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HomeMy WebLinkAboutPermit Building 1987-9-2 ./ ., .... PERMIT # '\ TRS, TI ';,' .;)<;;\~A '1 _ 3\. j nf'iI?;,ii' JO B LO CA T ION 0~ 7ikJiL"';'ifS0,;' l1s:-. ~:{~::: POS3vv':-'? A-S e:n (:(',:;e~DiLc: LANE COUNTY PERMIT ~. "~~<~.l~~3 Sp?~.2DRielcl~ 1J1~~ >.?@~i: c;u J.:,~::,Yf; ~~-.<'-; '~C'Z:,;O ccza E"J..,r?;~;t: G ttc-., Ao<r",,,,~" q. ~<:"':'-'L._'1....P Acreage or Lot Si?p ?~n<:?!7~,,",f)fi. Contractor's O.S. # Partition i ng # ) Completed Subdivision !o(t nrtd1.f:fll!T1 9'.!"i ::::'~ro P-[1tl~ Lot ::3~ Blocl< :\::> APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDR~C::C; CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner L'r";:l?lGB Y8Z:)f;'~'~'\ 9S? llaQeIro{;l;i k...~ O.::JF'.D no 8.9V~)11.~\?; Q;~1g,e82(t ) Contractor. (B) Prefer to pick up. Call llQ;~C Phonp Phonp Phonp (owner, etc.) when ready. 1t/?..:J!S92 7/47-;3492 STRUCTURES NOW ON THE PROPERTY Z" lii" D~ ~d r;:JE'C~ -HIS PERMIT IS FOR ^,'k!li~ia;-, f:0 Sa 'fl~ KJ.. (1 !}G~:1R'GeD) # BEDROOMS ~ ..i # PLUMBING CONNECTIONS WATER SUPPLY C-:IlfeW ~m.i:rs7.' - <?nzJ.np~10Jld. SEW AG E D I SPOSA L C!tv CCG~l? .- 8I)itSl.oCfj1J?iX~ S.I. # ,~~ THIS PROPERTY IS WITHIN ONE MI LE OF THE CITY OF 3~' ::ll:C):'XJ;1l.,iJ ;-'1/\ ~ . PLUMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: !Fr" 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 Cod~s relating to this permit. ); Fee Paid $ -=~...- '!.o ~_.;.~ 1--' '1-: ..~,......, '- "'" ,>, ',,' '\, . . ;.... ...,Signatu re , , ........0#"/ r;,~r. '~_. 1.::-......, .. '.'_ Date ~. ~ '/ ) NEW ADDRESS SANITATION ) FACILITY PERMIT TO TRANSPORTATION DEPT. /' , .J ) SPECI1:\L PMT. AREA. MIN. ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING .. " .. c' Type of Construction I Jse Classification Group -..,... Fire Zone ~ ,~' " ......:':'~...~..<'~- Comments: ~omments: By: {" J" Date: PLANNING REQUIREMENTS SATISFIED. By: ZONE: -,,' ,'1..:. SETBACKS: FRONT "- , '. ~.", By: i " : \~, .- '\ ..,. . ~.. ',' ~ ....~ 4" Date: SIDE FACING STREET Date: '.. .... 'i,. Date Issued: <':"1';" A'" ,-c i('V(F-T '. ;';"'~--'.~. 6;_. ~<< K (FROM CIL) -'NT, SIDE YARD REAR (FROM Pill LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55,13 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE PHONE: 687-43\ '. _l.lr~:"I.~ ~ 1 ; .,..".... (' ". .~,,,'''': ......II\._.~ ....../.;. ,. t;.;.~'~',;' 'J'V'!"""{'''-II''~,;/i''''ws ;,j.">';'~'~ ,~,:;~ r ~....4('? 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"'?' ~~,~ ~." l .r e /\ e "f,"'.' ~ ! l-' e e , ., ~ ... .~~": "'> ,; ..j" I() v ~ , " h, On o LU (~ . .' ! i l' ,; .-' ~ I' .. -..'. ,~ ,.~ I " ~ F "1 ',lo-> (\ 0 ~ ti.') E'XISTING OR\VE\JJ\Y ~ Q,o '1 0 0 ~ .~ , I .. I _"L ~ ..... /~ I . -el n " ..,;'""..::.~ ,.-" , 1~ , N ., .,,) q J ~ '"'~ ex.) Building Permit } Site Feasibility Study for Septic Tank. Number of sites Acreage or Lot Size "'lOx-qc,}( 70 )< gO Test holes will be ready ? Partitioning # . ( ) Completed Subdivision 1$1'(' ('ldf'"LLX1D'Y' ~ ;LlE..I\JLO fJAiZ(Lot .3 ( ) Pending APPLICANT'S NAME AND ADDRESS 5u..~u:..cJ YAeeo e..Du..c;;.K I CfS7 A~D~ oJ W, fuO~ OWNER'S NAME AND ADDRESS, if different from applicant's ~A.u..€. A& AA?ClCAr-.J--(' , CONTRACTOR'S NAME AND ADDRESSQDPUGAI\.}..-(' Mail permit or results of site feasibilit~sWQY to ( ) Applicant ( ) Owner ( ) Contractor. (X-) Prefer to pick up. Call '74'7- CS'9'<;;1Z (owner, etc.) when ready. , ,iUCTURES NOW ON THE PROPERTY S, F 0 -' '+' GA12A6E 5.~.D (I BEDe:CO.M.) S"U,,- .,- ~ - "" ~ S~,.~ \,. \...) TRS, TL 'I(-O~- 27, 3.3 .1f 10800 ~i tten [)irecti6~ ..:.P'L5 ~ (? Vef'" 1; - :)- .' PROPOS6D USE (this permit) Odd..-L.k'.01'\ ...yO WATER SUPPLY (\vry ~e~ SEWAGE DISPOSAl Q.t/y St;;WE..e.. PLUMBING BY N. .4 . ( ) PROPERTY IS WITHIN ONE MILE OF CITY ( Job Location CJ 5 ( on CeY> fe. )''If),'tJt../ (To Wcn'~ S INFORMATION SHEET d~O~ ,'\'\ fu<oet-J~ +'f'E;T V"'oc-J on /e.--P-t 3rrf) nCM- s e 0 Y\ (a n~erS ClY) ) Y','~h., Block ~? Phone 747- 349z. Phone ' Phone Contractors O. S. # .3 QX'..15-1"f k.J 6 BEDe.OOM..?:1 ;) If BEDROOMS A"o b.e- (4 ) (existing or proposed well, etc. If public, name of system) (existing or proposed septic tank, etc,) S.1. == Address , *******************************************OFFICE USE ONLY BELOW THIS LINE *******..*..********..***************...****........... ( ) New Address Necessary ) Facility Permit Necessary ZONF SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) To: Planning/Suilding Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with, Your assistance will be appreciated. Response: ) Special Permit Area. Minimum Elevation: Interior Side Yard Rear (FROM PROPERTY L1NESI By - Permit Processing Section By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 C55'12 f)ivision J 'l. ! 'i.I' ." ; ~~\: ~ . ''.,1 ."i\r~ _ I r ~'\&I- ',"J~~ ,}.."~,, ~ . :~~.~/ I ..,,~..' .' ::,',-.~1' ,_,.~",:,:",,;,"'''''r:-'''b'''':'''' 1\ .M.:,.... .," "f;) .."...J.'J.~,..4.i'I"" "'il""s~''''''''';'' l.J.".t..",;..'j,,'Ii?...~ "'li~<.' ..lu.t~.:J1'o..'" J. ~'..'.i',.... 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