HomeMy WebLinkAboutPermit Building 1978-12-5 (2)
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PERMIT # \S'<2\"'\6
JOB LOCATION
4flO (:nmn
J;'n,....." RrI_ A?
Acreage or Lot Si,7o
Contractor's O.S, #
195.70 X 195.46
Partitioning # NA
( ) Completed
z " c.. L>--?
't5-'C~c:ft ~C'::, '~~~1\
Subdivision NA ~
Lot Blor~
LANE COUNTY PERMIT
APPLICANT'S NAME AND ADDRES"
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to (XJQ Applicant ( ) Owner
Immanuel BaDti$t
SAME
VpT"l1'n Po~t.
) Contractor. (
ChuT~. 450 Game Farm Rd. /12
E. f.( r:. E-..,J f: 'f 7<(0 I Phone
Phono
Phono
(owner, etc.) when ready.
776-7Rl1.
Leb:tn('l,n _ n'R
) Prefer to pick up, Call
.TRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR Add: to Church.
Cant. Price
WATER SUPPLY R:tinbow
rhtlrr h
SEWAGE DISPOSAL
-~
# BEDROOM~~PLUMBING CONNECTI~~
~~~t;l"" 5.1. # NA
IIpdate S...D..s.
$200.000
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
PLUMBING BY
I hereby certify that the above statements are true and accurate, and that I have the following legaf interest in the property: _owner of reco'rd;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if n01?jthe wner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to com y with all app 'ca)'e 5Jdes relating to this permit.
Fee Paid $ 528.47 Signatu ' ~ J L? ./f Date 5-;2..z.- 7..f"
;;?/- ,.~
) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DE T l)<C:SPECIAL ~'. AREA. MIN. ELEVATION: tJA..
s,A,JIIJATION BUILDING'/
~ /~ Minimum Septic Tank Capacity (Gallons) ~ Type of Construction A '2.. I Group .~ Fire Zone
F~ Drainfield Required. Lineal Feet r-4:f'.p,...... Use Classification
. ,/..," Maximum Depth , Comments:*1 "ta'\~ TO ee: e.oe+4\~
Comments: <~t6 ---- .~ 'f)c>''''f' , ':::EE k...~ pt,A)JS.f'Oe.. ~T6!!>}..l:!.
~ . $:v /-'-h<:I ~ 1ztv ~ 5as e.^~r f":)e- ~U~ l~ I.de-
7 ~l.-" -- ~f.--~ 10' ~ ~ . \) G.-~~c.. '--~c.. 'r~ ~c::\ CC:fu\J
,~ ~ ~ ~~7Y~/'C:~~. d ;;)) ~~'-\~~d'; CCO'-'\,...j"..
trr ~~~-P-<./'t~flJ!1:f;_~~ft~Z ~ '\ 9--~;\,. Date:91r9/7~
PLANNING REQUIREMENtS SATISFIED, B~~, ~ J7::f; ~,~~~, Date Issued: 1:J.-5-7A
ZONEQ.l.';:-\ SETBACKS: FRONT V.)' SIDE FACt"No/STREld'- . (FROM C/Ll INT. SIDE YARD_ REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRO'NME '1v1J\NAG ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
C55.13
POST THIS PER IT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLU~B.ING - CANARY; SANITATION - GOLDENROD: OFFICE COPY - W~ITE
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