.., . .., .. ..,,'" .. I, ..,.. I.. ,I .. ,"'}O!''i'' ~:' ':. ;:"7-'\ ' " ' 'I ' ' (,' I I I' I '~' I " 1 : ,'",,'-, ..' " u,.. " . " .. I " I I" , I ~..~;;..:;;:,.,<.::;" ,'. ' ..,.... ., .. ,: '. . , . . '. , '::~".':~:i:: ;. I' .. ,'I" , 'I " 'I ,J! . I..; i I.. ,'" .... '1:1!t:sg{:>.r:'::';" '..~,'l IuI~Ll: ': I. 'i':: :::~ .... "'""""'"", ',," ,I . " 'I'" , I ~"~, · "'" I,' , .. .. "~,,~;!~;;;i~~,';,':~:..:;:;.:;_._..::::/~,, '*-,!.. ,,~:,_..;...., ..':.-1"'. ~.:.:.:.--.:..:.:.:I:'" ,~'~~:0:-h'i""~! ':(/, ':': \<!: :' 7.~! ::: :," .... <:: ,1-"...",... r i . , I ~' p.r:..'... :,;~~I;;.h,;..; '!1',:'--'-.-;.-'-- ' I',' '-l~-':~-~J-f-:..l:'-, ,.,' :::: .... ...:~~~(."?.,, I.. " >,' ,:.i ' ,y. I: i:: .:~'~~~i~;:r:~>:::' ,I , I,. . .~: .!: '1.' ......-... .,f."::';:"".~." TOTAL lOT Sill Ol A.CU.AC[~[~~ /__'~. ~nl ISSrI::C\,OS nST IltILE~ !tEAIlY (rAn) . ,. .' ,,~;y;;;., "'lllO, 0' S"'ACE 'ISPIlSAl,:. <::E'PTj C_T'tl,tl.K. - ~~ ././Yl/ .";.~;t~ PJ01'OSlD WATER srrpLY,' WI.LL .. sr.I!"c..~. !,;J)lI'.A!'l._ _ UK[. _ :PCtll.ll:XO' ..__.______ :;;:~: ::~~~~c~: :~~""I/.i;;J!~~~~;.,'.~B2.~~~ff. ~__ -- ' , .'~ IJ~, rilE DtSTUcr S" ~5Z.::t:. 7 .. ,.__. _ ..___,." .'__'_'"-_' . . '." ~1. 1C!tOOL DISTlICf.:- ~ "-P:M---..--.--------~..-:---. .,. 'LUHJI~C 1'__ /VO/VE HtJ 8/ L '-p;:;" L~~d;:;,' d' ~6~"/A,~/1 " <:1::;- :::-:v::: :.::-:1:::. ':'::1:::: ::l:~ ::::1:,::: . . . I . : ; ~ I ::.: :. :Y ::i: :F:;:T ,-. --... ..- .-. ..- . . I, .... :::: 1 :-:'~: "'.'\.... .,., .... .... .... .... .... .,._".~~:_~~;: ~ ...~................................... DO ~tlT \ollifF. et].l'llol"THIS ll:o.rr ..............,.............~...."'........... , ' ...1..... c 'Eton 'rOUI API'LICATlns "AS Br. rRocr.SsUl YnU !1I"Sl n'l;s 1:"''-: ~)..II' rLOT l'U:iS LU::.l O[SCIlII'TH'lM CD I HISS \I1SF.O) ---. ,'\,. 1'.\0 ",." ~~;jfL~i;~t~~:i~~~~~~;~ >:'~> ,.'i,~;:, "; '. ..'0., ij Jj )J S 'P ':,,,~~~ , {:7~:t~~i, :At~~:~t- " I....' ,'., lone CDlJnty ",'~' ~.>, :;:.\:.;;:: :, :'.1,.-'; : ." ..' ..~~,; ;/":').. , ., j...:;~'r!'~...,~, '.:' -,' ~ ,125:tAS'j U'iH Avd;Ut,tuG~,,,f.. Oi,\cG0i'. J{~v' '''_. ~ - .; ~_~~f~;. ",'~~:-,e::-~ .; . .' ,.';. 'Ii "3 , ,'2' ~ ~ ...... .. 'I 'i ~ ~ .. ~ o :::Y',:, ~ rt\' ,~ v.I '~ ~; ~ \. ' I \ ~, ,~ ~t _.:::~",~ ~.~ ... ~''''~ ..... ':';':;'.' ~ .. ,~.""'\ '",: i' ":,0\" .~. '-.,:'" " " . :(,. " -~ . ,r'f" '(.' ...'":. , ,....., " ;, i 'i " ~t HOLD SLIP lane county (a' ,. APPLICATION # tVl r-: Z B..l{ - 7'? Fr'~ 11-1, {II//~ 00"".0 I "2057 T.....I'.J"tJ W/l..... s ~.,~.J 0 -r.#?oJ.l"l...... . . Name Address 9 7 477 Zi P Code The above application is being held by the Permit Processing Section for the following reasons: /. Oi,..."A,,,'1.' -/'" ..if." 7" \)<rd,,"{,.).., ,,-! ...J<.l.!>t:....' s7~.J.e"'" ,- ~.:c 0.+'+ ".,,'~9. l.off -r Di vi s ion: LA) e \ <L (' P611",'! , "'.., Si gnature : db j {}4.o--c.~ /'l -V / (,&7- 3 '1,/ Date 9//,/7.. " Division: Si gnature: Date This application will be held until If the information required above has not been furnished by that date your appHcation will be cancelled, Fees paid for waste disposal systems (site inspections andlor applications to install the septic tank and drainfield) are nonrefundable, Some refund may be made on the building and plumbing portion of your application if cancellation is necessary. .'E' ..'. In the event a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as, to whether to proceed with permit issuance or process a cancellation, PERMIT PROCESSING SECTION - 687-4394 c74-139 HOLD SLIP lane county (a' APPLI CATION # fI1 H- 2 ,501-7€: ~ T"'- i S ru'-'-~,6-e.r- " Us e L .9-, /1"" &-vJ"'1 -'toY '..,7 I, \ q 1Lt -z,D . fl F,.~A r;, flI1~Il~~;~' / ~~ Name 3'JZ~7 -:r"H"~ L~,~.II ti...J / Address Sf'{:J. 6 r_....... 97'1S-'2.- Zi p Code The above application is being held by the Permit Processing Section for the following reasons: I. Ojr~.:J;o"'s "h~ ~',+-e . t') .1' I .",t-e..... <;~'" <L++a.cd~J. I",,-t'+-e,.- '2. V-c.r;+ic",ho... 0'1' -exisT....7 sew,",?,,, 1~f'O.f' J Oi vi s ion: l..l)".+~r {'ol{,,-~"u.... Signature: I~~ .Q~rcJ Date 9,kh!? 6l?7-'39S-7 Di vi si on: Si gnature: Date This application will be held until If the information required above has not been furnished by that date your application will be cancelled, Fees paid for waste disposal syst~ms (site inspections andlor applications to install the septi c tank and drainfiel d) are nonrefundable, Some refund may be made on the building and plumbing portion of your application if cancellation is necessary, PERMIT PROCESSING SECTION - 687-4394 In the event, a Planning or some other long-term problem exists over which you have no control we will hold the permit until the problem is resolved and we receive word from you as to whether to, proceed with permit issuance or process a cancellation, C74-139 ~ . '/:-~ ./: k '. l iY) ~ " ~ ,~ . . . , "1 ~ ~ rl!!lt~~~HOLD, ' ,8' '.J i- ", . 1.:t:J ',i. .' 11<' 2;,-" .,'1 ' to 'Co~"::: P<5I;jf?G 19 "I ' .AfJ.F'=-Lc.~~ON 1..,~8 "D.'" 'Ii' , ,-,.. C 81011, (, ."100-'/ Ol.l/J/y. u..)~ SLIP lane county - # ': -; ~'l? t ' ';i-I ?-€;0/-7'i('?- p'e~N. ,-tL,j S Ylu......b"'-'f". YreJ.. 1tVI. DtJ..h,'a{ 7> 92'27 <r"'<jI"rJLow~II, IL!! Plea!. . f H;II' Ilr"'-J 97'10 I . . 'Zi P Code Name Address " The above application is reasons: ' I) Dii;J:":J 1-0 'iJ'~ -z..) Y--e-r~ .fl,'LO-- ft."... 0 f e;'!s+i':"'j ~ ':t!, I-e_ _ 11-e~ a-+~li-"I."",g, i-e.f/-"-f. being held by the Permit. Processing Section for the following ,. - ---..,. -.. . .. .: \ . '. ' -.s:'O,Jl/J~ (,j 'J SDI-LTh, G-y,- d''''-' d We< \~",V'P",~, "- \:'''' /.LJI"'~ pfJ JLI.L-I-,."'.... Signature:/J3" JL,~ /l.J1 ,,' , U7-3?S-? Date 9'/1' tzR. I ' Divi sion: :s 1- (.0. I tc-' I" ", d \...J a 1 Lv "'1 70 '\ ~' , ,., Z I,\f e<,~........'~ f J', --!CJ4-- '7 (, id6c ,Pitk 11111>-,,;1;2- '7': g,t~""d ./!!;/ ./j.,CCl--.-r /V 0 '^-'rh i'l;' ,. , 0"",- I "" {", i-'~cJ C. "'- \ ,d,.6 <>"- ' ,.y. 0 .s -? / JJ / ri-'V'.,J w ~7 Division: Si gnature: Date , This application will ,be held until , If the information required above has not been furnished by that ,date your application will be cancelled, Fees paid for waste disposal syst,ems (sHe inspections andlor applications to' install the, septic tank and drainfield) are nonrefundable, Some refund may be made on the building and plumbing..portion of your applicatio~ if cancellation is necessary, In the event a Planning or s'ome other long-term problem exists over which you have no control we will hold the permit untfl the problem is resolved and we receive word from you:as to whether to proceed with permit issuance or.process a cancellation. PERMIT ,PROCESS ING SECTION - 687-4394 C74-139