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Home My WebLink AboutBuilding Miscellaneous 1974-5-10 ~ r~~~~~ ~df7/ .", ~;~~J ",- ,..m.' "''', . I ;,1. ::0 " Rcc1!Tveu by Coue' ,C.T. Number Soecla' Permit Area' Urbani1.in', Area ntls IS A P'RELlHIIIARY REPORT WIlIC~O E,SAmT IflSURE THE ISSUMICE OF A FUTURE BUILDING PERliIT. PLANS..oR EX"fN~ITURES HADE IN. 'Y\hl .CE.~~PDf THIS REPORT c"RE AT YOUR OWN RI$K... ; '" 'f,", 3'rd/J<M:.',PfEASE PRINT 81/(5('-15-:20.' ,If S~bdivls~"n\- Nome: yf Vd-;:"::" Blk,"2,. ((-IL)81f,{B-9,IDlot /.9, ,Block H 1i35F(? hJ. ,~;?,t( If~ 13..t:.,-t"",&v ~ "No Township Range Section ,Tax Lot No. Owner of Property Owner's Consent . .7l{-;:3'b 2: ,~, I I ~4 ''ifi j ".' " "'~ R,-ur:.a. F,'X' No. of Sites I~ Name .L3J:Ff (:J~I-Wd-fa.1- I-d(7tZ No. of Acres 4- l1a I ling Address ' . ~br"/"rf',<a.f/ Total .,., /7 ~ " Cash z..Jft-'3ot~ " X..1?'/...h"'~ rr -Y <%1::"?"...ctheck Telephone II Signature of Applicant Date', $ ~7S.Ch "'.:5'- $ $ ;~2S.~ , " -i ;;1' ,.... , :u: ;':' Owner Seller , Proposed Use 0 L' ~f Prop,erty: t..f?a..5)dn'-I'TT)O'l Applicant's Interest Buyer in Property: Other (Specify): Rea I tor Property Size Legal Access - Road'Name Existing Structures on Property , , 'I, ' . 15 Property Within One HIJe of Yes Y What City? .5..J2.Fd. 110 -r- I I Property Locat Ion (0 i rect ions): /.I 2!!.sf. c/- (Tay tZ. t- /? r./' S~VM f Sa:J Sf'A":"',J'; ".~ ',< ,.,il ~;./ /~;.JhO C i ty7 Proposed Water Supply Publ Ie V District: Sp r I "g We 11 Other (Specify): I ,.: ':';',::. 4t'I': ':""V"'l .,..~ ,I ....I,.. ,;,.... J ~ '.. ," UA //~/~ dutf- When Will Test Holes Be Ready? HARK TEST HOLES WITH OUR FLAGS h" ~ . j .. (Date) , 111 ,'ll' ,:,,: , ", '!:"II,I'.1I'II'; ~:, \. ',' : if.' "f"." .-- "'ii" "milo'" '.'~; ~ r ': It,.:, ,\.,." ,. ...,.,.......' Location of Test Holes on' Property: " Draw diagram of property showing location of any landmarks and relationship of test holes to these landmarks: , , -- .i' ' , ,\ '. i",- '"' '" !':'Ol', " \'lJ. .- , " !:'I 'I "''1 ; ,'" It , - ,'\ ' \' \\\' '~-:;\:L "'~V ! ; .'y ~ ". (j{,f-", Oregon 97401 : .i',." ,;~"!(Ldlt MAKE CHECK MAIL TO: C55-55. PAYABLE TO: HEALTH AND SANITATION LANE COUNTY BUILDING AND SANITATION DIVISION, IJ5 E. 6 th Ave., Eugene, , . r:\L(~,:~~~,:,I{~!~~ ,.h\j_~."~,,~~~~~:..:,, , .."'; ';'-~l~kf!.:'" ,~ -)~ \._~~~.1,~f;~,&.,~~tlJl,.".. , .~ . '~:..1.__~~~_'!_~_~____/. ,L.7T~~~u~~~ ~:i.- __- ~~!~-~ ffl Test /lole "._ _ ~2 Test:...!~ole , \".. ?Te" _ /lole . -- -:-,-;-'"--;; '----------:--1 I 0" - I 0" L . '1 ~I V" - &, 0" I..~ '" e:.:'~rlf, ./, '0 :.{,o ""oq...~~.;., ~".k t=d II ..~ ~R.,~~Ro. fill , r, I. i I , -. I \ r , . ,- .-/ " ~ - '. .--__If!/ _L!I!k J __'!.!..... ~/lol'=._ 0" - fff k,~-II?~. (lOll {Jf Tf::ST HOLf:: RESl)LTS 4Jt, et( i- ff2 Test /lole 0" - 'U: 1/ I fk..,!.,_ /..j ~arn.' , L.,.f lr.3/k i- ff3 Test /lole ",lj\, -0" - 75" ..<0'1.111 .' ,> :- TEST HOLE RESULTS J.,..+ f--1(t., ,. ff2 Test /lole - ,---_. '. _ .. u _____._,~_ ..--~L '6 _fi.I!,-'!- '!.!.....T~/lol'=._ 0" - z,.. v I-..OC( '" r' I." f 10 i?Ji; 2- ff3 Test Hole - 70 I J ',' 0" "1, ---- -- 0" - 7,f" f..OQr>1 0" " I I I " ,::" . 11+ V.e,"D" i.sJoj~~ s.r 7'-1-.3tf ~ /O"1.u 7L( I " " IItJ '.. ",' '!. " , ~,I :.