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,f'. PERMIT #-::70/1.../
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. LANE COUNTY PERMIT
APPLICANT'S NAME AND ADDRES::::.(1 "?~'h ,;
OWNER:S NAME AND ADDR"'C:C:-
CONTRACTOR'S NAME AND ADDRESS
Mail permitto ( , ) Applicant ( ) Owner,
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LOL..JX Block f_'
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Phone
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(owner. etc.) when ready,
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Partition i ng #
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STRUCTURES NOW ON T~~ PROPERT:fi '77/~f
. TH,IS PERMIT IS FOR~/ rl-{JI~i!)';'" .
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o "'lATER SUPPLY l / j, .f
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fH IS PRqPERTY IS WITH IN ON'E MI LE OF THE C,ITY OF
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SEWAGE DISPOSAl
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:; 8 ED ROO MS---,--l.# PLUMBING CONNECTIO~iS__
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, PLUMBING BY
I hereby certify that the ab~ve statements arEi true and accurate, and that' I have the following legal interest in the property: _owner of recor~;
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 t~.__.at ,,:id o;.nelis._~ware and approves of th~saction. I herebyagree..ts>'c~_~ply with al.~~PPlicable Codes relating to this per.mit.
FeePaid~. J(/":. .-If Signature /... /, "'...,/,, Datp
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) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT, ) SPECIAL PMT'. AREA, MIN, ELEVATION:
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SANITATION
Minimum Septic Tank Capacity (Gallons I
Drainfield Required, Lineal Feet
Maximum Depth
BUILDING
Type of Construction r::roup
.Use Classification
CO,mments: ;/}'.~("t-/~.{ .~~~~ ,4(,,;.-: o!-__.c~__J
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Comments:
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-',:.PLANNIN"G'I'lEQUIRE~,~NTSSATISFIED, Bv:. '-.j(.?JU.....7...- Date: l../-.:)/'). 77J {/ Datelssued:~:.il_ill.;;J()-[T
?ONE.!.C, /7- {)'JHSETBACKS: FRONT"'-/<=:; 1;/ SIDE FACING STREET (FROM C/U INT. SIDE YARQ" ,-! REAR ~J f f(58~M P/L) ,
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LANE COUNTY DEPARTMENT OF'ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE,OREGON97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
C5513
BL'DG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; S..i\NITATION -_ GOLDENROD; OFFICE COPY __ vvHITE
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Written Directions C;:' 1:f-uJ:.'A. -k-L)
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( ) Completed
, ' . ( ) Pending
APPLICANT'S NAME AND ADDRESS DI'JX 1 :;: .s.ka....rnu
OWNER'S NAME AND ADDRESS, if different from applicant's
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to (
) Prefer to pick up, Call
STRUCTURES NOW ON tHE PROPERTY
) Building Permit
Acreage or Lot Siz~
Partitioning #
Job Location ~o.8 ?
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, - INFORMATION SHEET 0
) Site Feasibility Study for Septic Tank, Number of sites
Test holes will be ready
Subdivision '::j,~ ~
Lot _ J <i.('('I Block b
Phone 7cf{,.-7q 5~
Phone
Phone
Contractors O. s. #
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. WATER SUPPLY
PROPOSED USE (this permit)
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PLUMBING BY J'""/' (\6 ~ ,
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SEWAGE DISPOSAl
(existing or proposed well, etc, If public, name of system!
(existing or proposed septic tank, etc,) S,I. "
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***..* ** ************ *********** ******* ****** OFFICE USE ONLY BELOW TH IS LINE *** ****** * **.* ** **** ** ** * *** *-ll- ** **** * * * * *........
) New8r~5.~ssf"{
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) F aci I ity Permit Necessary
SETBACKS: Front, Side Facing Street
{FROM CENTERLINE OF ROAD)
) Special Permit Area, Minimum ElevatJ' (~ -
Interior Side Yard Rear rtl.h
(FROM PROPERTY LINES}
To: Planning/Building Inspector/Sanitarian/Surveyor,
This applicant appears to have a problem with
Your assistance will be appreciated,
Respons~'
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Permit Processing Section
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
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DEPARTMENT OF
ENVIRONMENTAL QUALITY
MIDWEST REGION
16 OAKWAYMALL · EUGENE, OREGON . 97401
· Phone (503) 686-7601
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, July 6, 1977
Sha ron Muni on
2088 Inland Way
Springfield, Oregon 97477
. Re: Relocafion of Mobile Home
2088 In land Way. '
Springfield, Oregon.
Dear Mrs. Munion
This Tetter is in answer to your request for approval to
relocate your mobile home on your property as described above.
Based upon thefolli:Jwing disc'ussion. you may consider this
letter approyal to your proposal.
,On June 23, 1977 I inspected the subject property to determine
the impact of relocating the mobile home. The soil in th~ area .
contains large amounts of gravel and is very.porous.
In, accordance with your plan, the relocated mobile' home will
not cover or interfere with the access.of.the,septic,tank or
distribution box. It is understood that the mobile home will be
set directly.over.a portion of the existing drainfield.,
This approval pertains to a mobile structure only and does not
apply to a permanent'foundation structure.
Sincerely,
Daryl J nson' 1~.
Supervising Sanitarian
DJ/mjd
cc: Lane, County Dept., of Environmental Management
L J, Osborne, Subsurface Sewage Oi yis ion. OEQ
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I LANE COUNTY PERMIT v'
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;creage or Lot Si7P R6 ;( I D <::,. Partitioning # ) Completed Subdivision:::> c --fA'11J.A /h ,/'L,,:r~)
Contractor's o,s. #.. Lot~X' Block t:..,. 'v ,J
APPLICANT'S NAME AND ADD Rr:c:c:I)tr;., "rI- Sh~_d?1 h1/~ -". L.,.r->, ..J Pho~;7<t4;'-lc;s;3
OWNER:S NAME AND ADDRESS '( \ /)' II J / I' Phone
CONTRACTOR'S NAME AND ADDRESS ~_I""'~a....-t'.J V, Phone
Mail permit to ( I Applicant ( ) Owner t.!' I Cont;:a;;tor. ( ) Prefer to pick up. Cal~~ . ' /\ . .(ownerytc.1 when ready,
STRUCTURES NOW ON THE PROPERTY ~-. md:t!.u A(7 j k..LJi:o:.e,pd!t. o,O/~
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THIS PERMITIS'FOR rn k /J1A.T~t. /~./J7J LfJ (J '" SEDR~DMS~#PLUr\ilBING CONNECTIO~.JS.__
WATER SUPPLY &I-;A SEWAGE DISPOSAL J11 f!-?;;(;;:)- 2~ S.1. #
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TH IS PROPERTY IS WITHIN 0NE MILE OF THE CITY OF , PLUMB ING BY
I hereby certify that the aboJe 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 tt;!!t.Said owner.:is aware and approves of this action, I hereby agree,t6-colJ:1Ply with all apP?~e Codes relating to this permit, '
Fee Paid $ 00. 4 (), " Signatur~ ~ ,/ ~~___ ,Dat~
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( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT,,__ ( ) SPECII)L PMT. AREA, MIN, ELEVATION:
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SANITATION
Minimum Septic Tank Capacity (Gallons)
Draiilfield Required, Lineal Feet
Maximum Depth'
BUILDING
Type of Construction Group
__Use Classific6tion
Comments: ..1JJrJ-tJ'<...- A/~
Fire Zone
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Bfc.~::X1 Date: J.-4-~/7,7, B~Qt tL."'L--.L/ f.,...%~, C1e.:n([)ate t:;-:.. '2e:) - 7-;
:,:;, 'PLANNIr>.iG~~EQUIREJVl.ENTS SATISFIED, By: , "-ICt.1'U:;[.... t-' Date: '1~JI.)- 7-P (/ Da.te Issued:;':X/2f,/.,J(j'....if
: ZO~E 1/::'..-:/1 ffj,t",,!S"ETBACKS: FRONT.t-/S f!l SIDE FACING STREET _, .(FROMC/U, IN'T, SIDE YARQ~! REAR~Y" "'-Ci).f.i<fM Pill
, LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE,OREGON 97401 PHONE: 687A394
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POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMI:f - WHiTE; BUILD,ING,- GREEN; PLUMalNG - CANARY; SANIT ATIO'N -- GOLDENROD; OFFICE COpy _ ','\If-UTE
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SLAB FLOOR
PLUMBING GROUNDWORK
A~PRovr~(' / ': .J DISAPPROVED' r ~-/ DATE
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REMARK~~
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GAS PIP I NG GROUNiJJIORK
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ApPROVr:O /. / DISAPPROV[O: ~ DATE
REMARKS
ROLIGII P LUM8 , NG
ApPROV'[fJ LI 'j/ D'S~PPROV[D / / DATE
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ReMARKS
ROUGH GA" PIP I NG
ApPROVED 0: DlsAP,PROV[O C1 DArE'
f~[MARr.' .s
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D,sAPeROVEO / / DAT[/t?;I~;I~
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emf I F I CATC OF OCCUPANCY
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READY TO I S~.UE /1 !'JOT Rr./lOY, TO ISSUE / i OA TE
HEMARK::;
INSPECTOR
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