HomeMy WebLinkAboutPermit Building 1976-3-19
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.
LANE COUNTY PERMIT FOR: .
PERMIT NO,
423~
"
#
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'/'CONSTRUCTION [X] MOBILE HOME [
PLAN REVIEW [.] CHANGE OF OCCUPANCY [ ]
Eugene Oregon 68S-220P
ZIP COOE PHONE
Eugene Oregon Same
ZIP CODE PHONE
DOwner Transwestern Investors Inc. P.O. Box 2522
NAME ADDRESS CITY
o Contractor Modena Homes P.O. Box 2552
NAME ADDRESS CITY
0.5. Reg. # 016B
Twp 17 Range 03 Section 22.4.2 Tax Lot 600
3rd addition Farmda1e
Subd ivision Lot fi Block 1
Code
Census Tract
Acreago
Width
Access to Property (Road Namel:
F1 "ttf nnn Av..n"..
Depth
Existing Structures on Property:
t\!nn~
Directions to Property" Address:
lfiOO Fhttinnn Av..nll"
::~;;:;.;;
n..._ ___
vi....:,"';.
~:'~~1
STRUCTURE (# BEDROOMS)
0~;21li na
. Garaae
SQ. FT.
1208 @ 21,80
~nR Iol ~ ~n
11 RFO:
VALUATION
)\26"334.40
, fi~? /In
!'Jm Qhh An
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [ ]
7fi-74
PLUMBING INSTALLED BY: ,
OWNER ~] OTHER I 1 ~IAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY" NAME:
[ ) PRIVATE WELL
[ ] OTHER" SPECIFY:
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAL
PLAN REVIEW
,." nn
.,R nn
4 /17
.,,, nn
TOTAL
17A /17
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. ,nnn MIN. DRAINFIELD
~~gn nr~i~~iolA '0 ~~O~ ~~m
.,nn L1N. FT. MAX. TRENCH DEPTH
r'N\ro"'+~' '-fnac ~nrf 5,nlleo
~"n
INCHES
TYPE OF CONSTRUCTION 'iN
GROUP U..l
FIREZONF
STAY 100' FROM ALL WELLS
USE CLASSI F.
SETBACKS" FT. FROM CTR. OF r/W:
FRONT "n SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT" I H"c:t REAR
B'East
~ ,
ZONF AGT
AA
AUTHORIZED SIGNATURES:
/s/ .1 I:' Q"ero ~~' Un~~~:~
('_.../ sanitari an
ISSUANCE DATE:
1/1 CJl7fi rtlm
-- -oJ
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687.4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.D. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Reverse Side)
CSS.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
fI /lV'C/ /
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
. i
"UI,Lf.iHG..SITE EVALUATION ~b- V
(,') BUILDING PERMIT APPLICATION NO. c.J. -~
.'
() SITE INSPECTION
PLANNING DIVISION Not
_A~l ieable
I. Zoning Ordinanee Complianee: Zone~ )
2. Subdivision Ordinanee Complianee' ( )
3. Required Aceess ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see eomments) ( )
COMMENTS:
~UBDIVI_:
LOT:
APPLICANT
DATE
No ?r
T) 6.
( ) (
( ) ( ,
( ) U.
( ) if\
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YES\ ) NO( ) APPLICATIONH
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see eomments)
Not
Applicable
( )
( ')
( )
( )
COMMENTS:
WATER POLUTION CONTROL
Not
Applieable
( )
( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see eomments)
COHHENTS:
No fts
T)
( )
( ) ( )
( ) ( )
No Yes
T)~
( ) ( )
S
TAX LOT
BLOCK:
CK'O BY: ~.2/._u-/?~
Setbaeks Yrom ell 6f road':
Front ~~
Side Exterior ---
Setbacks from interior lines:
Side .:r'uJ 9' E""
Rear ~
CK'D BY {if! 3"'/7-~
DAn I
CK'D BY:...#U}~_ 7-;l.7/"
~ DATE
TO APPLICANT:
L Your Building I Site Inspeetion:
~)D~Can be approved.
'7~I~#'( ) Cannot be approved at this time as Indieated on item NO. above.
~ Questions and further information on items I through 6 eontaet 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 offiee until you ean resolve the problems indleatrd.
( ) Is being returned.
( ) Your buildinq permit application fee Is beinp returned under seoar~te ov~r_
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
\. "-..
L:il '::55-2B
, .
. LANE COUNTY PERMIT FOR: .
PERMIT ~NO' 423~
.
--
.- CONSTRUCTION [X] MOBILE HOME [ PLAN REVIEW [ J CHANGE OF OCCUPANCY [ ]
DOwner Tl'llnsW311tem Investors Inc. P.O. Box 2522 Euc~ne Oregcm GIW-220a
NAME ADDRESS CITY ZIP CODE PHONE.
o Contraetor Modena HMes P.O. f2.::lX 2552 t!:1J!l;~nc Oregon Sa.."1(l
NAME ADO R ESS CITY ZIP CODE PHONE
O.S. Reg. # 0168
,Tw~ 17 Range 03 Section 22.4.2 Tax Lot GIlD
~rd addition Farmdale
Subdivision Lot (j Block 3
Codp
Census Tract
Acreage
Width
Ac~ess to Property (Road Name):
FlattinQo Avenue
"
Depth
Existing Structures on Property:
r:one
.Directions to Property" Address:
lGOn Flatttnco Avenue
""J:"~ G.-.o."..,.r.-"LD~~
r.'....-."..... nMn""," O.,Anl
--.,-..- -- -w~--
STRUCTURE 1# BEDROOMS)
!}we 111 f)!J
..:. llarllrlC
t.
SO. FT.
120B @.21.00
:ilcm 0 !UIO
4 BED:
VALUATION
n2G.3:M.(lf)
1.632.40
,-
ro07 . c:l:VU!l)
SEWAGE DISPOSAL: ,
PUBLIC [ ] -SEPTIC TANK [J OTHER I ]
BUILDING 1~1.00
PLUMBING 21Ull'l
3% SURCHARGE 11.47
MOBILE HOM"
WASTE DISPOSAL 211.00
.
, PLAN,REVIEW
7G-74
PLUMBING INSTALLED BY:
OWNER [1 OTHER [] NAM"
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY" NAME:
[ ] PRIVATE WELL
[ ] OTHER" SPECIFY:
TOTAL
17B.47
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY: J. -
GALS. lOIlO MIN. DRAINFIELD 200 L1N. FT. MAX. TRENCH DEPTH 360 INCHES
KeeD drainfield 10 foo'\: fmn Dl"Dnartv linn!!. tlIld lltlll!'lA
TYPE OF CONSTRUCTION 5[l
GROUP IN
FIRE ZONF
STAY 100' FROM ALL WELLS
USE C LASSI F .
SETBACKS" FT. FROM CTR. OF r/W:
FRONT 50 SIDE EXT.
FT. FROM PROP" LINE:
SIDE INT!)' t:lest REAR
1S'l:ElSlt
G'
ZON" AGT
Rf.I
AUTHORIZED SIGNATURES:
/s/ J. IT. 110m: bv lfllmau<<lh
r,,.Ilv!lla.'litarinn
ISSUANCE DATE:
3/10/76 dlm
. BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
. BUILDING - GREEN.
I SANITATION - GOLDENROD
IMPORTANT:
Call 687.4065 10 schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificafe of:
occupancy before being.occupied.
(See Details on Reverse Side)
IC55-13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401
/YII~L"
.'
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
~
SLAB FLOOR
PLUMBING GROUNDWORK
.
ApPROVED / / DISAPPROVED ~ DATE
REMARKS
~
GAS PIPING GROUNDWORK
ApPROVED r/ 01 SAPPROVED ~ DATE
REMARKS
ROUGH PLUMB I NG
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
ROUGH GAS PIPING
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
FINAL PLUMB I NG
ApPROVED /J2t" DISAPPROVED ~ DAT~'.:7G:;
REMARKS
FINAL GAS PIPING
ApPROVED ~ DISAPPROVED r/ DATE
REMARKS,
,
"
CERTIFICATE OF OCCUPANCY
READY TO ISSUE ~ NOT READY TO ISSUE / / DATE
REMARK 5
.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPE~~~
INSPECTOR
INSPECTOR
..
.
"
"
........-
. .
'i NSTALLER:
Complete top
pPAsED SEWAGE 0 I SPOSAL SYSTEM REC<A '"
part o~orm to signature and submit bo~opies with applieation.
PERMIT NO. 423-/6"
INSTALLER'S NAME
PIE'R'RctI
No. Living Units Bedrooms
I 2
Septie Tank:
Ft. from well Steel c=l
Inside Dimensions: Ft.
Len'Jth R Width ,/1,_ Diameter
OWNER
NAME
160d'~r~~n~~P~~~
~Avenue
Basement Water Supply
Yes No}(, Publ ie X Other-List
.
Gray
Baths
I~
Cone rete I2?J No. Compartments
/ Ga I. Capaci ty /4?"0
Depth.)-
Tile Disposal Field:
Distribution Box: Yes
Other Distribution-Type
X No
HAILING
ADDRESS
Transwestern Inv
Moaena Homes
P.O. Box 2552
Inc.
EUQene Oreqpn
Length of L i nes-Ft. l Treneh I
l.o2i.B.B~. 5. 6. Width2.
-,'at Plan (see instruetions):
Total Sq.
Ft. I./IrO
Feet from
WE 11 Foundat i on ) "4 I
Lot Li ne , I
Front 10' Side 16 Rear 10
I Ft. Between IFi Iler IF; ller Depth IFi ller Below
Li nes 1 b ' TVDe IIrv Above Ti Ie 2.. in.tr i I e ~,j n.
llcl
14
..... - -. - - - -- - - - -
,
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- - -- -
(,0 '
-.-----
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A
1\1
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N
G
o
J
;% ;fCf~
r& MAR29 ""0. \
r... 'I
\'1 ater Pollution
n;:: Ll~";,,;pl
~ 0Y
. /600
,
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Si!l!'ature 0/(.. 11,.-1 ~"#"""
CERTIFICATE OF SATISFACTORY C~L~ION
For Sanitarian Use Only: Date: 2___ z.o.. 7,t.
In aeeordanee with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued
as evidenee of satisfaetory eompletion of a subsurfaee sewage disposal system at the above
location.
cj[i Approved: System Installation eonforms to current standards
c::J Disapproved: Does not eonform to current standards
Remarks:
Date
't... ~ S-- 71,
C55~1
\
~ ,/"7'. I" ,_
San l't'llir'i1ln' s S 19nature~
LANE COUNTY (/
ENVIRONMENTAL QUALITY
\
STATE OF OREGON DEPARTMENT OF
.. .
~
. ~
. LANE COUNTY PERMIT FOR:
.
PERMIT NO.
~
h ~ .
CONSTRUCTION [:;] MOBILE HOME [
PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
r~::::: ':;D~~J~
<"bOO"""'"
C .tV 'u~-" "'; ,J
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NAME
ADDRESS
CITY
ZIP CODE
PHONE
o Contractor
,....v.....vv,
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..~-.n.) ____",.__
..,'.........,,-' ',.-.
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O.S. Reg. #
~:'JC-,
I'OJ
.Tw~ I
c:~
~_. .'--'"
Subd ivisior'
Range
, ,
\.-1
Section
~:;') f1. 2
..~. ,', Tax Lot
: :\~:)
Codo
Census Tract
>.'-;'7" -"")
:._; ,. ..".J",..
Lot ~.i
pgOMn__
, .
..--.. ,-.... ....
Acreage
Width
Access to Property (Road Name):
r;:A:~:~:;
Depth
Existing Structures on Property: '
\- Ct.:tl
Directions to Property" Address:
~ ~:,.:
\ \
r'o ?f"
~'\le~-.;~:r~
[r~c:::~::;
0.';;('^~
,...r';'~" _~:-" ~.".-,\
STRUqURE (# BEDRc;lOMSI,. ", SO. FT.
: ~(,.".\r' ~:",,\ -lL:'1'2~o")~ !I,~~.:~'.
. .\~.l.'. .\,"\.~.~-~~ut~,5it~M; \-D~~t{..~~;,;;,:~.:.:- ,:j..:'jD J.."
.~.~~) 'i~:)';'~"--4,", '-:"-"~~~"'4 ~
~,,:.~, ~~\ ~....~~~"'--~...~~\....'--..~~,"'-\ '"\ '~~~~_-..}..h~", ~T?
).."''-.'\"''0"","-''-'" ~ "'- \""" r. ....,l.. !A,\.'""-....., '~~\.":\" +>.~ I.. "'.... '\.. '- '!I." ..~."'. .........~
SEWAGE DISPOSAe ,~ -..., .~'''<.'' ~....., ~,~' .PI1l'JMBING'INSTAr::tED'BY~',,' " .
PUBLIC [] SEPTIC TANK [J OTHER [ J~~~"'\ '0~,iN'E'R~\J~OT-HEFl:.Ctl'~'r:I),;i1F:'\,>-~"'i""~
I '\ " " \\ \ \ \
BUILDING ',:1.:". WATER SUPPLY: PROPOSED [] \ .
.,
PLUMBING ~ .'.,t. - EXISTING [J
3% SURCHARG" 'Y~c'): -........ [ ] PUBLIC
MOBILE HOME'" \i\~.. .==-.J ,~'\ _.~\",,~ [J COMMUNITY" NAME:
WASTE DISPOSAl ..),~: []PRIVATEWELL
PLAN REVIEW [ ] OTHER" SPECIFY:
VALUATION
~~; 1:' 'I oCt
" r '
.: ,'; ~ ~ .,j
-
~
TOTAL
-" ....)
=
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. . . ,MI{'J. DRAINFIELD '.' .,. ~I.N. FT. '. MAX. TRENCH DEPTH INCHES
~,~.; .:--' .'~"~C.,; <'(":~ I,':"~.. I,.<>~:::;~~). j'J~::::; .......;:; '.::::H::.
,,-. "",,~ ~,~.:.. .~'_.
,,).~~~'-.-.~, ~~\~'~~'\ ,~.;"....,~~ S\\S"AY100' FROM ALL WELLS
TYPE OF CONSTRUCTioN- ~:~J' '. 'GRoul,>>':'\.:J , '''''FYRE'ZONF'' ~'\'-J"'-"'oJ~sE' cLASSlF.' . . ~\.~ I
\
\
SETBACKS" FT. F.l30M CTR. OF r!W:
FRONT ,;', SIDE EXT.
FT. FROM,p,Rqr"L,INE:
SIDE INT::.. ...Hi" REAR
~ _.:"i' ,
ZON"
AUTHORIZED SIGNATURES:
/s/ 0 ~."''');) "',i ;1~)-:\;~~~:' ~,
.~ ~\.';C2 :~~~~~C)~c.~)
, ,I..j
ISSUANCE DATE:
.",. /t....
,',/, I V;
BLDG. PERMIT ~ WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections.,AIl construction shall comply with the State Buidling Code, D.E.a. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of.
occupancy. before being occupied:
" (See Det~ils~on Reverse Side)
(l ',.
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C5:1.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.........
.
.
"'.-,
SITE INSPECTION
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
APPROVED, / / DISAPPROVED ~/ DAH ,.'
REMARKS () A t; -I~ /-1J.i:.t1'U~
I 1
/
INSPECTOR
1/ "/~ 7~ at::
I
a,l,
". /{) /J ')
ApPROVED J:ZZI/DISAPPROVED /7 DAH 6~J"'10 INSP(CTD~ (:;." /,
REMARKS A'AdW....{-:,./t!d, t;J J~. 0~~~ }.4? .<4-(.
..".; n
L'. ". /, . // -- - -, ~.( /" ".
....LJ,#J!--t:,,(tU:4Yu.( t.. ~ ~'-fLU~#
, /, / f f- -
FRAMING INSPECTION
ApPROVED / l/ / DI SAPPRDVED
L-/ DATE I,r lo -1 ,;
tfJ ;';1
/
/' '/
.. /.
/"
I NSPEC .
&',J
LATH OR SHEETROCK INSPECTION
REMARKS
FINAL INSPECTION ,. . /();~ J I
ApPROVED .c;!/;.APPR~VE>~L:J DATE~/1'" '14>1 NS~ECT;h _ ~~ (? II
I':." d,~,(~.I'~ Ii': ~~
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE L:J DATE
INSPECTOR
REMARK 5
~ ////
11 / /nL{l//{///P,/J!
t'v M/ \..r-'. ~- 1
1fJ.. 3 ~ 7(:, -cirw'~1.6:2FI7C
/~.(}O r~'D
,
r'.
NOTE:
NO PERMIT WILa ISSUED UNTIL THIS APPLICATIO&S
~
PERMIT iF ~~~ -?if':?'
BEEN APPROVED ~
APPLICATION FOR:
CONSTRUCTION ~
MOBILE HOME CJ
PLAN REVIEW CJ
CllANGE OF OCCUPANCY [=::J
CJ
OWNER""""; "'.JE-5bA) WJ!1<A~.s ~...--_ -;?;J,~y 2-5,'<;2_ elk? 9-j?4-t 2.--et'd-?$
Name Address City tip Phone~ -
CONTRACTOR .$tPL?/'74'# hbn,,;':::-; ",?A?, ;;;5#y G '-: l' ;>"5;>.2- EU::? 68'.6-2'~.Y
Name - Address City Zip /' Phone
O/~ g/
O.S. REG, U
Twp. \'\
Rang. D3 Section ~~_ ~ . '7.;Lot ~oa
Subdivision ;;;:;1?~ FP.Qn?/y?/-/:Eot ~ Block a
ACCESS TO PROPERTY (Ro~d Name) /=d/9-~~;) /9V<-
,-
Existing Structures on Property: ~~~~~
Property Location - Address/Directions: ./.L L:Jt!!!J
Code
Census Tract
Property Acreage
Width~DePtht'/~~~
%
~ Below for Of f ice Use OnI vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
:---.... Ie' Sq, Ft. , UBedrooms. valuation~o.{ C)
~"""'_\ 'c?-.__ ..."'",..'! ~dap, 4'\ ,::)~,e,(:) \-.\ ","(Orl ~~_~K---;;
0-..r,,<> <'o...L..\. ~ \'-\. l<. ~ '?c~,.,"'" .s.~' \(.... ~
........, 17
l I d'1 q~,,-l-, a~
SEWAGE DISPOSAL: \ \ h ,1 ' t..-.!.---
Site Inspection (J \. 1~ bY~l Sewage Di;~,posal ~yste~ or New System Required ~
WATER SUPPLY: X ,,\0 11 "\ Pu~ic ItZJ
Well sprin~' Community r----1 Name of Community or Public System
_ _ II ,I L-.J
I,
'iPLUMBING: /
IIInstalled by oWner c::::J
'I j
~UMB~ FEES:
~ ~)(1) U of Fixtures
\',- I
~ ~
HECK C\ \ toD ,J
t
f'
, /I
.F"/A-/"77.h~4:>J .,4.1./ ~
lie; "1 c/o I -
(!' .
FEES:
Waste Disp.
Plan Review
\d\.~
~ ~c:::,
- l{, 1-t'1
~DC)
Other
c::::J Name
a,~
Sewage
connecti::----
Water~ :::<
Connection
Bldg,
Plumbing
3% Surcharge
Mobile Home
HED FACILITY PERMIT ~
YES CJ NO /A==J YES ~ NO __
Signature of A~can..l"~~ L
Fee Received BY:~ Date:
TOTAL
\"1.~. 4.1
Min. Septic Tank Capacit~
l&f ~1-f.OIf'ld(f
~
~MaXimUm DePth~
".
!-- -'.
Type of Construction
, r r/ Group I r.;j
Fire Zone
Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Front ~ ~ Side Int,~ X-E"Side Exterior
Rear
s-'
Zone "* ~ (" A tr/~
'-
C55-12
DATE: ~~ITATION:
:3.../ /.r/?d ~) A.,..
./,/ -... ;;
LANE COUNTY DEPARlMENV'OF
, ~gj~/ 7-7~
NAG~ENT- ;-
PIANN~
...