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HomeMy WebLinkAboutPermit Building 1975-3-10 ~ ".: ..\. . ~ ,. t , _.. '\-"LA~/.~~Y BUILDING dC: BUILDING PERMIT OR MOBI&OME MH D MAILING ADDRESS 16~0 SOCTN A STr.~"T MAILING ADDRESS USE PERMIT PERMIT' NO. :m-7.)' " ~ PROPll'..TY OWNER ;:E,';]:,~7 3:107liERS CONTRACTOR Spi:ltlor IEl:> PHONE Cr.~CO' (~:'>-4\f2; PHONE ~--Ai:t: PROPERTY LOCATION - INClUDE POST OFFICE ;~2~ DElRos~ AV~~UE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS V~11A DEllE LOT 3 SlOCtl 1 TWP RANGE SECTION TAX LOT NO, CODE CENSUS TRACT 17 3 24.3.3 16<)0 SOUlII A STREET EXISTING STRUCTURES ON PROPERTY t:O~IE LEGAL r=CESS TO PROPERTY ) \ iJ~lrlOSE AVEtJUE PROPERT~ - FT. / WIDTH DEPTH AREA APPL. NAME & KePHART B:10THERD MAILING ADDRESS SP:11 r:Gr I ElD OREGON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT i-1A III Connect to Existing TYPE CONSTRUCTION 1134021.80 '516 0 5.30 Sewage System D SQ. FT. :;t BDRMS 1J\1E II HIe, 3 New System D VALUATION 24,7" 1. 20 " ~ 2,T34.~_. V27\11!1)",-G:"1- , CiAI'A<'E ... .r v "1 -':"-'24 oJ ~ ,_ SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER l~-~Dur:cHAnaF. TOTAL " SEPTIC TANK D OTHERD $_121.00 0;0_00 ~1.00 FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 D OTH ER 1.<;:;> $ :>m <;0 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED 150 UN. FT DEPTH 30" TRENCH WIDTH FT. OR SQ. FT. MIN. SEPTIC TANK CAPACITY WITH 0151. BOX: GAl. 900 TYPE OF STRUCTURE 5tJ BLDG. SETBACKS u FT. FRONT ~J I OCCUPANCY I (1,. J ZONE PUBLIC UTIl. EASEMENT FROM eTR. OF ROAD RIGHT OF WAY SIDE INT. 10' SIDE EXT. AUTHORIZED SIGNATURE - DATE USE ClASSIFICATION REAR cO' hI J. E. OO~!1 Dr C. :iAflOAUClf! JO:'HJ SHoc:(/~Atll TAR I AN DATE 3/1oIT5 DLil BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule 011 required inspections, All canstruc- tian sholl comply with Unifarm Building Code, D,E,Q, standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing, All buildings require a certificate of accupancy before being occupied. (See Details on Reverse Side) FORM = C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 ~ILDI~G SITE EVALUATION. <JS e... H. (~arIL~'ING PERMIT APPLICATION NO. ~/-7""" () SITE INSPECTION PLANNING DIVISION Not Aool icable 1. Zoning Ordinance Compliance: Zone~~ ( ) 2. Subdivision Ordinance Compliance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T *? R 03 S~~'?~AX LOT SiiWr'VISION: : LOT: BLOCK: ~ APPLICANT DATE No Yes () n 6. ( ) (h ~ ~ ~B ( ) (~ PLANNING DIVISION ACTION PENDING: YESl ) NOl } APPLICATION# BUILDING INSPECTION DIVISION Not Aool icab 1 e ~~ (( 7. Plans Submitted 8. Soil Stability (footings) 9, Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Aoolicable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No NS () ( ) ( ( ) ( ) ( ) ( ) No ~ () ( ) ( ) (,) ~o CK'D flY .(~~~hs-' Setbacks from c/r ~f)road: Front 50 ' -s.i-de-Ext~r i Qr ~ Setbacks from Interior lJnes: Side I~ Rea r :2\:) , CK'D By:C2~L~.7'-'7J ...~ CK'D BY:jU. 3/~Q' DATE TO APPLI CANT: {fur Building / Site Inspection: Can be approved. ( Cannot be approved at this time as indicated on item NO. above. Questions and further information on items 1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further Information on items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit a,Ppl ication fee is being .~~t.\l.'=.n.~d un<!er seoarate cover. DEPARTMENT OF ENVIRONMENTAL MA~~~MtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 \'0" 1~ 3-" ti.. C55-28 , LANE aNTY BUILDING PERMIT OR MOBlaOME' USE PERMIT BUILDING d~.u0.~ .0..__ PERMIT NO. ~ ~ ~ ; .~ .' . ., PROPERTY OWNER '. MAILING ADDRt:SS ,.. , k ,':JV:: ^ MAILING ADDRESS PHONE "IT :.>~-'. ~ C .,," CONTRACTOR PHONE PROPERTY lOCATION -INCLUDE POST OFFICE ." I . J: PROPERTY LEGAL DESCRIPTION - METES. BOUNDS ',j~' . ~ ...... TWP RANGE 3 SECTION (~ ,C '0.:1 TAX LOT NO. CODE CENSUS TRACT APPL. NAME & EXISTING STRUCTURES ON PROPERTY '01 LEGAL ACCESS TO PROPERTY ,"..-,- ., MAILING ADDRESS :..J FOR MOBILE HOME PERMITS ONLY No. of Bedrooms ~ STRUCTURES TO BE BUILT THIS PERMIT . )....PR9PERTY SIZE - FT. WIDTH DEPTH AREA "'"\..s:.-:---- ~ :::..-.'. ...,--~~...1 "~-' '....'.: '- .,,' ... "b ~ . ,,-;.~ -- CQrinec:f-fo~ Existin9\':~e.wct_~,~SY.5tem. j TYPE CONSTRUCTION SQ. FT. ;: BDRMS , ' New System 0 VALUATION " 1,.. ~. .0 ,. \ \ , '-".J \''1. ~\.. \ ,,\,> : ~ ~ \ C.._' , ., , '. , .. -> ". .' SEWAGE DISPOSAL PUBLIC 0 BUILDING PLUMBING INSTALLED BY SEPTIC TANK 0 , OTHERD , '- FEES OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 0 OTHER WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER \ .' ), , . " .~ , . " ,. .:- :"l '::-.:._::~ ...,..,-- '. '.. ---..., .. .. , ;:", _,",.::1'; -..,,,'_:.-,' '----,:;.:-- ., TOTAL $ MIN. SEPTIC TANK CAPACITY . WITH DIST. BOX: GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQl,IlRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. .\ '. ~\''''';' :-:..~\ '" " ~ ~. \ t ;,': \ TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT .' BLDG. SETBACKS. FT, FROM CTR, OF RpAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR . .-- L /1' ~.: 't. " DATE BLDG. PERMIT - WH ITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections, All construc- tion shall comply with Uniform Bu.i1ding Code, O,E,Q, standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied, (See Details an Reverse Side) F'"ORM::: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 1:15 EAST 6th, EUGENE, OREGON 97401 r ~ . . . ' . S! TE INSPECTION ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR RO':'!\,RK S -- FOUNDATION INSPECTION ApPROVED ~ D, S"PPROVEDj J' DA:E tl-,,~ ~~;NSPECTOR REMARKS [,; It ti ..t'~O.___ .fj-t....,jI.;L;~ ~ ~ d . N;'6t:. / ,-1 ~. , /,~ '# ,- . -"Z}, tJ-If. ~:'~o..4;- - -W=->~'';l'J -bl,- , - . \I' &~, l_"A .:. {?i (,,r-- /\ ~ {'-/ FRAMING INSPECTION / ApPROVED J1Z!- ;':APPROV~D DATEtj-/~"7fi REMARKS ~~o{ J2 tI-7i'" 1f() t::i--- . i} } , - . (~' /Z-' INSPECTOR ,(%: __" /. LATH OR SHEETROCK INSPECTION ~~ ApPROVED / L/I D'SAPPROVED /I DATE1(-:4:]vJt' INSPECTi'-7. ,. t!2.J ~.~_ ~, >'7:-iLL/ 4,J/ REMAR~~ .:_ :"'~~,' '-1l_-~..A":e1;. l' '''''1'='7-~ #_.r..~_. ~ , /, .-' I FINAL INSPECTION / -./ d,,!' "'/ APPRDVE.D L!!J DISAPPROVED ~ ~ATE '~'''''''fiI'fJftJ REMARKSA~J ~~ .r.tJ '~rt( - - I ();( /' I I NSPECTORf!::L~- (_........ " CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS A /J // ----~e~:%7 _ J 71-7.J-/~~ 1~,2f\LJ~ 7 '\, i'f1 Si9nature p, . J.A p--.e.'~ CERTIFICATE OF SATISFACTORY COMPLETIO A ' For Sanitarian Use Only: Date: 't-~1---75 In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above I oca~..1 o!).. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: INSTALLER: Comp rete top INSTALLER'S NAME JJIJ.t No. living II ~A.b~ Units Bedrooms Septic Tank: Ft. from well Steel 0 Ft. Diameter Inside Length OWNER NAME Dimensions: Width k'rouAOT ~onTUC'OC: HAILING ,,,~,, "^"~" A ADDRESS Length of L j~~;:~[':~ -I T~;ric'\i'l ''lo2f1.m. 4. 5. 6. Width). ;'Iot Plan (see instructionsl: . , ) .~~ .... ) .< ." J' . . , /', .1,) ""') -.: ,'':\' ,. ~"; " .:~ (- ~ .(~. , , .,1 \~, ':'.. ",J '~/~ . .,.y '-0;,....._ .., ,. :/ ,._~~t ;-~~/ Date C55-11 . PROPDSE~WAGE DISPOSAL SYSTEM RECORD ~ '. . part of for~ signature and submit both copies with appl icatibn. ... . PERMIT NO. ,71-7~ PROPERTY ADDRESS JS Baths DELRoSE Basement Yes No Water Supply Public Other-List Concrete ~o. Compartments I Gal, Capacl ty I (It) f) Tile Disposal Field: Depth Distribution Box: Yes V No Other Distribution-Type Total Sq. Ft."lbD Feet from WEll Lot li ne Front 1Ft. Between Lines 11.. Rear IFi Iler Below lnJTile I. in. Foundation Side IFi lleI;.IFi ller Depth Tvpe I 2 Above Ti Ie J. I '/ I I t)L~ L fRo' t- ~ " 1';( r-r -~-'- ---- ,--- ., -=------ ---- - , .r- '~ ~ 161r ,.,,,,,,"'$' I~ -7. /p,r \ ,;to- \ ~(.r I I - J rp r ol 71 -II,.rl f't fr ~. . salt~~~ s Signature LANE"^OOUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY Call 687.4065 to schedule all required inspections. All construe. tion shall comply with Uniform Building Code, D,E,Q, standards for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied, (See Details on Reverse Side) r-~-'" I , 'LANE Cay ...1 BUILDING D.'. PERMIT OR MOBIL.ME PROPERTY OWNER BUILDING MH 0 MAILING ADDRESS USE PERMIT PERMIT NO. , ' " I ::i:J,l': ~' L,;;; ~::).~.:: fi ~70C~:Y S:?~lf:Jt;C~i) c';:,'C:~' H~._.n' " ...: .h..J CONTRACTOR , r ^" , I" ,0... kr. PRO~E~:Y ,l~:~T~ON ~~~l.~~DE POST OffiCE 1/..".". .,,[.1;..._., - PRO~ERTY LEGAL DESCRIPTION - METES, BOUNDS "1' '.... '--',' fe> "O'f ';'l r~. c~~ 1 _. ,~IT'" ~d,' l;;;. ;; .... "tA.~ TWP RANGE SECTION I! ,'.1 ,." '.) ., ~ J ~-J.J.;) MAIliNG ADDRESS TAX LOT NO. CODE CENSUS TRACT APPl. NAME & MAILING ADDRESS ;,:":1! .:~~ t Po!,,) Jr::re::::1 FOR MOBILE HOME PERMITS ONLY No. of Bedrooms EXISTING STRUCTURES ON PROPERTY ::C:;:!A:'Y =-~c'n~e:;G ;~~~:!: ~C:;a QC:.mc !'1 81';SS1 LEGAL ACCESS TO PROPERTY (J!!I.r.(;,"~ t.V[;(,:::; PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION :1;;'1 (; 21.00 Sewage System 0 SQ. FT. :;; BDRMS " .,..... ..,- ,..".~t~ . ..' STRUCTURES TO BE BUILT THIS PERMIT l~G"J ",.,..,.... "'~ '.-..~..... ')1(; c 5.3) ~! ,,')I,;: SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER 1-1..",.., '.:1:" , J.... TOTAL . fEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 OTHERD ~21a(2 (if)_r~ ~'i..~~ o OTHER PUBLIC 0 ~ ar:~ t, ~:p..tn COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GAl. DRAIN fiELD REQUIRED 1,,, ..~ !1r.:'V:l ~.. TRENCH WIDTH FT. .... OR SQ. FT. ;,.....:..- L1N. FT TYPE OF STRUCTURE !~:r-\ ~.. OCCUPANCY i C', J ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS __ FT. fROM CTR. OF ROAD RIGHT Of WAY (~~ ,n, fRONT ~ SIDE INT...J SIDE EXT. AUTHORIZED SIGNATURE - DATE i~./ J. :::. I ,~:~ ~JV :.. ;~"~::t.Ci;J REAR 2J~ USE CLASSIFICATION ~f~:::: ~:#"C'J:(/Cn.=:~t'^~t~~ BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: ,ORM:: C55-1) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. Of ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 '1.<;, PHONE I PHONE New System 0 VALUATION ~ 2!.~ ',:::.~'~' ~ _ ~-.~~', _ _e~. <"""" :__.,'0-"- ~-,,, ~" ; ~'!t.../ '. DATE ;:jwto ,'H '" "- , SLAB FLOOR PLUMBING GROUNDWORK . . , , i , ApPROVED r7 OISAPPRQVED Cl DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED / / OISAPPROVEO Cl DATE INSPECTOR REMARKS ROUGH PLUMB I NG DATE y/Z -/5' INSPECTOR ~~ ApPROVED ~ DISAPPROVED Cl REMARKS ROUGH GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARK 5 FINAL PLUMBING ApPROVEO l!?:J D,SAPPROVEO Cl DAT~ -~c>'7' INSPECT6Rc...--y~ V REMARKS FINAL GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE r7 NOT READY TO ISSUE / / DATE INSPECTOR REMARKS INSTALLER: Complete PROPOSE.WAGE OISPOSAL SYSTEM RECORO . top part of for signature and submit both cop with application. PERMIT NO. 311-7" (~ G. . INSTALLER'S NAME ~A~OALL..15 No. Living Units I Septic Tank: Ft, from we'350 Steel 0 Concrete ~ No. Compartments \ Gal. Capacl ty (COO Inside Oimensions: Ft. Tile Oisposal Field: ~ Lenqth f1'l Width c;- Oiameter Oepth r;- Distribution Box: Yes I Nil" ~~~R '12n55 ()\JEJZ.u.OI-6E1Z Other Distribution-Type ~-EeII1L ""2 L t"'J /l Feet from a..o rn HAILING .JO':)C.l1 Or"lTlNE f?O WEll d~' Foundation";)'-' ADDRESS GOil1'}65 Gf?L~vE Oe. ~~~n~ine lOOT Side (00+ Rear 1001- Length of Lines-Ft. [TrenCh I Total Sq. I Ft. Between IFiller" IFiller Depth IFiller Below IJCll2\o03)O:>4Ito5. 6. Width"Z./ Ft. 9lOo Lines 10' Tvpe \1~Above Tile<-inJrile bin. 'lot Plan (see instructions): PROPERTY ADDRESS \-l-ot 6 S:lZV , Bedrooms Baths ~ '?. ~OWE,1-L Basement Yf'!5 tNO) ~ '\?o. Water Supply P'.'~l ic Other-List 111EI..L.. -l-VWELL ~D , I',' /, " , , I /~ 1 " " .~ ---...... fJ-.\-.J/,.~,. ,. <:J/1' \ /,1 0 ~o:. ....j\\-II< / ' 00 V \ --r "/\ ,<<\ 1 / I I , r~\" I I.... " '":) , . " ,,/ J~ :: '5\'1'~ U!:; I I I I I I I , I I I I I, I ,--, I , -, 'To Tt:eE:l1uli?m.. RD ~ -"'vI.- vJl' . RECEIVEJ By , I I , ~Iope. , I _, I AUGO'(197~ LANE COUNTY ENVIRONMENTAL MGMT. rJ /' (\ n (l ')/} Date PI- (,,-7Z;- Si~nature,~ .rt<9y. /'r1 AI( 1l../Vl.IJt./IJ UI/ CERTIFICATE OF SATISFACTORY COMPLETION ~ For Sanitarian Use Only: Dat~: 8-.11- 'J? In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above loct:1. Approved: System Installation conforms to current standards Disapproved: Does not conform to current standards Remarks: C55-11 ,d1J.~ S~nitarian's S~nature LANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY ,NOTE: , NO PERMarLL BE ISSUED UNTIL THIS APP.ION HAS APPLICATION FOR: PERMIT lF~ '\ \ -'1s: BEEN APPROVED Ii' CJ CONSTRUCTION ~ MOBILE HOME OWNER ~""J-.J...J....... CJ PLAN REVIEW CJ CIUU;GE OF OCCUPANCY CJ Name Address City Zip Phone CR CONTRACTOR \<e.. e""'''' ""\- I?:,\l" , \(-,qO S, "A".s+ Sr.>\. L-l. O'<r 71./ b -4 L/ ;;) C; Name Address City Zip Phone O,S, REG, U I, \ I., \1 Range....... ~ ~13-3 ~c) Census Tract ~~ Twp, Section Tax Lot Code Subdivision V -I! "- 0.. \::) oJ. (L,_ Lot ,~ Block \ Property Acreage Width______Depth ACCESS TO PROPERTY (Road Name) \::).. \ '0. to <. ~ \-:)l)(> -l '^-"--' Existing Structures on Property: / \ Property Location - AddreSS/Directions:~'1:) q '\ - ) r Below fa r Of f ice Use On! vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX >--- (\'...( Sq, Fe, ........ UBed~........ Valyation ~~ ~ \-.<> <:::J ~',,",COI - \ ,f'\..... ""' \\~>\ ~ )<::J\.P{,)~ ;:-~\..I.'1~ \.::\{) . ~_ "'" '\:::.>--- ~ ',,- S\l ~ (Ii)) ""~ '- ri.' l\":\I.\. RC l)" l\7n<;.p ~1)P\.-'\I'" n.~ l. SEWAGE DISPOSAL, .ACl\-t -.... { S~ Inspection U L)"\. \ 0<. \. WATER SUPPLY: ' Well Spring Other Exi~ting Sewage Disposal System Public CJ Community ~ CJ or New System ReqUi~ ~ Name of Community or Public System FEES: BIdg, Waste Diep. Plumbing Plan Review Mobile Home 1% Surcharge \.:;;2 \ ,00 c:...~~ '-~. - '\=1-, ( I-... () PLUMBING, Installed by Owner CJ Other CJ Name PL}ll'BlNG If.E~ '--\~0~ of Fixtures \.~ Sewage Connection j.., Water \:;l Connection TOTAL PLANS FURNISHED FACILITY PERMIT \. ~~, r-1 A rlL, . ">\ L---.j C SH W YES CJ NO c::J YES CJ NO ih~a.'Q..,oo t...Ud ~K~\.(J''103 XSignature of ArJR!!::.ant:..J:1,.<JoLO~=-- %, \f2o _\ -"' . \ Fee Received By:.i.. --....."'-., ~ Date: ~ \.:::. Min. Septic Tank Capacity ClOD Drainfield Required - Lineal Feet: ;:((:) '.10'( Maximum Depth ~ f Type of Construction (:,f) LY Group Iq V Fire Zone Use Classification Bldg Setbacks - from Center of Road Right of Way: .......... ' D' Front ~ Side Int. / SiQa...i""., I Rear? 6 Zone Ae.r ~T ~/f7.<' DATE: 1i~T}: ~ IJ tl!:UJING: // ../) /DATE: ~/4, /7S fl1.5r"h1fJ /~.!5:;/,;.h f)~l:~ E~IRO~NTAL aNAGEMENT / - C55-11 ~: LANE COUNTY DEPARTMENT OF