Loading...
HomeMy WebLinkAboutPermit Building 1974-4-9 ~ ..r "l ..., .-~,,;.. ....,. , LANE c~ ""NTY BUILDING. PERMIT O~ 'MOBILE HOME USE APPLICATION BUI,LDING'~" MOBILE HOME Dose REG, #, 'PERMIT'# t.j/"{;:.7 y ~MAllING ADDRESS PHoNE l;() ; "~i)X '] li?:, (J~0cJ, e~j~, DIU~!,O.J', Cj1Yl'J/c 7'11-1&.2//1; 'MAiLING ADDRESS i PHONE P/ERMIT TYPE - 'PROPERTY OWNER ' '- . "S-:.:1:4,'(.... Ie I ,.jc:: I'f-o..i'," CONTRACTOR l , s;.~l"'t'.... ri.-,V-i O_Q.,J'j' , PROPERTY lOCATIOt\i - INtlUDE POST OFFICE s.t\~ ~~ f.\~~, PROPERTY lEGAL DESCRIPTION' lOT - BLOCK - SUBDIV, TWP . \ RANGE I) METES & BOUNDS 0 YES ATTACHED 0 NO 3' SEe. _ . 31-/ .:2:4-," TAX lOT #" CODE'. '. CENSUS TRACT r'l1~+-c)-\2' ~o-r-.'. 6\9'-j~~, DESCRIBE E)Is,rING'.S:RUCTURES,ON P,ROPERTY IF ANY 'ftet J\;'Q... , . LEGAL ACyfS, SSS ~ ~oo PROPERTY,- ROAD NAME OR# " f~h ' ( G-o.rclPti\ 'JUo. V PROP~RTY SIZ~WIDTH 'DEPTH I ~,) AP:l~~:NT ~'~ !',C\ir'4 ~-'l'. ," ,''"~; ,.' ' ',', . AND ~, o. t1 uX Tt.L3 ~'(; Io? '..' :t,G;'A-u:I(!;J tJA;./ ) i: 'MAILING ~, ., . .' · , . J , ,ADDRESS .~:~.?~;",p.'-'4 e.-.~ .' [) ~,'i'C1 J 97~,~ '-'FOR MOB1tE~6ME \pERMlj ONLY.' I,,:, Number 'of Bedrooms' Con~'ect to Existing Sewage'System.D, or New System Req. D STRUCJ{lRES TO BE BUilT THIS P.ERMIT Jl,\ 'f {." TY~E'CONST~CTlON..-:J "" " ,'. '_,,- SQ, F!. # ~EDROOMS VALUATION (~CH,n ~1- - >JV\C\ IV:1)< h[cd ~ - . ...;20 )( f5;;Z . ~'J:'-rif, 9.< 'l'~ ~ s,1 L ~~trWI/....u/VtA ~if~~ -deZv~v>&~ (f(~A__t&.J~~d;/t:;eA=ilbr'c ' - '., If'f''',,C . ."/';/ A~~ ~2Jrl62d!J~ ~td ~~~kA!I!; c;A~~:i:Z '. , c, ,:~(l pr · AREA- 5'QU-es.' ~ SEWAGE DISPOSAL PUBLIC, 0 BLDG. WASTE DIS: PLUMB I N,G,... " PLAN REVIEW PARK TRLR.,' ~ SEPTIC TANK 0 2(".'- OTHER 0 W A TERSUPPLY PUBLIC, 0 P.LUMBING FEES " FixtURES CAS I-! 0 ,SEWER' . CHECK n CONNECTION FEE, OTHER' ,PLUMBING.INSTAllED BY , OWNER'D.' OTHER 0 NAM~ PLANS FURNISHED FACILITY PERMIT YES)d: , NO 0 YES 0 NO )(, y~Ltr~~ . pATE FEE RE~EDCl .....n fJ ~ \ DATE P 'ifUl.A.lq/ k- PERMIT .# FEES TOTAL' 'of:". ,.~ PUBLIC WATER 'CONN~CTION FEE I~ .-J. (4 I I [/'I (: J COUNTY BUILDING & SANITATION SPECIFICATIONS ~.. . .~:~I~,FIELD. REQUIR::EN~'H WIDTH F;j OR S9l:i~ ~ r~# 0F~~f1u;J cCJ~s'l~ $D~~, MIN. .SEPTIC TANK CAF'ACITY -, ' ~' WITH DIST, BOX: GAl. . . TYPE OF STRUCTURE -sA! , OCCUPANCY . (f ,: ZONE REAR YARD PUBLIC UTll. EASEMENT BlDG.. SETBACKS - FT, FROM CTR. OF ROAD RIGHT OF WAY FRONT .s- c:J SIDE INT, /& SIDE EXT, REAR ')I 'C? tr~~~"!1;;'~ .'~. . y_y_;;' .'''G. 'N" Urections to Find Property: . " . USE CLASSIFICATION . , :~ljb~ ~& t/-9'~ ~~ ~ (. L COpy 1 - OFFICE COPY 2 - JOURNAL COpy 3 - AUDIT > '- ~ ::- Form # (55-12