HomeMy WebLinkAboutPermit Building 1978-4-24 (2)
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17-01-22.4.1 7-L 5100
323 Gr\:'iL FlIRi. in
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TRS, TI
JOB LOCATION
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~,..;.. -::' LANE CgUNTY PERMIT
Acreage or Lot Sizp
Contractor's d.s. # ,
NIl.
NA
NA
) Completed"
Subdivision N A
Lot B loc~
EXlGENE OF.EOO"
Partitioning 4f
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i.zl\LTER' J 'J:'YBURCZY
,323 GAME FARN RD
APPLICANT'S NAME AND ADDRE~~
OWNER'S NAME AND ADDREl'<:
CONTRACTOR'S NAME AND ADDRESS
Mail permit to (X) Applicant ( ) Owner' ( , ) Contractor. ( ) Prefer to pick up. Call
EXISTING HOUSE \\URKSHOP 2 S'l'ORP.GE BUIIDn-lGS
STRUCTURES NOW ON THE PROPERTY
.. PER;'llT FQ~ Nh'W ooo;.1E:R AD:JrrION 456 sq ft:
~HIS PERMIT IS FOR_ VlIniP. ~~.!>:t!;-nn
~fE
# BEDROOM~!<lA
~ \~ \'--\C)
726-1601
# PLUMBING CONNECTION~
WATER SUPPLY
RAuIlOV''', ~ DIST:
SEWAGE DISPOSAl
EXISTING
/'. '. .'
r" or,' -:"
S.1. #
]A
THIS PROPERTY IS WITI:lIN ONE MILE OF THE CITY OF NA ,PLUMBING BY NIl. ,.r--'",",
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the propert~: >((owrl~r of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorizec!"to.act'fo1 the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit,
Fee Paid :<1:' Lp.::,~ '. . . " rSignature .It J J, J K ,.1 rI!~..( -"~ ~. J _ Date d -I.. - 7' J?
) NEW ADDRESS ( ;)'ACILlTY PERMIT TO TRANSPORTATION DEP/ d() SPEdAL PMT, Ar1E.fC MIN. ELEVATION:
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By: _ Dat~ ( ---"""\ By: W 12,-y, tu <k.. ~ate: 4'- / 9-7 )f
PLANNING REQUIREMENTS SATISFIED. Bi~__ ,.-/., .(/ Date: \-\ \ \--\ \ '>-t.Mv Date Issued:4-2A-78 -
40NE:..-~ SETBACKS: FRONT / SIDE FACING STREET / (FROM C/L) INT. SIDE YARD / REAR / (FROM P/U
, ...... ~l--..r-..""", ~ ~ ' I () / / / -
LANE COUNTY DEPARTMENT OF'ENVIRONMENl'AL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
\
SANITATION
BUILDING /J
GJ Type of Construction ,/Y'-, "5 Group
~. '
/l , A.'" 'Ise Classification
~~
,.
Minil1)um Septi~,Tank<Capacity (Gallo'ris)
D,rainfield Required. Lineal Feet
Maxi\Tlum ,Dep.th "
~omm~n~s: .
~ .~,
xLe-e-
.
C55,13
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE, BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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