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Miscellaneous Miscellaneous 1978-8-3
lane county ~ ... - -, - ~ PARTITIONER: ~ NAME: \.. I~ ADDRESS: \ ,,.. ~ PHONE: ~ ~ INTEREST IN PROPERTY: (Indicate one: owner, option holder, other) contract purchaser, WATER SUPPLY: PERMIT Ii: SEWAGE DISPOSAL: S.L II: ELECTRIC SERVICE: ZONING: (':IV o W .:-J , OWNER OF RECORD: ". NAME: " ADDRESS: . ./ DATE SUBMITTED: RECEIVED BY: PHONE: ~ V .:J<OD FEE PAID: TAX LOT: HEARING DATE: MAP II: -17 - (!) 3 - .:2..:1.. for office use only 1 approval BY: Acting Chairman, Land Development Review Committee Date A v:lcinity Qh.-,( D1'~ I' LI.)_ ~ M'I-;.. " ~ ,~ .~~ M~' ...___j~, ! So '"", N . F-/A~"IJ:::J:" " '. " , . FILE NO: MAP PREPARED BY: PLANNING DIVISION / ENVIRONMENTAL MeEMENT DEPARTMENT / 135 EAST 6TH AVE..GENE, OR 97401 / PHONE (503) 687-4186- C14-1S _ Sheet I of 2