HomeMy WebLinkAboutPermit Plumbing 1974-5-2
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~~$TIMW ENGIMEERS
Surname
TwP-:-
i
Range
2h',)4~ 1
Section
OUT tJf 1C:
Tax Lot
'1... ,
1 <1=()4
Code
Census Tract
Receipt No.
Date
Owner
i1~~~o 71\
ldllttr'Jl":'iJ
Owners Consent
Yes VII No
REQUEST FOR SITE FEASIBILITY STUDY
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE
BU I LD I NG PERM IT . ANY PLANS OR EXPEND ITURES MADE I N RELIANCE UPON TH I S REPORT
ARE AT YOUR OWN RISK:
Name Mr;:STe:RN ENe. I Nr[~S 2 $ ~O.CO
No. Sites -
and
Address 144Cj ItJ IlLlM-'lETTE ST. $
No. Acres
EUGOClE D 02EGON TOTAL $ ~'') . GO
Sprinq
in Property . Proposed Use of Property
51)P'
Name Special Permit Area
Yes XX No
Is Property Within One Mile
What City?
Other
Specify RAIN~O~ WAIE~
Urbanizing Area
Yes ){x No
of a City?
Yes No XI{
Telephone No.
~42=2~41
Property Size
1 h ACRh::S
Existing Structures
NON;;':
Proposed Wat~r Supply
,1'PubHc XX District
'Applicants Interest
ACI!:Nll:
Legal Access - Road
~AVDEN 6~ID~E RD.
"tJ;"...
i:'::,:
Well
Property Location: (Directions)Al1HIr I(';(H':/~'!E~ or HA1fDtN.GlfHDM ~H) [-l~'.j[) Z8nl S1\':;;:;;:'L'
ADJAC~NV TO ~AV MAR PA~K SU~DnVISION
APPROVED j{)(
NOT APPROVED
PARCEl # 2 MEITYS ~INiMUM RlQUiR[M[NYS FO~ S[WAGE DISPOSAl SYSi[M.
PARCEL #1 or. fOR SE~AG~ DISPOSAL SVsr~M IN AREA 60~ 7~O~ wOAID e[NT~R ONLYo
BEFORE CONSTRUCTION IS STARTED bring this form to the Department of Environmental
Management and make appl ication for a building permit. If the property is a por-
tion only of a tax lot, a metes and bounds description of the parcel must be fur-
nished. Exact specifications for the sewage disposal system will appear on the
bu i 1 ding perm; t. Two sets of bu i 1 d'; ng plans andt: ,I ft"f 1(",\; 11 be requ ired.
LANE COUNTY DEPT. OF ENV I RONMENTAL MANAGEMENT \\ J~.
135 EAST SIXTH AVENUE, EUGENE, OREGON 97401 1I Authorized Signature
. 509= 74
Date
C55-32