HomeMy WebLinkAboutPermit Miscellaneous 1982-5-16
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, · FLOODPLAIN ~lAflAGEMEr~;- \..........:4$-.[U ~~..,. .
Department of Environmental ManagemBnt/125 East 8th Ave., Eugene, Orego~1
Date '5-1&.-[32- :;7-435~lb '.~
To:
~ Permit Processing
o Planning
o Publ ic Works
Permit No.
775-80
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,.to.
Partition No.
Subdivision No.
Applicant Name
Address of site
'"DJ:>..IIID :ec:>D.!..I<Ot0:S~'J:
I \ In 1A?:c!?er.-e De:. .
SFD AG 7MJI") ADD. COMM.
o Approximate flood hazard study area, extra precautions may be appropriatB to
assure that the building site will be reasonably safB from flooding.
jgj Detail flood hazard study area. Data Source
~ Mobile home tie downs required.
o Substantial improvement.
o Site in rBgulatory floodway channel, building prohibited unless it is demonstrated
that the cumulativB effect of proposed development will nut increase the baSB
flood at any point. Contact Floodplain Ma~Jtment for more information.
.[gj BASE FLOOD ELEVATION + l' = 447.00/ I (r1SL). Certification at or above
this elevation required as chBcked bBlow.
o OTHER
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CERTIFICATION OF ELEVATION
I, MARI/nv' S. k/C (./.~ AI' , a RegistBred ProfBssional
Ljq N D .'>vR. //;.; t4 t!)/e in the State of Oregon, do hereby
certify to Lane County, th~t thB following Blevation represents a survey
made by me or under my supervision.
o The foundation elevation (including basement slab) =
~ The ground elevation that structure will be placed on = 44::' ff-
[g) The fi rs t floor e 1 evati on = 4-4/l .2". '(MSL).
o The elevation of the top of floodproofing =
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RBference Bench Mark No. 1'(;'( SP/,J!tE Pt>t.e -d/39/~Et..ElI 4$'1.56
Location I!?E SaC/TN. /tJ.'!. wG"Sr 01'= THE C'!!"I'ITEl2t..//1/.e.
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n~ #.4wnEN B/l..JhCnE: l?t!n4/:) €I" "/API/EST" /eJJ>Jtr. 1147;.) Sr.)
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Signature
Date
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SEAL
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to Lane County
REGISTERED
PROFESSIONAL
LAND SURVEYOR
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OREGON
JULY 14, 1978
MARVIN S. KRUSH
1643
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Original to be certified and returned
Floodplain Management
1st copy with application/inspection
2nd copy to applicant
3rd copy to Floodplain Management
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, OW- mENT OF ENVIROW.IEtITAL IVili,\GEMEIIT
. 1. f PSB, 125 EA5T 8TH AVENUE
EUGENE, OREGON 97401
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!I~r,~,~I,~,u;~w.9.fin~l!sJ.12,%WI~~:f~ot: /7-a.5 -,2,3,- th.Y -~ - //'0-0 "::.:L t:?V
r$oij~l v,lA1R~] ..:::- . fLat} ,61ocW
Applicatio~ for ~ I,/~ ~I~
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Affidavit: I. 1\A.1I lei. ~~"IA-~<,,>:! '" I.> ~ , hereby certify that this information is true and accurate.
(PJ~~~etprJotr .
If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
owner of record~ contract purchaser~ lessee~ holder of an exclusive option to purchase;
)t, duly authori~ to ~t~ the owner, who is knowledgeable of this application.
Sign~ture/Address M~(.-I i<:'<c~r:.r_~~' I~~o c....7' W./~..-<-R-. (zio)C;; 7<..t"7 "7 ,
Telephone ?lJ.r, -7,,;: /_ or 2iL1.- ...-2,,'>? _ T....J.,:... Date ~r..;. Q. -Cl - l?: 0
When perm~t is ready notify: l8( Applic~nt ~ Owner ~I Contractor ~: ~ mail ~I phone
Owner J;u.~ \(.,.~"'-\<...<T'L0 ~ \L '. ~ 1::.1!L" IU -0...... ~ (zio) 97<+77 Phone
Contractor f;.M .er~L..L --r-", H '\\ -<?.... '" A\...~.r __ (zio) ,Phone
~contractor's OSR# Plumbing bY' ~ ~ ~
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$Q~ii I~I Existing,
fjl Proposed,
fUriTt1
fCOst1
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SI test holes ready
ffet~ ~~="" ~'^ ,'"~
Code DescfiritTIIn~
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DO NUl WKllt titlUW
# of employees
BP ,
51 #
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Valuation
Fee
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Received by
Total yaluation: $
:~liiiilliliig:;fJit1im' ~ t $
t~~/~~'~t]C?~ij~}f at $
each
each
$
$
$
$
$
$
$
" $
$
$
$ t:;/CJ.rCJO
$ ?/, 9"0
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Water Supply
Proposed
Year lnstalled
L.r-L~
t<.Ad p' )
Subtotal
4% State surcharge
Plans check fee
~slJs
Existing _
.e.1""~t; u; vLC..par~\"1
TOTAL
PERMIT PROCES51NG
Minimum setbacks:
Zone/k;C; Part; , Parcel' -=---;;rcel Size~-?Z~7Y',
1., fro~r L-S-I'"J ' 1., side into /L<:;"" , rear dl/7.r
/1 L7 o. . ';L, n _, 7"- .', '
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{/ {/ By ...../7 A--.~ Date. .q-.~/-Yc/
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Group Fire Zone Use Class~ificadon
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Comments v
To be typed on permi t
CP& 1 Type
To be typed on permit
By
Date'
Phone
For plans information call (area inspector)
Directions to site
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/~/ Planning
I~iic Works
/:/ Elevation ~
~ress
I~/ Fac i 1 i ty Penni t
/~I Environmental Health
Plans to:
CP&I
WPC
set(s)
setls)
I
Date
Required
Hold SI ip
,.to PCC
Date .
,_Completed ;..,,"
Da te to
, PCC
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FOR IHFORl'\ATION about progress of YOUrl appl ication Cd 11 :" Perm; t Control Center 687-HELP (687-4357)
C74-171
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lot Plan
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FE B n 1 1980 ~ 11
\100
Water POllution
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C74-150
Job Location (Address) d-.(,,,n Ill""- c'\ --:-Q'4'J, '\ ,
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Permit U -;q4:3tJ Fo~ylI1Pr?l'l<:;h) Permit U For I
Permit U For ' - Permit fI For I
Permit U For Permit n For I -
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APPROVED
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DATE Of Jlhp,JI1,u/.E!D
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