Loading...
HomeMy WebLinkAboutBuilding Miscellaneous 1968-4-18 HOLES ARE IN RECE I PT No. 400.2..7 - . ~- OUr OF REQUEST FOR SITE INSPECTION TWP. '7 RANGE "-.. SE~. 41 TAX LOT NO. ~RnO COD c1.S-03 DATE 4 _ ,0 _ r..~ TEL. NO.~~~ BY UARTWIr.K ~Aln MAILING ADDRESS ~nn M~OTU ~7TU .Q~ (e1 -- GCu'W1..-- ~r V'^ ~ODIMAELrln n~~nnN OWNER OF PROPERTY AROVF CONSENT OF OWNER? Y~R EXISTING STRUCTURES ON PROPERTY SIZE OF PROP. ,on X ~40 LEGAL ACtESS? Is PROPERTY CONTIGUOUS TO ANY CITY LIMIT? ,..,.., DI"\IIo" fI. ~ . .'^ Nntdt:" SOURCE OF WATER SUPPLY: ~M~?~W r; SPRING WELL: DRILLED DRIVEN DUG DESCRIPTION OF SITE (DIRECTIONS, LANDMARKS, HOUSE OR BOX NO., IF ANY): 3G9 GAME fARM ROAD. v PROPOSED USE OF SITE (E.G., NUMBER OF DWELLINGS, COMMERCIAL OR INDUSTRIAL USE, SUBDIVISION): DWELLIIING ~ URBANIZING AREA. L::? SPECIAL PERMIT AREA. MT (RS FEE: No. OF SITES-1-- $ ~ nn No. OF ACRES TOTAL---- ~ ~ nn RESULTS Of INVESTIGATION: ,---- Iv.:>e> 17 K_U) S'e.C, .:;.(;;)..<;'1 I I) ) / 14x L Of Aia. <16"00 / 0 elf ~Y'c\uQ,cD --.y(W th e / h S fQ U G.:.-1- ;d/U ts.e 0 Yle..- <Suvlostu....p~ SewE:VCKfe. ciiopcuoJ1 6',-\ ~~. ,.~. .. . ~~~,' .rrL~ooq ~::___ ~V' ~~-;--~!~~<lk+~, THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK! BEFORE CONSTRUCTION IS STARTED BRING THIS FORM TO THE BUILDING AND SANITATION DIVISION AND MAKE APPLICATION FOR A BUILDING PERMIT. IF THE PROPERTY IS A PORTION ONLY OF A TAX LOT, A METES AND BOUNDS DESCRIPTION OF THE PARCEL MUST BE FURNISHED. EXACT SPECIFICATIONS FOR THE SEWAGE DISPOSAL SYSTEM WILL APPEAR ON THE BUILDING PERMIT. Two Sf.TS OF THE BUILDING PLANS AND PLOT PLAN WILL BE REQUIRED. LANE COUNTY BUILDING AND SANITATION ~__ .s,. c:n/'J1~ ~ BUILDING INSPECTOR ' Dill}; PI n () r)Jj)0ffi Jl <0 - -SANITARiAN ~-~~-b~ DATE THIS REPORT IS NOT COMPLETE WITHOUT THE SIGNATURES OF THE BUILDING INSPECTOR AND SANITARIAN. u!t-Cln-07