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Home My WebLink AboutBuilding Miscellaneous 1978-5-8 .... '.. '" ~ TRS, T' ,1~2.-'2. T~O> ~ ..4::;) ~O~ INFORMATION SHEET ~ P \()\o\~t) 12-1 ~ ~ -~JJL- ~ -SA-LLrl. .'l.-~ 'U- -40 .1- b ~ - f.b.v., ":'4 L-..A- .. O-~ ......... '; l~,,^ ~ - ct t.J.e.w -Ie 12.1 ~(l.A.,UJ ~ ~i 5",-~,-L I~ g Number of sites ~. & (owner, etc.) t; ~ .;;, ----'! .t ~ Bloc~ Job Location ( ) Site Feasibility Study for Septic Tank. ( ) Would like to meet on site. Call Acreage or Lot Sizo I55"X '00 Test holes will be ready Partitioning # ( ) Completed Subdivision 1'f03- ;1.,;2. 7L "2.(0'1. ~ 12.1 /h-v..iJ S< Lot ( ) Pending APPLICANT'S NAMEAND ADDRESS Q......~ 0... (}QQ,. 575 ~ "f\" $Jt- ~l~ OWNER'S NAME AND ADDRESS, if different from applicant's w~ lM((,..o~ 1';I..'~...w:. ioty ~ CONTRACTOR'S NAME AND ADDRESS ~.NV--' _..\ 'm-~ <......&. 57'5' ~-K- ",4" ~i- ~~ ' - .Mail permit or results of site feasibility study to ( ) Applicant ( ) Owner (X) Contractor. ) Prefer to pick up. Call 7Lf7 -400 8 (owner, etc.) when ready. ) Building Permit Phonp 74-7'C{(JOf! Phone-Z~ -zz<05 Phonp 7<O-<{aof STRUCTURESNOWONTHEPROPERTY ,il~ ~- ~~- PROPOSED USE (this permit) /Nl13 t.....k ~ ~ l~- ~ \.t.. WATER SUPPLY_ SEWAGE DISPOSAl ~ o ~ , Cl 5'A~& 'J-v~ loxisting or proposed well, etc, w,>..W II< ()~ I'IK(,~ (~../y-.~' "::::.~ lic, name of syste -'f~ WI(i... ~ f'!..o-,s, I 6oJi-h loxisting or proposed septic tank, etc.) S.1. # PLUMBING BY (I/) PROPERTY IS WITHIN ONE MILE OF CITY L_~":,~ ~ ~c... Address f>:75 ~ If '1?f ~;/ ******************************************* OFFICE USE ONLY BELOW THIS LINE ******************************************* ( ) New Address Necessa ry .ONF ) F aci I ity Permit Necessary SETBACKS: Front _ Side Facing Street (FROM CENTERLINE OF ROADI ) Special Permit Area. Minimum Elevation' Interior Side Yard Rear (FROM PROPERTY L1NESI To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. Response' ,,' .....,;. ,..-'" By Permit Processing Section C55.12 By ",' DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 nivision ..--- ~ ~ ) --~--, .~ . ',~ '-;'~--- ...:';'~..'='~.:..7"...'-:~-;~._r"__-;.,"~'_:;,'::'.'~..u~"','::, ~- ~j," ,~O4- .}to r' N < 1J\(. Geol"3e ""D , l 0'" t :J.605" I rOF' ... l<' " . :v : ~~t uO /VA'><"OFb'W' <7 _ , ~ - ~ d_ _:5. 80 ~'- . .,_ :-. : s_..t.c /', --"6'9'""- . ,.; 14: ;:~.;{:~;~.., ,....'"..,"~ .6$:". fd/li~! #' "1..'1:~~: l ,~< t~ {.. Lr:;:~ . OtIlvt ..~ '':''.. ".(Ii ~ ~ -'j -;. (.C-?S'?~F;n.l! <.v..a ., ~ tl ~ , S'8.9=S--? '-"=:' ,L .o-q-r : .::: /;, -. /~!Nk' - . '~' {~; 1>....." stt~.f..J7 .:~_- ~'~S~;"f,.j'll~~1' €er.'.t.,f):'h DoRRIS ,/I ':.'..". '.. '. W ___ . . S 1:.\1. {eo , ,. a 100 t ~ " .... , , .' . :' ~-_::. ~_:,:;~::.~,,~ "; ~'>t : ..... " . . ~ ~~. ~ J',~ ,.."~ - .'~ . .' ST .. . - ,- ~ ~'., .~ -." . '. , ~. -.-- .! ." .. ,. . ~ .;: '. . . , . .. - ~- . : <; ~ ." ~. -- , ~. _ ",' "r ~(~ .~_"""~~:.' ~ , . ~ .:L''! <'.'-;' ''';. ."" -"'?'""">~~'~"" ~-;:. ~._ .- . . ''1" :~ ~ . ' - .' . N )fIt. Geol"3e ?...O\O. ..:1./003 tJ.605' / < 1 I,. -""8.n><:'i?'V ~"5C 80 "-""'::: i'j ., ~,t., I., . '~'... ~ t ~~~{""tl';'J scpt'i:. tl"o~lJf' ! ~t~ ,.,' '"'~ ,t::> :J ,:1 I!~; ,., .~~ ~,~" ?,o,,, ~H'. , ~ !( r.. 0 0 "0 '" '!fJ . s-.,g,,~~. ~"'.o rt [."'4..'> 'v rr-/<f.S:liCI - - 2?~, v. t ....,.~.,,, -.( ,4., " , ~ .. ~", "'/",.~~f- Cf1l:._L~, Y, , ~" '::'~,"f'."i<v~ , ---...- ; , ' ti /~ -.> , ( I"~ ~ 100 5~", e ," , i!. ;'.. '.'j., -:"~';:1;:::":.?~;'; ~> .~: ":_~':'.'':: ,~: _ ~ .', 1._''''4: 'I I I~ .... ~:~'_'~" ~:~~~ ~:l,.-. ' , '~.,,\':;:;. ~-', ~ ~v...' .~_',~ ,,' ': -_~"'._',.';,.J: 'i-.--1.......,~~..~ ;":..=.' " .-Z. ..._ ',,>:.:' d_,>,.,}., ....~ ..;..