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Home My WebLink AboutBuilding Miscellaneous 1974-5-10 ~~tl. ,~IIICC " U~.'; 'On Iv" ,,'.\tUt.~ I r v.\ . I I.. j,~~I"I:\. j iUil .. ,I ... , ~ff~?/ r .fL:.15?t . wrcs " 110 Rccl!Tvcd by Code C.T. Nunoucr Socciol Pcrmlt Arco Urbnniz;n', Aren TltlS,,1S A PRELlHllIARV',RE.,PORT WIIIC~D ESA-lOr II/SURE THE ISSUANCE OF A FUTURE BUILD ING PERI1IT. PLANS OR EXPENOITURESHAOE IN !\Ell I CE UPON THIS REPORT ARE liT VOUR OWN RI$K,' ,... 3rd Au, P lEA S E P R I N T (311l 5 (/-25-;2')' ,-i ,II Subdivision - IInme; HI. 11/1-1'"/1""(., Blk'2. ((- 11.)81Ii/(g"/-(D)ot Ii?; : Block 1/ J ,) - '. (y;S) 110 '" ~ Owner's Consent S, I, II 7{/-;3'b 2. 'l, 4 '11l'1 ." 1f35!L2W Township Range ,,\ Sect ion Tax Lot 110.' , 8rut::,<r:. E'v Owner of Property Rt-dc.a.. F','f No. of 5 i tes I a Name J.:L'fFf r;(fE:f{/"lA/dra:./- La'/~ No. of Acres 4-' Ha Illng IIddress Sbh",/,f:.c:!/ Total I' /7 ~ ' ' Cash 7Jf{,-307'?. Xp~ ...h"'~ )"'7"-Yo;'V/..7~'heck Telephone /I Signature of Applicant Oate' ,/- , $ ~7S,o--. $ $ ;-:S2S. Or) , '" s--. c . .l' -t ;..: r- , =tt ;.,. ~ Owner Seller Proposed Use of Prop,erty: /?a-:s.'dr&/rf: ty; Applicant's Interest' 'Buyer In Property: Other (Specify): Rea I tor c Property Size,) Legal ACCesS - Road Name ~ Existing Structures on Property , . ':," '~s Property Within One HUe of r~s ..- What City? ~ City 7 Proposed Water Supply Publ ic V ~istrict: Spring Well Other (Specify): \'j';::',' , ',<:,1', . 4.~ I. .~' j ~';.,; ,I , ."1,, ';';'i ~.r" Property Location (Directions): /../'C.!!fi c/- irdS/,zr li'd St'//M j 8='.1 S..~.1'-._'.J. '!I>",iJl dA.-lj~~ I'~A" h/ ~ When Will Test Holes Be Ready? HARK TEST HOLES WITH OUR FLAGS U.'1 //;'A1 - .' :.... (Date) ",-: ,'I.!":." 11, I t" . ~ r I . ! ;".l!II 'II': "'r.~.rl~' .. .... ..... '" .' '''-.. .;r.':""'" "lI'lh " ::1/. , II.,':' ~ \. ,t", Location of Test Holes on Property: Draw diagram of property these landmarks: :1' . showing location of any landmarks ~nd relationship of tcst holes to ~ 3 '\.' "'rO, -'-' / , , ,. ..' , .,.... .... .., t' I' .,.1':'0". .: . Vll~ .~. , "I "'1} I" ... ! ::: , . 1:1 .' 7 I' )/ /9 : ' , ~ , .b(~ ,-iv.,. ! ','" "' 1'1' " HAKE CHECK PAYABLE TO: HEALTH AND SANITATION HAIL TO: LANE COUNTV BUILDING AND SANITATION OIVISION, 135 E. 6 th Ave., Eugene, Oregon 97401 css-ss, '1-', . " "I ' l\JqS D\'x..~ ,"-' ~ .' .~;":-" -. " ',~! I, f '-. . ,", ./ ._~.~/~;~,~'~~ \ -~- ._~ '. / ~ _____l12f _L.!l!k J __'!!...T~llolo: 0" - {rf k~" f,~, II..! d/ --- '- 4, 1 '6 is/ ~ :}- .-----iij.- "est 110'10:_ 0" -70 A.o<"m " " . I I -. TEST /lOLe RESYLTS '-<9 t, ea. :l.- # 2 Test /lole 0" >><" "I J (.(,.....l-._ ~ lv "-,Cti I?,r, . ../ -..--.-...-..... TEST /lOLl; RESULTS 4..+ f---B.f4 '1. #2 Test 1I01e 0" - 1$" l.,oan1 11+ V.e f '\ & '\ i-,d,J('~ sI- 7'-1".3lf).- /0"1. U 7<( f At LJ l ~j'k .i..- #3 Te~t 1I01e ""'\ -0" - 7S' ..(O<1.m .__._._.~ .... '. "--. .. .. /.... f fO 87J;; A- n 3 T;;;, /lole 0" - 10 " .fO(} '>, . '. , ' '. I I) I ,',:1. , . ~. I :.