HomeMy WebLinkAboutPermit Building 1994-10-16
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ACT}~\~i;TY INFORMATION .JHEET
'ldne ,county
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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PERsoN MA~G REQUEST
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MAILING ADDRESS.
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. PROPERTY OWNER
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ZIP CODE
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ZIP CODE
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BUSINESS TELEPHONE #
HOME TELEPHONE #
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BUSINESS TELEPHONE # HOME TELEPHONE #
: 2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
i 3 MAP & PARCEL NUMBER
, (REQUIRED INFORMATION)
1 ToLL
(from tax maps in Department of Assessment and Taxation:
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RANGE SECTION TAX LO~ OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT(S) OR PARCEL # ZONING
ACRES
,4 SUBDIVISION (if applicable) LOT BLOCK
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NUMBER . ~ ~
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** FOR STAFF USE ONLY **
ZONE/LAND USE:
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE.. EUGENE. OR 97401 / 687-4061