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HomeMy WebLinkAboutPermit Building 1978-12-5 (2) .;2:; ./. 'J TRS, TL---1.7-01-"" TI. ?'iO,(l ~ 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 ~