HomeMy WebLinkAboutPermit Building 1975-12-17
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CONSTRUCTION [X]
LANE COUNTY PERMIT For
PERMIT NO_
3201~ 75
DOwner
,KRLlMDIECIt INC
NAME
MOBILE HOME [] PLAN REVIEW [CHANGE OF OCCUPANCY [ ]
P. O. Box 11~1~!} EUGENE OREGON 14'1-419'1
ADDRESS CITY ZIP CODE PHONE'
o Contractor
SANE
NAME
ADDRESS
. -CITY
ZIP CODE
PHONE
O S R lQ4
.. ego #
Subdivision
Range 0 ,L~ection"
l51 ADDH I ON
CO()I{S GARDEN Lot 1
. 28 tlf Ti)xLo-i- Ol bo I
. Code
Census Tract
Twr 17
"
, B-Iock
~ Acreagp
lOSt; l'4.pnlo ~
V
Width
Access to Property (RC!ad Name)'
,
h....___"O'.#I~t a n.f\'''''
Depth
Existing Structures on Property'
NONE
-,~/
Directions to -PrClperty - Address::
860 AN()~:RSON LANE
l
/
/
./
./
STRUCTURE (# BEDROOMS)
PER:vlIT F'OR HOUSE
. GARAGE .
I NSTALl SEWAGE DISPOSAL SVSTEtll
: :Ahh.foorJNGS TO BE DOWN 1'0 SOUDUNt:>L~ItJRBED EA~TH :
SEWAGE DISPOSAL: . PLUMBING INSTALLED BY:
PUBLIC (] SEPTIC TANK (] OTHER ( ] _ NEt-J OWNER (] OTHER [] NAMF
BUilDING Q2.00 WATER SUPPLY: PROPOSED [ ]
PLUMBING ':10.00 EXISTING []
3% SURCHARG~ - ':\.66. ., [ ] P.UBLlC
MOBILE HOMF [ ] COMMUNITY- NAME:
WASTE DISPOSAL 7t:i_('ln [ ] PRIVATE WELL
PLAN REVIEW [ ]. OTHER - SPECIFY:
SQ. FT. .
. 10]2 @ 16.10
VALUATION
$101/615.20
2. 4hJ3. 60
~ _.- _..- -_.- ~ -.--_._-. .~
81Q.o61.8o
TOTAL
20().6~
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY: ' 'tQ" .
GALS. 900 MIN. DRAINFIELD uv I IN. FT.. : . MAX. TRENCH DEPTH 36
_.,PLACE DRAINII.INES A MINIMUM Of" 10 HET FROM HOUSE 'AND PROP5RTV L.H<iE
'RUERVe: AN .I\RE.A P'OR RtPLACEME:-I'4T OF SEblAGE DISPOSAL SYSTEM
INCHES
TYPE OF CONSTRUCTION
5N
GROUP
I&J
FIR E ZONI=
\
STAY 100' FROM ALL WELLS
USECLASSIF.
SETBACKS - FT4<')fOM CTR. OF r/W:
FRONT . SIDE EXT.
5
, FT. FROM PROP. LINE:
; SIDE INT:. 50 REAR . '7~ PUE ZONI=
. ;,R~ 1
{o,
/
AUTHORIZED SIGNATURES:
/s/ J. [.80S5 e.v. ~IARaAuGH
G~AY ISAM tTAfUAN ...
ISSUANCE DATE:
,12/17/15 . . OLM .
BLDG. PERMIT - WHITE
OFFICE COpy ~ WHITE
COUNTY TAX - PINK
PLUMBING - CANARY,
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections_ Call 687-4061 to schedule all required'
septic system inspections'. All construction shall comply with the State Buidling Code, D_E.Q_ standards
for subsurface sewage disposal and the State Plumbing Code_ All buildings require a certificate of
occupancy before being occupied. ..' ,
(See Details on Reverse Side)
(POST ITHIS PERMIT ON MAIN BLDG.'ATSITE)
C55-13
LANE COUNTY. DEPT. OF ENVIRONMENTAL' MANAGEMENT
COURTHOUSE ANNEX, 135 EAST6th, EUGENE,OREGON 97401
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BUILDING SnE, EVALUATION
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(~; BU ItD I NG PERM IT APPLI CATION NO.
(-) SITE INSPECTION
PLANNING DIVISION
i.;, Not
,Appl lcable
f I I' (');.-:
j'.I ();
( )
( )
( )
1.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone'
Subdivision Ordinance Compliance
Required Access '
Building Site (Area, Width, Frontage)
Other (see comments)
COMMENTS:
-,T1. -.rV:-doL.
TJ7 R 03 S ..28" TAX LOT _,
SUBf.l ,SION: ~/.,d~) ([1~_
LOT: J BLOCK:
APPLICANT
DATE'
No . Yes
.() ,G~6.
( ,) (1"r-
( ) (i~
( ) ("""
( ) ( )
PLANNING DIVISION-AcTION PENDING: VESt) NOt) APPLiCATlON#
BUiLDING INSPECTION DIVISIO~
Not
App 1 icab 1 e
( )
()
( )
(( )
7. Plans Submitted
8~ Soil Stability (footings)
9 . Flood P 1 a i n
10. Other (see comments)
COMMENTS:
No Yes
() :f>
(> " )
( ) ( )
(.><-)
CKID BY: vueS. /t)~. 7.5....
Setbacks from ell of road:
Front ~ t)
Side Exterior ~O
Setbacks from interior 1 i~s:
Side ..!)
Rear r-rrtib....
( -
CKID By:aZH1:J!-I;--:'~2 <-/J..?&~
:.' j>ATE
WATER POLUTION CONTROL
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
Not
App 1 icab 1 e
( > '
( )
COMMENTS:
No Yes
()~
( ) ( )
CKID BV#~ - /;2-/;2-Jr
tl DATE
TO APPLICANT:
Your Building I Site Inspection:
~~ *' Can be approved. _
~6""Q () Cannot be approved at this time as indicated on item NO. above.
\.2'" ~ Quest i on,s and further i nformat i on on items 1 through 6 contact the LANE-
_ COUNTY PLANNING DIVISION. QuestJons and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION..
( ) Will be held i.n this office until you can resolve the problems indicated.
( ) Is being returned~
( ) Your building, permit aeplic!'.!X2!l.Je~...L~~einq retlJrned_.!!!J.ger~ate cover.
'DEPARTMENT OF ENV I RONMENTAL MANAGEMENT ..,
135 Sixth Avenue East' Eugene Oregon 97401 '
,PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
.,
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~ Date'
DliFMRFR- 17 . 1975
Permit No.
3?01-75
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com-
missioners of lane' County, and it is the opinion and judgment of the Board that the said application
should be granted, anc;Jthat a permit sho~ld be issued, riow~ therefore, it is hereby.
. ORDERED, that a per~it be and is hereby issued to
P~O. Box 1444 EUGENE OREGON 97401
. --- ---
or constructing the following facility:
K WMr)' .r'l< I ~Ir
for placing, building
1ST ADDITION COOKS GARDEN
LOT
860 ANDERSON LANE EUGENE OREGON 97401
upon the right-of-way of County Road No., ' Mile Post ,
in strict conformity to the exhibits attached hereto,-and subject to all terms, conditions, agreements,
sfipulatio"ns and provisions contained in the appl ication and permit, the Rules and Regulations Gov-
erning- Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the lane Man-
ual 50.190(2) -any amendments thereto, and any other applicable regulations, law or ordinance.
Special Provisions:
1.
Driveway will be constructed in accordance with the attached driveway approach specificq-
tions (Drawing M98-50).
Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
. r-oadway and right of way caused by his 0 peration, leaving the roadway and area in a neat,
acceptable condition.
2.
3.
SIDEWALKS WILL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED SIDEWALK
SPECIFICATIONS AND DRAWING M98-49 THE STANDARD CURB TYPE SHALL BE
CONSTRUCTED UNLESS OTHERWISE SPECIFIED:
This permit is revocable at any time, and will be strictly adhered to and no work other than
that specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed be-
fore
DECEMBER 17
,19 76.
Expires
, 19
Inspected_ and Approved
Date
By
Director of -Public Works
WHITE - OFFICE FilE
GREEN- RESIDENT ENGINEER
PINK - PERMITTEE
BLUE -ROAD SUPERVISOR
ORANGE -'- BUILDING & SANITATION DEPT.
YEllOW - REAL ESTATE
C98-79
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,,";,~
~, pelle '.
, ~)
Permit No.
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com-
missioners of lane County, and it is the opinion a nd judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
ORDERED, that a permit be and is hereby issued to
'.) ,.
for placing, building
or constructing the following facility:
upon the right-of-way of County Road No. , Mile Post ,
in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements,
stipulations and provisions contained in the appl ication and permit, the Rules and Regulations Gov-
erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the lane Man-
ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
Specia I Provisions:
1. Driveway will be constructed in accordance with the attached driveway approach specifica-
tions (Drawing M98-50).
2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadway and right of way caused by his operation, leaving the roadway and area in a neat,
acceptable condition.
,1-
/(1;
J /1
3/lb~ 'liP d
This permit is revocable at any time" nd will be strictly adhered to and no work other than
that specifically mentioned above is he eby authorized.
This permit shall be void unless the work herein contemplated shall have been completed be-
fore
, 19
Expires
, 19
Inspected and Approved
Approved by Board of County Commissioners
By
Date
By
Director of Public Works
WHITE - OFFICE FILE
GREEN - RESIDENT ENGINEER
PINK - PERMITTEE
BLUE - ROAD SUPERVISOR
ORANGE - BUILDING & SANITATION DEPT.
YELLOW - REAL ESTATE
C98-79
v
LANE COUNTY PERMIT Fa'
~~
PERMIT NO.
CONSTRUCTION [] MOBILE HOME
PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
NAME
ADDRESS
CITY
ZIP CODE
PHONE
o Contractor
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O.S. Reg. #
Twr
Range
Section
Tax Lot
Code
Census Tract
Subdivision
(j ~
Lot
Block
Acreage
Width
Access to Property (Road Name):
Depth
Existing Structures on Property:
Directions to Property - Address:
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY:
TOTAL
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS, MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
..'.i
,I
TYPE OF CONSTRUCTION
GROUP
FIRE ZONF
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS - FT. FROM CTR. OF r/W:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZONF
AUTHORIZED SIGNATURES:
/s/
ISSUANCE DATE:
BLDG_ PERMI'!; - WHIJE
OFFICE COPY'- WHITE
COUNTY TAX-- PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687~4065 to schedule all required construction inspections, Call 687-4061 to schedule all required
septic system inspections, All construction shall comply with the State Buidiing Code, D_E,Q_ standards
for subsurf"ce sewage disposal and the State Plumbing Code_ All buildings require a certificate of
occupancy before being occupied_
(See Detai Is on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.13
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
~
'---'!i}
SITE INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED / / DISAPPROVED / / _DATE..-, INSPECTOR
.E""" f!) / (c;, }-I4lA'ci- r'4<-rf4t~ j;l/iJ (. 76zt2
"i
~,t
FRAMING INSPECTION
/i'/ /1 .") ..
/ . DAT~ ~:;J.l/ -76- I NSPECTO~_~ 6-:;.0
.--
ApPROVED / L/'/ DISAPPROVED /
REMARKS
, LATH OR SHEETROCK, I NSPECTI ON
;/
ApPROVED L/~ / DISAPPROVED /
~4
I NSPECrfR~/ ;1J r
-- t
~ ." ~Iil~'
/ D .,,-14 ~ p
ATE" i/ -
REMARKS
.~ ~
FINAL INSPECTION
-~'
ApPROVED / r / DISAPPROVED /
4J~7
f Dm tj-fr;- /b 'NSeECTO"_ zy r!1)
REMARKS
CERTIFICATE ,OF_OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
..t'-) ., /1
f,/ _j // //"
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:J;Z()/-76' I~- I ~ &k
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LANE COUNTY PERMIT FO
PERMIT NO.
CONSTRUCTION [] MOBI LE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
NAME
ADDRESS
CITY
ZIP CODE
PHONE
o Contractor
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O.S. Reg. #
Twr
Range
Section
Tax Lot
Codp
Census Tract
Subdivision
Lot
Block
Acreage
Width
Access to Property (Road Name):
Depth
Existing Structures on Property:
Directions to Property - Address:
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY'
TOTAL
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD I.IN. FT. MAX. TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION
GROUP
FIR E ZONF
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS - FT. FROM CTR. OF r/W:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZONF
AUTHORIZED SIGNATURES:
/s/
ISSUANCE DATE:
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections_ All construction shall comply with the State Buidling Code, D.E.Q, standards
for subsurface sewage disposal and the State Plumbing Code_ All buildings require a certificate of
occupancy before bei ng occupied,
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.13
LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th. EUGENE, OREGON 97401
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED I v/I DISAPPROVED I
/'
REMARKS
GAS PIPING GROUNDWORK
ApPROVED I
I DISAPPROVED I
REMARKS
ROUGH PLUMBING
ApPROVED IY I DISAPPROVED I
REMAR-KS
ROUGH GAS PIPING
ApPROVED .I
I DISAPPROVED I
REMARKS
FINAL PLUMBING
ApPROVED . ~I DISAPPROVED I
REMARKS hI) ~I JJIJj,/...
FINAL GAS PIPING
ApPROVED I. I DISAPPROVED. I
REMARKS
CERTIFICATE OF OCCUPANCY
I DATE 1- ~ /&.,
I DATE
I DAT~-/'/-??,.
I DATE
"
-7'
I NSPECTOR ~~"!'"
~
INSPECTOR
INSPECTO~"/
t/
INSPECTOR
h /.. ~ /' - _~/I.,"\
I DATEY '/- 9t..fl INsp~.....~lfL.t(li J
I DATE
READY TO ISSUE I
I NOT READY TO ISSUE I
I DA TE
REMARKS
INSPECTOR
INSPECTOR
INSTALLER:
PRopr ') SEWAGE DISPOSAL SYSTEM RECORD,
Complete top part of tv(m to signature and submit both cv~ies with applicat'ion_. ' ,.
PERMIT NO. 3201-75
.
.
INSTALLER'S NAME
iVo'~W\- ({)ve~
No. Lfving Units - Bedrooms Baths
Septic Tank:
Ft. from well
PROPERTY ADDRESS
860 ANDERSON LANE
Basement Water Supply
Yes No Public)( Other-List
GRAY
Inside
Len'1th
OWNER
NAME
Dimensions:
Width
Stee 1 0
Ft.
Diameter
Concrete ~ No. Compartments
Depth
GaJ. Capacity
1000
Tile Disposal Field:
Distribution Box: Yes
Ot#er Distribution-Type
No
KRUMDIECK INC
EUlGENE OREGON
L~~t~ Lines-Ft. Trench
1~~.~l3. 4. 5. 6. Width~
)Iot Plan (see instructions):
Tota 1 S2:;
Ft .~'3~
Feet from
WEll
Lot Line
Front
Ft. Between
li nes 10
Foundation
Side ~z' Rear
Fill er ~ Fill er Depth Fill ej" Be low
Type ( '2- Above Ti Ie 2 in, T i 1 eGo in.
g
.- .~:.
,l'p.,
MAILING
ADDRESS
P.O. Box 144~
I
(PO
PI9"tIO
.;' t-401.,' /0
i fe' L.:-J";ff - ---
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'26
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4~1
R'!CE1VED
~ p-'
. MAR 16 197'6
bAHt COUNTY
ENVIRONM~W'f Al. MGMT.
Date ,~-;~ -) l.p:> Siqnature ~ a~
CERTIFICATE OF SATISFACTORY C(}tftPLETI,t)N .' ~
For Sanitarian Use Only: TI V. Date: J.-17-L~'
In accordance with 1973 Oregon Laws Chapter 835, Section 214 this certi icate is issued
as evidence of satisfactory completion of a subsurface sewage disposal system at the above
location. .
t1C1 Approved: System Installation conforms to current standards
I r Disapproved: Does not conform to current standards
Remarks:
I
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C55-11
4-. A-._
Sanitarian~s si~ature
LANE COUNTY
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
f!:~ ~ rJf NOTE: NO PERMIT
~ '~'\. ~ APPLICATION FOR:
IiJ oW- ~ CONSTRUCTION.I t/j/ MOBILE HOME I PLAN .REVIEW
I OWNER h,f~~d~/~ /4/c:" 'p/J /2;-;/{/f/f' ~~d'/y;J:?
, "Name . " Address - . City I'
,e; t# /ne _0!/J?c??____
City
LL BE ISSUED UNTIL THIS APPLIC
::<~6/-7',,"
MRMIT if Q
IN HAS BEEN APPROVED
C1UU~GE OF OCCUPANCY
Zip
3f/.0"-='- 9'3RT-
Phone
CONTRACTOR
- Name
Address
Zip
Phone
/9~
, r - n
Twp. /" Range' :3 Section '6 ~
. - / ST A j / . CP-t~
Subdivision /-1-00 C 6>cJ1f..<i Lot
O.S. REG. /I
Tax Lot
'Code Census Tract
ACCESS TO PROPERTY (Road Name)
/
t?~~~JY1 ,~.e
/""Y2.1'./Y7 C! -
Block
Property Acreage Width
Depth
Existing Structures on Property:
Property,Location -'Address/Directions:
~bO
l\.v\. A.o ~~ I- V\ .
Below fo r Office Us e Onl yXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
. Sq. Ft.t)/&" V) flBedrooms Valuat'ion
,U~p S--e /03/ _ ~ _ ).3 / &, ~ /0--:" ...22J
(l!?a?F-&OJ? ___ 9"6'2. @ 6 ' ,;;? ( d l-ll./R.c;_6
~~:.~~::; 7;)~MvJ~JJ~'t:.vt:C'.ffQ
SEWAGl'DIS'POSAL: /... - - - : -' / - .. I
::::R ::::::'" , Ex""ng sew"g;~~:~", ~S~7/A . nr N~ Sy"~ Required I ~ J
Well Spring Other Community . ~ Name of Community or Public System (lY .&----b:)
~.-
Bldg.
Waste Disp.
Plumbing
Plan Review
0/ ,2 ~O()
I) ~-i () ()
:3 tJ n!) ()
PLUMBING:
Installed by Owner
^'
l -Xr2ame
FEES:
PLUMBING FEES:
'7 /I of
Sewage
Connection
Water
Connection
Mobile Home
3% Surcharge
PLANS FURNISHED
FACILITY PERMIT
"3 ,t; a
"
1"---: rYES
--
~T YES I I NO
~////dc?...,~ _
Y , Date:- 2J-a-7..j
J '-' ,
TOTAL
:4()(}.~~ I
Signature of A
_Fee Received
Mi" Septic Tank Cap~acity_ 9'0-0 " D~ainfield Required - J'jneal: Feet , /K' 0
~ M~a,~. ~~ -4~4J!.-
~M.I..-' ~ ~ r. ~~ ~ &/lr,
Maximu?j DePth~ (.
~ /J.k....L1~ ~,
I~~--~~ /
Type of Construction ~ ill'
Group / 'If"'...::r"" Fire Zone
Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Front o/-h Side Int. "",'- Side Exterior
so
Rear
{lIle
.r; Zone
~I
~ dfJI . !qJ/f'
vvf j 10 I/}/
C55 - 12 - ,
DATE:
~jIA
COUN~ ;EPARTMENTaF
DATE: ~UILDING:. /J/7 DATE:
I:J-- f.l~?J 71'tJ1t.a~ J2.-/I~~c- 'ltt
. {/ . /'
ENVIRONMENTAL MANAGEMENT
LANE