HomeMy WebLinkAboutPermit Miscellaneous 1975-8-5
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Rari,ge
23
Section
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Tax' Lot.
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Code
Cens;us Tract
Recei pt No..
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" 8~5"'75"
!REQUESr FOR S /TE FEAS rB IL /TV STUDY
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REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE
plJANSOR KXPKND !TURKS MADK IN RELIANCE UPON TH'I S REPORT,
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Owner
F.lr,'nt
Owne,rs Consent
Yes XX No
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THIS IS A~PRELIMINARY
aUILDING ~ERMIT. ANY
,ARE AT YOUR OWN RJSk~
:2
No, Si t e s
No. Acres
TOTAL
$
$
$
15lJ",,~[t
-\, Tel ephorle: No.
; i.l{I;;"'!:'942
Property Size
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II
Appli&ants In,terest in
owner
Legil IAcc~ss - Road
B,D 1 dy "11$\'1 ll4'Jl1~
Property
Property
O:Z:i'."dI110i'l~S Ferry
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I Sp r i n q
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'('D ./1 . )
, I r;;ectJ ons
, r-'
ro~d~1 (igh~ B~ldy VIew Lrnep 1~ft Sox ~57.
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NOT A'PPROVED
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Proposed Use of
clw~ i i Ing
Nam'e. 'Spetdal Permit Are,a
Yes XX No
Is Property, W'ithin One Mile
What ,City? Spriflgflel'd
Ot her
Spec i fy. ,
, Urbanizing Area
Yes No XX
of a City?
Yes X;( No
Existing Structures
none
Proposed Water Supply
Publ ic XX.. District
Well
Property. Loc~tioo:
e~st ~nd belt i lniJJ1_ 1 eft Go?l'i1C F,:!jrm, ri ght '
ApPROVED
xx ,
P=rtrtio.fng needed: Soe P'~nning Dep~rtment
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BEFORE CONSTRUCTION IS ~TARTED bring this form to the Department of Environmental
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Man(Jgemeni and make application for a bu"i1ding permit. If the property is a por-
tion only of a tax lot, !ia metes and bounds description of the parcel must be fur-
nished. Exact specific~tions for the sewage disposal system wi 11 appear on the
building permit. Two sets' of building plans and a plot plan will be required.
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LANE COUNTY DEPT. OF EN~ I R:ONMENTAL MANAGEMENT' John Shr.:!:l~~
135 EAST SIXTH AVENUE, EUGENE, OREGON 97401, ~,A\:I~,I;1Qrilzedl~"7.gnature
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II
Date
C55-32