HomeMy WebLinkAboutPermit Building 1977-4-26 (3)
TRS, l'
/-/
,
/ '7 - ?) - :2 6 - / - / - .yo d
Job Location
.2- :z. '1 q
1) e.-.6 h-:>
/))o-/:#' .
,/
c:: ;p r::t:d ,
ri .
INFORMATION SHEET 7/./ 7
) Site Feasibility Study for Septic Tank. Number of sites - ?
) WOuld~ike t meet on site. Call . (owner, etc.)
Test hole illYfe rea --t? j'
) Completed Subdivision 'J A--... / Lot..::.,)- Bloc~ I
( ) Pending 1/ 0#//77
APPLICANT'S NAME AND ADDRESS Eu. q C!-ne..... /'T-a /LJ,::r /~ c:7..l 79' -r:f7~_/d:lt. ~o(n~ ?{/(t -6 ,3J"..3
OWNER'S NAME AND ADDRESS, if different from appli';;ant's ." /J.!.-h r-. ~ / v Phon~
CONTRACTOR'S NAME AND ADDRESS -<,".#9--~ -E- Phon~
N[ail permit or results of site feasib!.!i-ty study to ( ) Applicant ( ) Owner ( ) Contractor.
~r to pick up, Call ?V",,~.3 g>- ~ (owner, etc.) when ready.
.RUCTURES NOW ON THE PROPERTY 0~~
PROPOSED USE (this permit) ~\L,\ "'l:AOOV\.
WATER SUPPLY~~'f.:50~ lkh-.vr-'l:::. ~~,...
SEWAGE DISPOSAl ~ -~\c:..
PLUMBING BY l J fA..
"
) PROPERTY IS WITHIN ONE MILE OF CITY (
~ Building Permit
(
(
Acreage or Lot Siz~
Partitioning #
"existing or proposed well, etc. If public, name of system)
'~xisting or proposed septic tank, etc.) S.1. ""
Address
...... *.. ** ** * * ** *.. ** ** * **.. * * ** *.. * * * * ** **.. * * * * * 0 FF I CE USE ON L Y BELOW TH IS LI N E * *... * * * * ** *.. *.... * *.. **.. * *...... * * ** * * ** **
* *.. * ** * *
( ~w dress Necessary ( ) Facility Permit Necessary
ZO SETBACKS: Front . Side Facing Street
.. (FROM CENTERLINE OF ROADI
To: PlanninglBuilding InspectorlSanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreciated.
) Special Permit Area. Minimum Eleva~
Interior Side Yard Rear <:s:: II
(FROM PROPERTY LINES)
By
Permit Processing Section
Response'
C55.'2
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Perm it Processi ng Sect ion
125 East 8th Avenue
687-4394
nivision
. _ _ .i;:::-. =_=::"'-=-C,--'--'--=O _..=.-....c:'--.o ..-'.-' -'. .
,..-.t!1 --~.,
.." ." ~
,I
Ii
!
\. ---- .---.-- ;
\---'-. --1
1. . 1
I . l
t. ----...---.-------..-
\ \:-~~:J
.~:::I.~ ] \
\ III 1
\ i~ <
, iI'
\ 1\\
.'
i !\
".
., \ .,
, \ :'!
i .'
........,
/' '"
~
\'\
'"
J. II
..~-::.~
!
.
/40+
. - - \'" . --
r - -' \::..- -' - --
I .,
-r--
,.-
I
I
!
\' ..____n. ___._ - - .
!. ....-------
i -.----
.. .
----~~_..---_.
~ll'
'(\73 ,
':9(:) .
-\~!
(:)~,
LV'I
~
,
I
! I
.<l
: ----":,,i0'
~11~
N Ii>
"
D ;i
~ Ii o;;j
7-1 '-.
. <. +-
;~
I
__ ___ _____n ._
-\'.-~
~~
_:1
<:\l-.
"11<:n
_"'1
~::\
oj\'
-;
,::.,
'z
~_.______}I~
--------
------~- .
1.
.
N{l1
~)(.
.J:)-
.J:)~
'Jz
\'I'G\
m
1':1:
. \J ""
)>.
c
~~
-
\ :
0--,.-
.,
I
I
1
i
i.
i
I
I
,
'-I
I
II ..
, ..
C':>
~-
t
'0
I
. I
-\'--~
v .
;,.
L-
(
.
~
'e'
.o-e-
.
Rc..vl 5 ION->
.- V'ATS~
LORNE ~l!. f
'2.4 &7 ~UMA'
~PRI NGPIEL.
FH ONE. :74-~-''7
.'
fA MJ LY ~_ J?, M..-.. A t7.D. \ II; 0 N
'FOR:
.~jytR..:~.HM.R~~:...D.E-N E:..:..~-H.A L FA I N
oZ.2::ra-"Q'se;~A' 'p~IY6. . .
=L _.__ - . -'" -- .... 0-
n .---. -- .- .,- - .---... .' .--
~
:r.
E
.'
.~
~
~
,
"----
I ..JO~ N".:...,_~
,
.. ~ -= ."!. .~ \~:
- ~