HomeMy WebLinkAboutPermit Building 1977-1-4
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.. PERMIT # m-17-77
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JOB LOCATION
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LANE COUNTY PERMIT
Acreage or Lot Siz~
Contractor's O,S, #
Partitioning #
) Completed
Subdivision
Lot
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APPLICANT'S NAME AND ADDRES':: ......'oM ttm......~...,
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
Mail permit to ( ) Applicant ( ) Owner ) Contractor, (
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Phonp 741';..AQ?<:
Phon~
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(owner, etc.) when ready,
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) Prefer to pick up, Call
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STRUCTURES NOW ON THE PROPERTY
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~IS PERMIT IS FOR
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WATER SUPPLY,
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# BEDROOMS
# PLUMBING CONNECTION~
SEWAGE DISPOSAl
S,L #
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 legal interest in the property: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) 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 comply with all applicable Codes relating to this permit.
Fee Paid !l: 1 n (",
Signaturp ~'i(1 'T:r1I~t#".lft.
Dat~ 1_1n.."7'7
) NEW ADDRESS
SANITATION
) FACILITY PERMIT TO TRANSPORTATION DEPT
BUILDING
) SPECIAL PMT, AREA, MIN, ELEVATION:
-~
'.ments:
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Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Type of Construction
Ilse Classification
<::roup
Fire Zone
Comments:
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~: Date:
PLANNING REOUIREMENTS SATISFIED, By:
ZONE:,..,..., SETBACKS: FRONT
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By:
Date:
Date: Date Issued:
(FROM CILl INT, SIDE YARD REAR
SIDE FACING STREET
(FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 687-4394
CSS,13
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
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lane county,
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JANUARY 4, 1977
DlIANLD HARTWICK
3~3 GAME FARM ROAD
EUGEI'€, OR. 97401
RE: RENEWAL OF TEMPORARY MOBILE HOME USE PERMIT No. MH 7-76
A TEMPORARY MOBILE HOME USE PERMIT IS VALlO FOR ONE YEAR ONLY, AND MUST BE
RENEWED ANNUALLY, T~f A~O~~ LISTEO TEMPORARY MOBILE HOME USE PERMIT WAS
ISSUEO ON JANUARY C , 19(b AND WILL EXPIRE ON JANUARY 21, 1977
IF YOU WISH TO RENEW THIS PERMIT, PLEASE SIGN THIS FORM AND. RETURN TO LANE
COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT WITH THE RENEWAL FEE OF $10.00.
AN ADDITIONAL LETTER OF EXPLANATION OF THE NEEO FOR A TEMPORARY PERMIT MUST
ACCOMPANY THIS RENEWAL IF A"Y CIRCUMSTANCES REGARDING THE TEMPORARY PERMIT
HAVE CHANGED DURING THE PAST YEAR,
* * * * * * *.* * * * * *
PLEASE RENEW TEMPORARY MOBILE HOME USE PERMIT No. MH
~ CHANGE IN CIRCUMSTANCES OURING THE PAST YEAR.
17-7(,
0,
THE CHANGES INDICATED IN THE ATTACHED LETTER REGAROING THE TEMPORARY
PERMIT HAVE TAKEN PLACE OURING THE PAST YEAR.
9y~_~CE'VEPGNEO:CJ~ ().1t~1
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JAN 1 01977
bANt COUNTY
ImVIR~NMI!;NTAL MGMT,
M74-97
CONSTRUCTION PERMITS & INSPECTION DIVISION I ENVIRONMENTAL MANAGEMENT DEPARTMENT
COURTHOUSE, PUBLIC SERVICE BUILDING I 125 EAST BTH AVENUE I EUGENE, OREGON 97401 I PHONE 1503I68J 4065
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~LIC NOTICE
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APPLICATION "----L/.::1-7 . ~ 1
POSTING DATE /-/7.-77 ~
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383 ~.' ~ 14P.
(Address of Property where Hol:d.le Ilom'e will he Located)
(APPLICANT),
HAS REQUESTED A TEMPORARY MOBILE HOHE PERMIT FOR A PERIOD OF ONE YEAR AS.
PROVIDED BY LANE CODE 11.100-10(4):
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A personal, but not necessarily financial, hardship
exists whereby it is necessary to have someone living on
the same premises that support the .app1icant's dwelling or
mobile home;
The mobile home will be used for the applicant's personal
use during the time a conventional dwelling is being con-
structed on the premises, after which it will be removed;
The mobile home will be used by an employee of this applicant
for bona fide agricultural, forestry management, or mineral
extraction purposes;
The mobile home will be used for residential purposes for a
watchman or caretaker, in conjunction with a commercial or
industrial use.
ANY NE:GHBORING RESIDENT OBJECTING TO THIS PROPOSED USE MAY CALL THE
DEPARTMENT OF ENVIRONHENTAL MANAGE1'lENT FOR FURTHER INFORMATION. IF NO
WRITTEN OBJECTIONS HAVE BEEN RECEIVED WITHIN TEN DAYS AND THE PROPOSED
USE MEETS OTHER CRITERIA THIS TEMPORARY MOBILE HOME PERMIT WILL BE
ISSUED FOR A PERIOD OF ONE YEAR, RENEWABLE ANNUALLY.
DEPARTMENT OF ENVIRONMENTAL
LANE COUNTY ANNEX
MANAGEMENT
687. 4065
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