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HomeMy WebLinkAboutPermit Building 1975-1-29 )'i~~;(.(~t?':~ t~'p~":;~:h~'::;,<:;,;:"" P',- " .....'~ ~ :.~t<l<'~"''';''1.n' ......,1." ~...J:~' .-': ~V,"",' ~; . j "!'. ,-~; ~ ,_.". :'t~ .' >'-";..,,,,!,,,w ~~. ~ ~ ..' ~ S~' '. ~'(.;r.~ . LANE CO"'....TY BUILDING DJJ( aUILDING MH.O'. MAILING ADDRESS PERMIT OR MOB'ILE . .")ME. USE PERMIT .PERMIT NO. ,I .. . PROPERTY OWNER ~" '. J0;l:';$O~JJc RtCl'lA::tD L AND. RUTH G CONTRACTOR )....1 , H'::- :'1 PHONE -{If 7 ~9;)C"O PHONE 688~965C 957A~OE~SON LN SPRI~Gft[~O . MAILING 'ADDRESS T I !..l..EI~ Ci:m$T. lOa Vf~t~.auntitl EUG!WE, . . PROPERTY LOCATION - INCLUDE POST OFFICE 917., AJItDtRSCW lMlE' SP~ I NGF I Et.D ~ O~Iteoi4 97~t77 PROPERTY LEGAL DESCRIPTION ~ METES, BOUNDS :.' , . . K~h,' ~Rk ":- ~J 4d./ TVvP' . RANGE SECTION TAX LOT NO. 17 Oi 27~ 3'~. 3 APPl. .' ,--.' NAME '. . Ten..lt!:~ C()t~Si.' ANBel':JeeN"bA~e.... LEGA.L' ACCESS. TO PROPERTY 'M4DtRSON LAN~ PROPERTY SIZE - FT. EKI n T '''J0 t1austi: & MAILING ,J .1-02. VAN BUREN- " ~ADDRESS EtXlI::NE.. OREGQI~ ~:n402' FOR MOBILE HOME PERMITS ONLY 'No. of Bedrooms STRUCTURES TO BE BUILT THIS P.ERMIT'. 1\0.011' Ion (- RECREAY H')!>} ROOM} { '20, X 14) , WIDTH. 70 . DEPTH. ' 87 a AREA' Connectt6 Existing Sewage System D l'YPE .CONSTRUCTlON, SQ., FT.' # BDRMS 280 G 16..w New System 0 VALUATION 0)h ~~8, 0'"" . \ ">Ii ,J~' - II- '61 /~} X e-e-:-- ~"'~ . r) ./J ~- X A~.bA.. #.M./, ' .--:-<::::::T~7/ ~"Y~'-, SEWAGE DISP.oSAL PUBliC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW . PARK TRAILER <I: OTHERD ~2~bO.' . . FEES P~UMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 0 PUBLIC . 0 , 0 OTHER., MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: . GAl. . "42 . <I: . ~..~2 COUNTY BUILDING & SANITATION SPECIFICATIONS .' DRAIN FiElD REQUIRED TOTAL 'lIN.. FT . TRENCH WIDTH FT.' OR SQ. FT. 2r'EET Or:. GRAVEL. RtQI,JIREO.ADD 'MAil ~iDOUNT OF OI1Alm.*'a:lD THAT .SPACE'ALlotJS. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT t)N' I' BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT : l:o' . SIDE INT, " r; SIDE' EXT. AUTHORIZED SIGNATURE - DATE Is/ J. E. Boss By CI1An~(PE HARlJAlJC1lN . ~A USE CLASSIF!CATION REAR 6 J~HN SHQDK SANITARIAN. DATE 1 Q.29.. 15 U)[.l BLDG. PERMIT -" WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All co'nstruc- tion shall 'comply with Uniform Building Code, D.E.Q. standards .IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before. being occupied. . (See Details on Revers,e Side) " F:PRM :# C55 -13. (POST THIS PERMIT ON MAIN BLDG.' AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT ' COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ."" "':--'---'" ~ - "r;1 " """J.'~"""'J.."fiJ'4"".";.v~Y"r4l,"....~:i ~f'..;Hi:J't;~' '~9~;~"'r;"';'..v~'.'u '''1:;-;. .~ ~"''-''_ """-"-'--'~-'f.'''' --.:.~U .~":",-:"~:'.',--:~~q~i.::"I~*,,,,.,p;., ,'l(;1i"4~t:o~P.i:'"--'\<"'iJt~~"')~\i"P& 'fiV"..H"'tll"U , .;' . I/o . '" ~r~ .' SUP~"'~eMEN';' 'TO~;BU'I(DIl"'GPEIH~n'T'No.,"-J~ '2 r . ' .' ;Ji~';"'~" ..., U'., Lane Cou'n. ty, Oregon' ~' ~ .i.~, .,;t., -I ,~ 1: ~h<' (tJ' ,. :\' , . ~':I,:,-. J\ ... A (." ." '. jj ...{,).i,l"'f"J,." '. < , ~ j . 0 ',//' ',,,:. ., OWNER 'X7\..-4t..,rrdCLlr~/':". ,,,tl..r>AZt1a/ ';1?'": CONTRAcf.:OR ~d&ile.~r./:' 6&'>l--t?~t., " ',/J' , " . .'", . . i-.t/;nd/A,,'1nu . ~ MAILING ADDRESS .;;:5"-- 7l2n~. ~h.,., .JA a4rJ~, .- _~?t:q7, . I ,.' 6? .~\ 'e MAILlN'G' ADDRESS A~;~ t.ir--1l./LQ;/~~:ic c::t/ :;~~'::rt:..,_" \ t"I PROPERlY ADDRES~ . l' _ ,. ,"', ,-'.t. . I" I1"lADD"1TI0N:' /' / ''J JJ~- ...... ---!. ~1:L..-f./..(./ \-oj 02,)" /.V' a~/ ,'t. . ", / -:- ......, " , I\. ,,' ; +"~ . -.~. .. ,3.3 o CORREGTION: -tJ. /0$ tJ t) CHANGE RESULTS IN: '0 REFUND OF FEE, OR \ , "'.' OJI ADDITIONAL FEE: "" \ ~ , \ .' A5': 0 () '.'- '. ~:,.::'-> . ;->.~'/ ,'.' ,,>I' 1./'/"). . .' X"-/~""""~ ....h1..A7A..d..--f.A'.--f.' ~~..:~t~.,r f::r'1' ... c . ~ . "7 --- ~~' DatI'> 1~4'/-7S BUILDING SEPTIC TANK , " " SANITARY CONNECTIONS ',<1: TOTAL, $ Il&)' /)0 '. d{ 0 DATE FEE. PAID /-" cf<j- '"" .::; . J~Sr?heC~ LANE COUNTY DEPT. OF 'HEAL TH & SANITATIOt-;J Supplement N~ .'1861 'p" 5 By \/)~UR/ .. I' ,1 (", ' (A'J{ . , "f' ' . , 1.1 (? (' .' ,if' ,I ' .... . OJ\,' ';i~ . "'~ ~ ChJ-... C>.....,tP ...... '_':.,1 ,~ '0 o. .; -, - . (/?). i:. . ~ENT~ :N~M~ U . . .' 135 EAST 6TH AVENUE EUGENE, OREGON 97401 YOUR BUI LD I NG (" I g5~ 751 MOB I L E HOMEI j b?!2t3 ]PERMIT IS BEING HELD FOR THE REASONS STATED ON THE.BUILDING SITE EVALUATION SHEET. ,WE WILL HOLD THIS APPLICATION F;h1J /CJ75 / IF, AT THAT TIME, YOU HAVE N~TFURNISHED J . THE REQU I RED I NFORMATI ON, AS SHOWN ON THE ATTACHMENT; YOUR APPLI CAT ION WILL . UNTIL . . . . . . BE CANC~L(ED AND ONE-HALF THE FEE.REFUNDED TO YOU; HO~EVER,.'IF THERE IS A . . . . . '. . " ..' PLANNING DIVISlbN PROBLEM OR SOME OTHER LONG T~RM PROBLEMWHrCH YOU HAVE NO CONTROL OVER, WE WILL HOLD THIS PERMIT lINTI L IT CAN BE ISSUED.' M55-88 (r BUILDING PERMIT APPLlCATlo.N NO.. . /~. ("-?r () SIT~ INSPECTIQN . Ap'PL I CANT DATE ~~~,~ I .'.. . T 7 R Q3 s:!;7 TA~ LQT' SUBD I v I S I QN: -, '/ . , 'LQT: .- BLQCK:} - T;~/ler (&Ptsr I-ZI-7-s CK'D BY: ~/ /-;:J.,.p-7f 6. Setbacks from ell of road: Front I -7' If!i Side Exterior - S.etbacks from inter i or 1 i nas: SiQe '~ Rear ~ . ... BU I UJ INti ,S ITE -EVALUAT ION \ eJt PLANNINGDIVISIQN Not . Applicable. No Yes 1. Zoning Qrdinance Compl iance: Zone ~ ().... () ( ) 2. Subdivision o.rdinance 'Compl iance' ().' ( ) (.) 3... Required Access .', '() (.) () 4. Building Site (Area, Width, Frontage) () () ( ) 5. Other (see comments). r () ()() CQMM~NTS : . \... - PLANNING DIVISION ACTlQNc PENDING: 'YESt ) NOt ) APPLlCATlQN# BUtLDING INSP~CT1QN DIVISIQ~ .' Not . \ App 1 icab 1 e ( ) (X) (X) .(1) \.... -.J .7., Pl ans Submi tted ~ 8. I Soil Sta,bil ity' (footings) 9. Flood'Plain '. 1 Q. ,Qther (see comments) No Yes () V\) ( ) (1 ( ) () ( ) ( ), CK"D BY~~~/~~"~~'~~ " ,-rTE \ ' Co.MM"ENTS: Not App 1 icab 1 e 11. Meets Department of Env i ronmenta 1 ( ) Q~ality Standard~. 12. Qther (see comments)' ( ) CQMM~~TS: tf~/ -"'4-1,oij-,-.~ MUlPI &vr fPuI'1 ~ LtAAAfL- ~~~./,,,-<~j6 - y,A"f7?u. , ~t~ \ -' , I/'j) /, I, () t/\. j ~ - ~\-~ \. '-f',..J . \ WATER PQLUTIQN CQNTRQL No' .Yes ()~ I , . ./p( ) .. .'~ ,/ " TO. APPLI CANT: .' ) . Your ~uilding I Srte, Inspection: _ .( ) Can be approved'. . \ .} ~Cannot be.approved at this time as indicated onitem,NQ. I~ above. Questions 'and further inf9rmat i on on items 1 -thr6ugh 6. contact the LANE- CQUNTY,PLANNING DIVISIQN. Questions and further information on items 7 through 12 contact the LANE CQUNTY BUILDING AND SANITATIQN DIVISIQN. J><q Will be held in 1;his office until yoli can resolve ~he problems indicated. ( ). .Is b'eing returned. . - /' ( ) You r building eermi t aE'P 1 i c~.!..L9.!!.~~_~l...~e i n51' returned under seoarate cover_ DEPARTMENT QF ENVIRo.NMENTAL MANAGEMENT . , , -, 135 S i xth' Avenue East Eugene o.regon 9740.1 ' PHo.NE: '687-40.65 LANE Co.UNTY PLANNING DIVISlo.N PHo.NE: 687-4186 1\'0 t.\ ~,,\ / ')0 \ '<! ,C55-28 ~ r.:~-:,:~_::'~.:..'i=;...::' J" ~ ::::=- -: ~ ,~.-~:-.~, ..~ ~::::~~~l:;~~:~::;-~~;--~;'3~'::":::S=':=..~:':,2-; :~:::~:~j~~,~~~:::::~'::~~~4:"~~~'~,=:~""'. :";~-:':_:-'::~~:.O:J.,;;". '~';(.';~='-'_. .'"No-_ .. . . -;-.. -, " . -J...~..~... ,_. /. ...... ,'>. :--;-,--. .. )ME USE PERMIT... PERMIT NO. c.-// I I . LANE CO, fV' BUILDING PERMIT O~' MOBILE BUIU)ING D!ti~ 'MH 0 .' 'PROPERTY' OWNER . MAILING ADDRE~S" . ~ .' :~~..'>-JI"; t ~ ~c...Ji,A~O &.:. ANn n~ffs:~ e 9:)1 A~~~l':naCf'l vj ~QlfH'l!GP !;t1;n,.@ I, ~ CONTRACTOR , . MAILING ADDRESS : :r 4 U \wt(Y..:G~J ~ lOfr. \l,Qjt~ ~U';;-e:rJ ~~'ev:D~l) ~'~~~~PERTY lOC~TION - INCLUDE POST'OffiCE.' ': :':l,){- t~~Jtlr.Qto,.< t.n,;i!t; $~~ lti~V"1U.~p Qfl'u:co.::.l~1'~11 !', PROPEJgY ~ESCRIPTlO~ -~ES, BOUNDS /7 ~ I . t,b7 c::<.M., c-~ ~. L- ,; t .1 TWP . RAf'-!GE SEt;;(ION ;h(.' 'e,3 .. l';.lC:. T) PHONE 'Fhl,\~Ge;J . PHONE' : ~ . gi~~6t:fO ", ;". 1.. ". j ",/ . f . 3'. "i?~ ~ TAX LOT N9. CODE CENSUS TRACT ~\1 ,. APPl. i! NAME' & , TWf.,;\)Zel iCcll!.'Qr.", t\ ' 102 ~A!\1' €iJl9~ltt; '. -,~\ . \: '~EXISTING STRUPURES ON PROPERTY Ajl,.\~~~,~",:,~fJI~"'9- E,)! o~rnuc H9tiOl! lEGAL ACCESS TO PROPERTY " " -",-' ,~ ! MAILING IADD~ESS .tr~!1~~~'e~ 'O:1l1;DON 91tJ{}2} . FOR MOBILE HOME PERMITs' ONLY . ..". J' . ,.: 'I No: of Bedrooms . ',,1' 'STRUCTURES TO BE BUILT THIS PERMIT j j,~)t.. ~'f je<~{ M;~3'\ltA1'l,~;~>',t(00!';} , .~ j{ l~) , \. AtJ:!)tt,..~Ghl PROPERTY SIZE -'- FT. .~ WIDTH . 'F> , DEPTH ~Ar~~ . 8~ ;", .'.."AR~A . .!. t Connect. to Existing TYPE.CONSl'RUCTION' SeWage Syste!11 O. SQ.' FT. '# BDRMS: ~~af) ~l ~ '.l e} New System. 0 'VALUATION. ; (, II ~~~J0.~1 ,"'\-:'\ \ ("~f. ".1 )/-2~' <-}-." '.lh'~'1 . ; .':(-. '\ ",~, '\. \ \ '.~ '. . . ~ \":., " , j'. I ' j : ,. .1-' ~ ',< \. ..\. . " \ : ,; I ' ;.. .\ 't. " ," !'SEW!'-GEDISPOSAt 'I" .', . ';:PUBlIC,D " S~PTIC TANK' 0 ". . , \ Bl:JILDING. ,;. W~;TE' D~SPOSAl' . ~ t.;, :,;.. -, ~ ,'~lUMBING .; '\: . F flAN REVIEW'''''--). . PARK TRAILER -j '- . PLUMBING INSTA~lED ',BY: . '. ~. OTHERO' 3J.~. , ~' . O.W~ER 0 OTHER, . NAME W;ATER SUPPLY F~ES ., ~ ~ >" . < " p,UBlIC: .0 . ..,'-', o .gTHER. ~... "!-' ..:1. .. ' .'~ , '. ,-,', ",.,- . ' . ,- . .' =~~~\.~:_ '1:., ~;If' " .l ;1>. L. . ,..j \.. .'~ '... ,X .' ... r" "!o.,,: ^' !, I .~,1~ iiP.; ?if: ;' ',:~ ~ " ;,.,~ '/;\' i. ,.,~ ~'.lL,; ~o <, '.\ r J ,:OTAl,. ':".~' .. j . '. . " ., 1~~M,IN,: SE,.PT'IC-riT,A~~, CA,. PA~ITY:.):<~,"':. 1. 1 W!'TH,DIST. 'BOX: GAL ". .\ '\. : t.~: ~g,t:i' .~J" .f>~AVr.(.,.;~~\' COUNTY BUILDIt:-/G & 'SANITATION' SPECIFiCATIONS' . DRAIN FiElD REQUIRED, ~" ; T \ . 0 TRENCH' WIDTH FT. !- OR SQ, n: . a; '", . lIN', FT ,. ,. ... t ,,"j .- t '~. '.f'. ..'.-i. .' 'f'. t' 'r i, " . .~ >1 ,; ! 'I' '1' . W2.':) , , rM1f4 ;~~~~\r:\~:;;~ {~w t'(t~>o', 'W~i~~ \ :,! O?A~t 1d,!...L~~},; ~l --:- .. '". , ' . .. , '" ,,'. i 1 \ ~. ;' <" . '.~r(PE6F STRU.CTURE" .; ~. '~C':1-~' , . , ",,' ,f)-"V r, .. -:!. '." .:. ...~~:" -; . " .. '" ''t.,.. .' I .r OCCUPANCY I.. ZONE 9";14 'USE CLASSIFICATION.' PU-Blic UTll.,EASEM.ENT ',' t BLDG. SETBACKS __ FT. F.ROM, CTR. OF ROJ6iD RIGHT OF WAY \ ;'FR~~T" ~}O:: ' ~IDE' I~T.' . ~ . '. SIDE EXT. . ~. }'.... " 'AUTHORIZED SIGNATURE...,. DATE ,; /fll"J" t:". ~~~ O'lrCW\;7n,t~H..\r'et)tq>> + " '. '. ,B~DG. PERMIT.:..... WHITE . " -'OFFICE COpy - WHITE "'j'COUNTY TA'X - PINK. . i :1 PllJMBING...,. CANARY , \BUllDING'~GREEN , : SANIJATION' 7' GOLDENROD "R~AR 6' ,:.': ,.' ...... ' ~. , , ." ; "C ~, . 1'. . Jti~S)S!~n SMJ i '4' i4(~ ~ tV;.j' ,. 'DATE."., " ., 'J ;.4?l, , E~"" ::. ." ~!;...~;j.t.;~ i~:;~.~\. ._ ,'>F ,... _~ t "0 . r . ! "". . -~. ,~",,,}. ,call:.687-40~5to schedule all required inspections. All 'construe- t , "", . tion'~;s,Ii'all.c~omply with Uniform Building Code) p.E.Q. standards: IM~O~TA:NT: for: subsliifOce sewage disposal andcpunty regulations ,covering I., plu'Tlbing. All buildings require a. certificate6f .occupancybefore' being ,occ,:,pied. . ',"" . (See' Details 01") Reverse Side;) '- .1 . , . .FORM~C55-13 (POST THIS PERMiT ON MAI"N BLDG. AT SITE). LANE COUNTY, DEPT; ,OF ENVIRONMENTAL .MANAGEMENT COURTHOUSE ANN~X~135. EAST 6th,. EUGENE, OREGON 97401 , , " . " ~ . -..,,~. '. SITE INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FOUNDATION INSPE~T~ON ~~ ApPROVED / V (' DISAPPROVED / / DATE~ - 7- 7~ INSPECTOL.% REM"" f}/(~ ~~ J-:2.'l-7.r~ /P.). , FRAMING INSPECTION ApPROVED / V / DI SAPPROVED / I DATE;"~''7...., 76- I "sPECTO~ ~ /. REMARKS LATH OR SHEETROCK INSPECTION ApPROVED I I DISAPPROVED / / DATE INSPECTOR REMARKS' " / FINAL INSPECTIO~/ ApPROVED I Vi DISAPPROVED / Dm V-y- 1.1( I "mcmtCL I REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARK'S I JJ.. ft!'- r /-;_t ._-f...4It! ) ,I LI _ , I 1LlA""V "f, I It( A' V- V V . I . C(j-7 ~ '--... ---- ~ ~::,./- " LANE. COUN BUILDING PERMIT OR MOBILE H( . USE APPLlCA liON t3S-]S . PERMIT TYPE - BUILDING l'X! MOBILE HOME..o OSC REG. # PRO"ERTY-OWNER MAiLING ADDRESS 'R; ~hp\'(A E. V- Ku..-n., ~. :Tl> hI\) -S 0 tJ CONTRACTOR MAILING ADDRESS --r:-i.L/!.e ,DJ.lJSTI6Uc.T:-/J.LJ //.b{ UAA.lrtJLr2AJ ~Ua,eAJe. PROPERTY LOCATION - INCLUDE POST OFFICE . , I q/j'1AiJd~AJ LA)J{J_ 8 f ~/ }jC.Fi'P:/c!/ Ore r~.tJ. .cr7L/- i1!J r~~p-=-R~~~~~A~ ~~~~~~TION Lo-r~=? '71IDr.K ff ~ ~covrl ArilT)tuJ -/0 /YhJlJ1A '-=h?;; Y' MET~;'~CBH~~NDS B ~E~ TWP RANGE SEe. TAX LOT :#' CODE CENSUS TRACT . 951 /J'AIt!er<~I'>J lA}. PERMIT # . PHONE 7tf1- SoeiJ.} oP,'e:.lrI 9bloO I ....J PHONE . ~ ?i"~, 91:.50 /7 03 {;2.7 (! 1') A}.sT'f2, LL~-r;. /I /J - AND I j) d). . J.llu) Bur e iJ MAILING ADDRESS kLL a 't IV .e- J (J r~ a 11 Al FOR MOBILE HOME PERMIT 'ONLY .' I Number of, Bedrooms Connect to Existing STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION J2 dd-~iLnr) (~~-'J/?_-:Z.;"'_) ~J ~ X /-'--1) 914D:L' DESCRIBE EXISJNGSTRUCTURES ON PROPERTY IF ANY ~X' ;,sTi ij 7 f\ }J I ~. t ~-: < ~ J ,I _ _-. ~ 1-ftJl.l..9 t= _ LEGAL ACCESS TO PROPERTY - ROAD N-AME OR # A )J de., r.5 (f) .d L f-\ j..) It PROPERTY SIZE-WIDTH DEPTH ~'l AREA APPLlCANT_r;-. . . NAME' ! ; L l.e. /2, ';70 Sewage System 0 or New' System Req. 0 ~. FT. # BEDROO~ VALUATION . ?~fD~ III) 1/ n' tp ~ 5~I5'J IJ 7J /' // -,v TOTAL ,3 2- 32,32- PLUMBfNG INSTALLED BY ,/' . OTHER 0 A'OWNER 0 OTHER 0 NAME WATER SUPPLY . /: ," PLANS FURNISHED fACILITY PERMIT fEES PUBLIC 0 OTHER' YES ~ NO 0 YES 0 NO M PLUMBIN~ fEES " ./ . . SI~~E Of APPLlOOlT .~-~ DATE IVtI~fl~ -:L~ ~A~/ I~UJ.-1~ CASH M SEW~R dH'RI}EIVED BY , DATE CHECK~ CONNECTION FEE .xJ'~ J -to-l5' PERMIT # PUBLIC WATER CONNECTION FEE SEWAGE DISPOSA'lvvI~ . PUBLIC 0 _ S~TlC TANK 0 BLDG. ,~ 6Z,00 WASTE DIS. PLUMBING PLAN REVIEW PARK TRLR. MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. fT, TRENCH WIDTH fT. OR SQUARE fEET 9-' 0+ BNl,;v~l -Ma+' . >Dar~ ,/ - Y' Po U\', .,e. J . Q !i.Hj. \ S' , A-d// )nrAV'_ . anLr.~ -f \') C} ~ ofret I 'k.D>>- (J TYPE Of STRUCTURE 0-/V OCCUPANCY J ,. ZONE REAR YARD PUBLIC UTIL. EASEMENT tR?4 BLDG. SETBACKS - fT. FROM CTR. OF ROAD RIGHT OF WAY FRONT Y t? SIDE INT. .' 5' SIDE EXT: ~~ITARIAN J J .Jate PLANNING , " ) 1.?> 7~ ~ /-~-?.r 1 . C I. - - , :.- , ections to Find Property: USE CLASSificATION Date REAR & '.1 ~ /) BLDG. INSP.." II rfil '~. 11/1/,', '_ Date W ~~~/ /1, r.;;4LI=JfJfJ~ Jt~ I .- 1/ COpy 1 - OffiCE COPY 2 - JOURNAL COPY 3 - AUDIT , p t ( /' /. ) '/'.'1'" .' 1" .,' I I . '41" b< Form '# (55-12' f