HomeMy WebLinkAboutPermit Building 1980-6-10
,
,
JOB ADDRESS
,
,
~
POST THIS PERMIT ON MAIN BUILDING AT SITE
4617 Jasper Road, Sprlngfle1d, uregon
CONSTRUCTION PERMIT # LC-821-80- TMH
TRS, TL
18-02-05 TLN 2201
SubdiVISion na
This permit for the referenced property IS hereby Approved Setbacks and other conditions of approval must be strictly observed Violation can
result In revocation of this permit, citation under provIsions of Lane County's I nfractlon Ordinance, and/or other remedies allowed by law
Applicant/Address
Owner/Address
Contractor/Address
Contractor's OS #
Jean Woolery, Same as above
na
na
na Total Construction Value
na
na
na
ConstructIon approved by this permit
later Supply we 11
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
.
Setbacks
Inteflor property lines
Edge of road rlght-ot.way
8utldlng foundation
Wells, other watel sou,-ces
CONSTRUCTION
PE RMITS/INSPECTION
DiVISION
D'rectlons to Site
Date Issued
C5513
Zoning AGT Partltlonrng # na Parcel #
Minimum required structural setbacks, from centerline of road, front 65'
side exterior na ' interior property lines 15' ,rear property line 20'
Special Instructions ThlS permlt va11d untl1 12-31-81 or untl1 hardshlp ceases, \ihlChever
Telephone
Telephone
Telephone
na
Renewal of LC-873-79 Temporary Mobl~Home
Slng1e Wlde Mobl1e Home
Structures now on property- MH, AG BU11dlng-2 mobl1e homes
# Bedrooms 2 # Plumbing Fixtures na
"" Employees na
na Parcel Size
,centerline of road,
3.57 acres
For information call 6B7.4394, Candl
comes fl rs t.
Site Inspection # na Installation ~peclflcatrons
na lineal feet of dralnfleld required, max depth ot trenche,
Special I nstruct,on5 The ex 1 s 1 tng
Septic Tank
10' --
11)'
;j'
I)t)'
gal mln septic tank capacity,
Dralnfleld
-10',---
10'
10'
100
shows no slgn of surface ma1functlon.
FOI Information cell 687-3960 bctwl'gn 8 00 u 00 an, Kathl M. Wlederho1d
Tvre of Con,tructlon
I nstn.!ctlons na
na
GroulJ
Fire Zone
na
use Classltlcatron
na
na
For plans information call 687 -4394 between 8 00 R m and 9 00 am, Susan
For inSpections (see back of thiS permit) call 687-4065 between 8 00 a m and 5 00 p m
na
6-10-80
Susan Ke11erjRLH
)/
klne county
~
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
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Date
lane county
-
3- 30- 80
K L, Ho01ery
4617 Jasper Road
Sprlngfle1d, Oregon 97477
Re Temporary Moblle Home Permlt # 873-79
Map and Tax Lot 18-02-05 TLN 2201
The referenced perml t wlll expl re on 4-03-80 On Janua ry 21,
1980, new regulatlons became effectlve that affect your renewal procedures
The only Clrcumstance for WhlCh a temporary permlt may now be granted lS to
accommodate a famlly member sufferlng some type of dlsablllty The dlsablllty
must be substantlated by a wrltten letter from a physlclan, theraplst or
counselor
Inltlal renewals for famlly member dlsablllty wlll be granted for an amortlzed
peflod, to explre December 31, 1981 If the use ceases before then, the moblle
home must be dlsconnected or removed Also under new regulatlOns, permlts for
famlly members wlll be granted for a 2-year perlod after the flrst explratlon
date, rather than the fonner l-year perlod Nelghbors wlll be notlfled of
pendlng permlt lssuance b) mall, rather than by postlng
In the future, lt wlll be lI.:c-:ssary to apply ln person Please bflng a sketch
of your property dravm ln ll1r~ lnk on 8;''' x 11" paper, showlng all structures,
wells and septlc s\lste IS on t'12 property and the dlstances between them
OfflCe hours are ~ jJ '1 11 ',0 l 30 P m
Ot~er tiDes OC lIlS;;allil1.l'HlS lor WhlCh a temporary permlt was granted, e 9 ,
caretakers OJ' fam help, r,ldY be able to rema1n subject to obta1n1ng approval of
a ConJ11.10nal Jsc ?erm1t from the Plannlng D1V1S10n (687-4186) At least three
months lS r0n~lrQU for process1ng A separate sept1c system wlll be necessary
1f the r,lol.Jlie nOI,re 1S to be used for more than a 2-year peflod (max1mum)
If further clar1f1cat1on lS needed, please call me at 687-3966
Very truly yours,
~~
He 1 en ElllOtt
Perm1t Processlng Superv1sor
HElls
ENVIRONMENTAL MANAGEMENT DEPARTMENT
AOMINISTRATIVE DIVISION I 125 EAST 8TH AVENUE I EUGENE, OREGON 97401 I (503)687-4394 OR 1-800-452-6379
.
LEE H TURK, M 0
PHYSICIAN
INTERNAL MEDICINE
1110 NORTH 18TH STREET
SPRINGFIELD. OREGON 97477
OFFICE PHONE 726-1315
Apnl 2,1980
Lane County
Helen Elliot, permit supervisor
RE: John Butterf1ela
John Butterf1eld 1S totally d1sabled from Coronary Artery Disease '. If you
have any further questions please fe~l free to contact me.
Sincerely, f
~
v1e~
Lee Turk ~1.D.
.
OEPARHIENT OF ENV I RONI~ElnAL 11ANAGEI~ENT
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
ob Address~&/? ~~..// @ __ _ Nv. S'P6f1'l't,'eLd.
~~~llf!,.>>R?nqe;S~t'6ntFaCloe /0 ~U,i7<-o~ ~ hld/J !
SubdfvUlo" L:7 -,- - -V l.ct MoCk
App1,cat,on for "'\ ,/ / /j/! ''/: " ~ - - /'- - _,_ /
Stru~tures no~ on the proper~ /1!!' ~~~-a/~ ~7 ~#/'V
l'~$a4,p$e <;if .w.", l4'1 LI ~fidlmtiil.l g ,C_,,,,,,,aT CI ~u.t"'lll LI NbHe
Aff,dav,t 1, ,J-P/1 V1 W()(')/..-PVIA , hereby cert,fy that th,s ,nformatlOn '5 true and accurate
{please print! .../
If t~lS ap lcatlon 15 for an agrlcultural bUlldlng ,t wll1 be used for purposes allowed by the State BUlldlng Code and
Lane C y Code Chapter 10 (Z0010g) and for no other purpose I have the followlng legal lnterest 1" the property
owner of record, contract purchaser, lessee. holder of an~XC1USl e optlOn to purchase.
duly auth~ act for t~r. who '5 knowledgeable ~t~ appl';.;at,on
S,gnature/Address .~ ~ ~/ tJ'r~...t.L ~ ~ ~/t1ft:-'f ~ (ll01
Telephone or Date
When perm,t '5 ready not,fy CI App1,cant CI Owner CI Contractor Q.t CI mall C/ phone
Owner (z, 0) Phone
Contractor (z, p' Phone
P!!;t~/-&D
A~slgned tlumber$
Contractor's OSR#
P1umblng by
If Commerclal
ReSldentul
#"of $wr1d~
# "t' bedrooms _~
SI test holes ready
UU NUT WRIlt B~W THIS LINE
# of employees ~ It 01' untts'
$05:, I~'st'ng,
CI Proposed,
BP #
SI #
(~ '30 --?...?>
Fee
Code
lle$crioUo"
Sq. r,t, 'or,
II of SIts""
!~it
Cost
ValuatIon
Fee
Subtota 1
$
$
$
$
$
each $
each $
$
$
$
$
$f?) (}!t)
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Rece1Ved by
Total Valuat,on $
:lllIIlllMn~rflx~ijre$ at $
,$loWtIr{ltAtllf ,11ollll. at $
Wa ter Supp 1 y
Proposed
Year Installed
da/
Ex,st,ng ~
4% State surcharge
Plans check fee
Change of Occupancy
TOTAL
PERMIT PROCESSING
zon(/Y.;r-"
Ii. fr<<il< I ~Cl <.
.E,art #
, Ii, s,de
Parcel #
~1
Parcel SlZe...$:,) 7ff
Ie:;- . rear ~
J
M,nlmum setbacks
. lot
Comments ~~~-~~~ ~_ /.k, ~ ~'
To be typed ;n perm v 't!--, ,t2L-H??A~ ~;V /74~ ~~/~{.h~Ak"7"
(}Lb'-'-,' /- 7~/?~ /,/~..Y- By.;';; /.. I~ - 'W Date '!- 'f
CP&I Type Group F,re Zone Use ClasSlflcatlon (
To be typed on permlt
d
By~
Date {, ~( { ..--11 ()
Phone
For plans lnformatlon call (area ,1nspector)
Dlrectlons to slte
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C/ Plannlng
CI Pub1,c Works
CI ElevatlOn CI n/a
I;! Address ',,-
/ / Facll1ty Permlt L
I~/ ~'.",ronmental Healt~
Pl ans to CP& I
WPC
setls)
setls)
Date
Requ1red
Hold Sl,p
to PCC
Date
Comp 1 eted
Da te to
PCC
FOR INFOR~~TION about progress of your appllcatlon call
C74-171
Permlt Control Center
6B7.HELP (687-4357)
.
lane county
~
PERMIT #~~~'-~
NOTIFICATION OF INTENT TO ISSUE
A TEMPORARY MOBILE HOME PERMIT
Dat~ 8:J
/ '
onll~A--,~,/7.J6, a 2-year temporary mob11e home penTllt w1ll be
lssufd prenewer;r to accommodate a fam11y member d1sab111ty sltuatlOn for
~4~-
- 7.r~ 1f.t'
If you have reason to be11eve t (1) the fam11y member d1sab111ty c1a1med lS
not va11d, or (2) 1f you have eV1dence that the sept1c system lS fa111ng and
creat1ng a health hazard, you may appeal lssuance of th1S perm1t 1n wr1t1ng by
subm1tt1ng your letter to the unders1gned Appeals must be rece1ved by 5 00 p.m.
of the lssuance date noted above Please be adv1sed that 1t w111 be up to you
to prove the va11d1ty of your obJect1on. If your appeal lS accepted, an appeal
hear1ng w111 be scheduled before the Board of County Comm1ss1oners and all
property owners w1th1n 300' of the subJect property w111 be not1f1ed of the
date and place.
Very truly yours,
O~ OF ENVlRO~NAGEMENT
p,i{~ s""iJ
6B7-4394
ENVIRONMENTAL MANAGEMENT DEPARTMENT
ADMINISTRATIVE DIVISION I 125 EAST 8TH AVENUE I EUGENE. OREGON 97401 I (503)687-4394 OR 1.800-452-6379
.,
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MAILOUT NOTIFICATION
On
~2Z-?O
, Notlflcatlon of Intent to Issue was
mal led to property owners wlthln 300' of the property on WhlCh thlS
temporary moblle home wlll be located A copy of the malllng labels lS
attached
Perm4t rocesslng SectlOn
Dept of Envlronmental Management
"L r:> (;..';'.--Jp/o/)Pa
Mall1ng Date T-C?-"O L~' C--C/
_ Appealed
Issuance Date
.
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Jdne Harle Welthcr
Leona Mclnghtlm
61113 We~L 80Lh
Los Angeles, Callfornla 90045
M1Tlnm J MeVlcknr
!o J(,deigh ~l & B J
941 SOULh 47th
Sprlngfleld, Oregon
I
iBobble Wught
:R J & ~llJgreL \'rlghL
4821 Jdsper Road
Sprlngfleld, Oregon 97477
I UgU1L C ell lbe
J: & Lldon W II lIb <.r L
4681 Jasper ROdd
Sprlngfleld, Oregon 97477
97477
~1LlLI LchJ c.y
Nlelsen L Pollard
Carolyn Janecek
927 South 47th Street
Sprlngfleld. Oregon 97477
Isaac W & Mora L Johnson
1,724 Jasper Road
5prlngfleld, Oregon 97477
Larry D. & Shell a J: Johns
1105 Clearwater Lane
Sprlngfleld, Oregon 97477
Harry C Maron
170 South 42nd Street
Sprlngfleld, Oregon 97477
Elmer V & Margaret Gardner
541 North 6th
5prlngfleld, Oregon 97477
Rondld N & Shlrley A Scott
4709 Jabper Road
Sprlngfleld, Oregon 97477
Harold M & L A Macau] ey
4757 Jasper Road
Sprlngfleld, Oregon 97477
Howard R & Idella Hlnshaw
4801 Jasper ROdd
Sprlngfleld, Oregon 97477
Kenneth L & Jean M Woolery
4637 Jasper Road
Sprlngfleld, Oregon 97477
Orvl11e S & Mdrle W Headlce
4579 Jabper Road
Sprlngflcld, Oregon 97477
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Att;~ /7 il/J':-'2-i7.L.-! If?/! _~.__
I 'f" , M"r - 'r ./v ::-f I. ~ -:J' _/ /......
Townshlp, Range, Se5-t"lOn, .:Tax/L2! L/L:7'" f./-.J -
Subdlvlslon /1 f/ ~H' ~~ .-
APP11catlOnpf6( /-,//7YV _ "
Structures no)o'n the pr~per,tyll H .6",/'.......,...<: ~~/ ~~ ....:;,.< / //::?'/V
Proposed use of property /~/ Res'd~ntlal~' I~/ Commerclal 0(~1 Industnal LI PublIc
Affldavlt ~IJ::.?~1_.~ f./J/\t")/..aVIA . hereby cert,fy that thlS lnformatlon lS true and accurate
r' (please-pnntl/
If thlS applucatlon lS for an agrlcultural bUlldlng It wlll be used for purposes allowed by the State BUlldlng Code and
Lane~County Code Chapter 10 (zon1n9) and for no other purpose I have the followlng legal lrlterest In the property
~ owner of record" contract purchaser, lessee, holder of an exclu51ve optlon to purchase,
duly author.lzed'fo act for the owner, whO 1$ knowledgeable of thlS apPllcatlo~~ J
Slgnature/Address!J _ 1 _ ~L..A J)//./L- .~~~G-..{'//": -~
'~/cf'-~ - Teleptone I Zr Date
~hen perml tl. lS ready l10tlfy I~/ Appllcant () O\..rner /~/ Contractor Ql C/ ma 1 1
Owner '. (Z1D)
Contractor (Z1D)
-.
DEPARHIENT OF EIIV I ROI,11EIITAI I1ANAGEI'IE
PSB, 125 EAST 8TH AVEIIUE
EUGEJiE, OREGOn 97401
C1 '5 j7Yirc-{ Ie L-d
,~~() (
Lot
~;:&'-&D
Asslgned Numbers
Block
I
...,1 1~'t::i')~;\.~ (
. . ',I
I Zl D)
C/ phDne
Phone
Phone
Contractor's OSRE
Plumblng by
If Commerclal
Resldentlal
~
# of stones
~ of bedrooms~~
SI test hol~ ready
DO NOT WRITE 8ELOW THIS LINt
# of employee~ fr of umts
" SOS ---() EXlSt1ng. r13::,f/'30 ~ .=1:('
/~/ Proposed, SI #
Fee
Code
OeSCrlptlon
Sq' Ft or
# of Sltes
Umt
Co<:'t
Valuatlon
Fee
Subtota I
$
$
$
$
$
each $
each $
$
$
$
$
y{11'..f2/)
/1
1)./ UA"IP'/d /~t' ~_A'1' X~-) Lf " '
56,-, .....''''''~-....;....t'~;T) __/,,/1 .L-.L. . '_-1:>_ .". /C(' I ;F/ /7\./
"r 1_ / ~ .v-r _ --r-Y;'-4~rT/j...-r;;f~J./--75-j.r;:~ -..... //-j,/ //j Y Y
'--;.- , '-iF - I' ~ ~
v:7~~~"'"
f '
C/ Cash
C/ Check'
Recel ved by
Water sUPPJ~(' /
Pro po s ed Ex 1 S t 1..o.g'-==--
Year Installed
Total Valuatlon $
Plumblng_flx~ures at $
Sewer/water conn at $
4% State surcharge
Plans check fee
Change of Occupancy
TOTAL
A
PERMIT PROCESSING
Mlnlmum setbacks
df~er-
'~1f~ont( /? <;;
Pa rt #
Parcel #
Parcel s:J; S ;/.?7'-
, 1~(<:> . rea.b?'-::>
tt., slde
commefPu ~r ,P, .... -:- ;),~e ... .. -' / __ /' /' J
To {. typed on pewfJ':..... -1'7/;......_-'~ h..,/~.(://'h/~1/.?:7S//.f"!t'.f'Y..~C.~~c<'1'-~S.J
{lfA_L I /_J/.. A' -:../ ~(M->>r/..._ ..//..k,::/- ,ltlilt/../ /4<_ -[P:fth urr?
WATER POLLUTION CONTROL /'
InstallatlOn speclflcatlOns "-- gal tank, ft of dralnfleld, max depth of trenches
. To be t,yped on perm1t ~O 'PJ( l~ !;'lI.Ja11t<. SU.~M _~.r I'ttl ':..Jill"
.1- ~II.II""H "'..Ht,....J-..,I\. 4;"',1..., II..... 1'-' .",.... ..r 1.1...,....1 I. " ...'
f>\Ir '''-" MlU\Jl u,'JJlt.I\U't(] 'un_ __. ........."...;. .."m.l "'!'..... -'-"--. __ _ "~'hU......'iJ.J,.fJ (Jln..rlll't
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_ l~ 0", .r-T-T:l ~.~J..,~ ~_ .~. _ ....f~ nl'J ~-ll'- jl _.LA.AJ~l -A"-'.,\....L-OV
. t"':, .. 1\ ' - .. ~." I' ,.~., - t \ to.
Telephone I..nR'l-~OMrl By IIfJ;1Mlvn.W'llaIAAI1(\i;.(oate 1/, !tI\11A. ~.m
- ,
.~ '"
Olrectlons to slte
SIFO
Pl ans to
CP&I
wpe
setls)
setls)
Date
Requlled
Hold Sl,p
to pec
Date
Comp 1 e ted
Da te to
pee
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ep&1
v,IPC
."
PlannIng
Publ1C Wor~s
() ElevatIon C-/ n/a
I~/ Address
C/ Facll1tj Permlt
/~/ Envlronmental Health
FOR INFOP,lATlON about progress of your appllcatlon call
Permlt Control Center
687-HELP (687-4357)
Y' .... -
bne county
jy
;vol ea
~/V
l z/ 0 ---
to
'1
PERMIT # 2548-81
NOTIFICATION OF INTENT TO ISSUE
A TEMPORARY MOBILE HOME PERMIT
Oate Jan, 28, 1982
On Feb. 8, 1982 , a 2-year temporary mob1le home perm1t w1ll be
1ssued or renewed to accommodate a fam1ly member d1sab1l1ty sltuatlon for
Jean Woolery
4617 Jasper Rd" Spf1d, OR 97477
If you have reason to belleve that (1) the fam1ly member dlsabl1lty cla1med 1S
not valld, or (2) If you have eVldence tnat the septlc system IS fal11ng and
creatlng a health hazard, you may appeal Issuance of thlS perm1t 1n wr1t1ng by
subm1tt1ng your letter to the unders1gned Appeals must be rece1ved by 5 00 p m.
of the 1ssuance date noted above Please be adv1sed that 1t w1ll be up to you
to prove the val1d1ty of your obJect1on If your appeal 1S accepted, an appeal
hear1ng w1ll be scheduled before the Board of County Comm1SS1oners and all
property owners w1th1n 300' of the subject property w1ll be not1f1ed of the
date and place
Very truly yours,
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
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Lane County P1annlng
687-4186
ENVIRONMENTAL MANAGEMENT DEPARTMENT
AUr~INISTRATIVE UIVISION / 125 EAST 8TH AVENUE / EUGENE. OREGON 97401 / (503)687-4394 OR 1-800-452-6379
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MEMORANDUM bnecounty
TO t~//t1rnv A-I'&nu ~
FROM vt~70' !s:fI/(,--, - /~"W}I' "(j ~L~
SUBJEC10'_.1'''" / ~ ';177 'Ii ,-Ii" /~"J(L DATE d2 - / J' 1.:>-
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IN RE MATTER OF
JEAN VVCOLE2.~
4~ 11 JA5PE.R Ro.
le,02.05 'It 220/
JOURNAL NO P>2 1- €:>D
Assessor's Map and Tax Lot Numbers
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3000 '\\"0 ld?,roJ 0 1J \
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'2500 _fullnl\r\ ,*~Ao\)~(,_-L\\f\roi:\~u)\4'6rrl\ (\~~'\~
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M14-01
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lane county
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RE Renewal of Temporary MOQ1le Home Placement Permlt
TRS/TL~-()7.{!'6 ':tt220 I
A Temporary Moblle Home Permlt lS valld for two years only,
renewed after that tlme The above llsted Temporary Moblle
wlll explre on December 31, 1983
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and must be
Home Use Permlt
!i you wisn to renew this permlt, please slgn thlS form and return to Lane
County Dept of PubllC Works/Land Management D1V. by December 29, 1983
Renewal requlres
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1 . Payment of the $85 00 renewa 1 fee
The purpose for thlS fee amount lS to recover the expense to the County
resultlng from processlng the permlt WhlCh lncludes a check of the
adequacy of your on-slte sewage dlsposal system and malllng notlce to
property owners Wl thl n 300' of your property Thl s fee covers renella 1
for a two-year perlod_
2 Substantlatlon of the famlly member, medlcal hardshlp.
A letter from your doctor or theraplst wlll be requlred to renew the
permlt lf such a letter was not submltted when the permlt was lnltlally
obtalned. If a letter from your doctor or theraplst was submltted when
the permlt was lnltlally obtalned, then you need only submlt a wrltten
statement indlcatlng that the orlglnal medlcal hardshlp stlll eXlsts and
lndlcatlng the nature of the medlcal hardshlp You may use the other
slde of thlS form for your wrltten statement
3 Substantlatlon of the famlly member relatlonshlp between the person
,1vlnq In '(he 1:em~,orary rnoPlle r,OOle dnd tne person jlvlnq 1n "rre prlnc,-
pie dwelllnq on the same property
You need only submlt a wntten statement ldentlfY1ng thlS fannly members
relatlonshlp You may use the other slde of thlS form for thlS purpose
To asslst you wlth the renewal of your temporary moblle home placement permlt,
you may complete wrltten answers to the questlons on the reverse slde of thlS
form and remlt thlS form, together wlth the appl1catlon fee, to thlS offlce
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LAND MANAGEMENT DIVISION / Publ1C Works Dept / 125 E 8th Ave, Eug OR 97401 (503)687-4061
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INFORMATION PROVIOED BY THE APPLICANT
1 a ~as a letter from your doctor or theraplst submltted when you
first obtalned the permlt?
Yes
~
No
b. If a letter from your doctor or theraplst was submltted, does
the same medlcal hardshlp stlll eXlst?
Yes
,/
No
C If a letter from your doctor or theraplst has not been submitted,
please obtaln ancj' attach the doctor's letter to tnlS letter wnen
renewlng your permlt
",---2 Please ldentlfy the name of the person who has the medlcal hardshlp
/'".:\J' 1/1'21.< d thlS person's famlly relatlOnshlp to the other person(s) who
",v .4 -<JIJ e on the same property
~!' ~ i ~8)(~ 2::: ~-,..:d-L.LlJ p1 /
-I ~ ~ '''is''' ,-I / #
\ 't:8 ..., ~i58Fanr1y elatlOnshlp ~r..J1..p.A..)
\\ -\ ~ ,e:: 3~),';! 17 /J
,/\ .... "''''~ t/
\ ,..-~'\ .0 (Jj
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" : ~;;'TT-;] .';/ENCLOSE THE $85 00
4 Slgnature
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TildllK -YUU 'v, Juur <-uuperdt-,On I, yuu nave any que"tlon~ rEogdl"I.IlIlY 1.nl~
letter or need asslstance, please contact Carol Dyal or Marsha Mlller,
Land Management Dlvlslon, PubllC Servlce Bldg , 125 E. 8th Ave, Eugene,
Oregon 97401
Kenneth L Woolery
Jean M. Woolery
4637 Jasper Road
Sprlngfleld, OR 97477
LAND MANAGEMENT DIVISION I PubllC Works Dept I 125 East 8th Aqe ,Eug OR 97401 (503)687-4061
Lot
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LEE H TURK. M D
PHYSICIAN
INTERNAL MEDICINE
1110 NORTH 18TH STREET
SPRINGFIELD. OREGON 97477
OFFICE PHONE 726-1315
Apnl 2,1980
Lane County
Helen Ell1ot, permit supervisor
RE: John Butterf1eld
John Butterfield 18 totally d1sabled from Coronary Artery D1sease. If you
have any furUler questions please feel free to contact me.
5incerel~_!_ 1/
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Lee Turk M.D.