HomeMy WebLinkAboutPermit Building 1979-3-31
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lane county
March 31, 1979
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K L Woolery
4637 Jasper Road
Sprlngfleld, Oregon
RE- RENEWAL OF TEMPORARY MOBILE HOME USE PERMIT No. MH
630- 78
A TEMPORARY MOBILE HOME Ust PERMIT IS VALlO FOR ONE YtAR ONLY, AND MUST BE
RENEWED ANNUALLY. THE ABOVE LISTED TEMPORARY MOBILE HOME USE PERMIT WAS
ISSUEO ON 4-3-78 AND WILL EXPIRE ON 4-1-7q
IF YOU WISH TO RENEW THIS PERMIT, PLEASE SIGN THIS FORM AND RETURN TO LANE
COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT WITH THE RENEWAL FEE OF $10.00.
AN ADDITIONAL LETTER OF EXPLANATION OF THE NEED FOR A TEMPORARY PERMIT MUST
ACCOMPANY THIS RENEWAL IF ANY CIRCUMSTANCES REGARDING THE TEMPORARY PERMIT
HAVE CHANGED DURING THE PAST YEAR.
* * * * * * * * * * * * *
PLEASE RENEW TEMPORARY MOBILE HOME USE PERMIT No. MH
630-78
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No CHANGE IN CIRCUMSTANCES DURING THE PAST YEAR.
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THE CHANGES INDICATED IN THE ATTACHED LETTER REGARDING THE TEMPORARY
PERMIT HAVE TAKEN PLACE DURING THE PAST YEAR.
SIGNED:(
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CONSTRUCTION PERMITS & INSPECTION DIV / ENVIRONMENTAL MANAGEMENT DEPT /135 EAST 6TH / EUGENE OR 97401/ (503) 6874065
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