HomeMy WebLinkAboutBuilding Miscellaneous 1974-10-10
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A PERMITif_LUl- L~'6Lj-'1l/
lANE CCXJNIY. Building
DEPAlIDlENI' OF ENVIROa1ENl'AL MANAGEMENl' Mobile lIclre
APPLICATION FOR BUllDOC PERMIT OR MOBIlE HeME USE
NaTE: No pennit will be issued tmtil this application has been approved.
PLEASE PRINl' .2~'?3
PROPERlY LOCATION 383 Game Farm Road - Beginninp; at the stone,lJlarking the :')outhwest
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l.p pOl.nl; l.n cenl;er OJ: COilllvY roau no ~Y1 n"r~ow noa.... ""''''u !-IV"'!!" ....."v VC,U'tS ...u
_.tll'" SOllthel"lv nl"O iection of the easterlv right of llayline of cOWltv road no 3 ed;
1WP 17 RAI:'l;E 3 SEC. 22 TAX LOr if ~e"~E~~-:03 CENSUS TRlICl'-,V'-"300
LOr NO. BLOCK SUBDIVISION "'1801
PROPERlY SIZE
ACCESS TO PRut'=.lI Game Farm Road WIDI'H 60 I DEPrn 295.3 OR ACREPCE .39,
DESCRIBE ~ISrm:; STRUCIURES ON TIlE PRut'=.lI 3 Bdrm 2 Bath Frame Dwelling with Atch ,GarallJ'
APPLI~r. & Mrs. Donald HartwickMAILllG jOj liame l"arm t(oaa l!.ugene 14b-CI':l45
NAME Mr. & Mrs. Perry Hartwick AuUM.'>S 1045 Dondea st. Spfld.PHOOE 726-H9'98
roNl'R!icroR ~ /
NAME Stapp's Mobile Homes Inc. AuUM.'>S 1399 Hwy 99 North Eug . PHONE 689Fl457
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To W\ \,'lY'I1JrL\ M n\t\l i ~ ~JYYUl. /
~nArriS"'\~ - t?o\J\\l.u) GacJ-\ (tcv.r /
~ewage J):isposal: /
Site Inspection if Existing sewage disposal system ~r new sYJtem required CJ
Water ~~ly: fl . .J
Public)Ll District Narre 1( 11 vK1vru ) Well 0 Spring YJ Otfer
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Waste Dis, Plumbing Installed by CMner r Narre:
Plumbing iJ. Plumbing Fees Sewer ection Water connection
Plan Review if of fixtures inspe9 ion fee inspection fee
Trailer , -:21'1 , ,
1% surcharge ntJ n c6h Plans
ffOleck Yestld"'l
Signature of Appli
Fee rrceived by ,
Drainfield :required /
Lineal Feel fi:ench Depth
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Type ot Structure . Occupancy Fire ~e / Use Classification
Blgd, se~l}:cks-tt. from center ot road right f yiFront ~ Side Int, ~ Side Ex rior Rear ~
Pl{llllling . date \f~tion U,. uil~
a{arp/.,/1y- ~~ loIID/1<{ t7" {'7~
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lUTAL
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Facility Pennit
- i?[lrJ;-aJr~gr.J~'lte 4iz-'/
date IO-1.~
Min. Septic tank capacity
with dist. box: Gallons
or Sq. Ft.
Zone k~A.
date
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