Laserfiche WebLink
Environment~ tIe~lth Sarvices Division <br /> County D..opart~n~ Of Public Health <br /> <br />~ be ~alxaitted with s~plication for <br />~Uila~g permit or mobile hcme place- <br /> <br />ADplica~ion to the D~a~t of EnvirOr~ental ~m!ity <br />mr a Penuit t~ Oonstruct m New or ~ <br /> <br />New - $50.00 C~25.0O with si~e eva/u~tion) <br /> <br />P~ir, Alteration - <br /> <br /> Edward Shannon <br />Nam~ of Applicant <br /> <br /> AUrora, Oregon <br />City, State, Z~p <br /> <br />Tax Lot or Account # <br />Lot $i$e 101 acres <br /> <br /> Bt;. 2 Box 190 Aurora <br /> <br />Installer ' s Nmmm <br /> <br />New Construction <br /> <br />Installatioa will serve: <br /> <br />~bile ~ Park <br /> <br />N~nber Of Living Unties / Nt~oo~ of B~ll~ms ...... / <br />Water Supply: Public __ C~.m~nity -- 1)rivage ~ C~ Disl~? <br /> <br />1, l>l"o~ed Ik~m,wfe,.e~ ~ Disposal &~y~t~m Plot Plan <br /> <br />3. tlUlld~ng Plans <br /> <br />h -o~reby certify tb~t the !n¢cm~tioa contained in thi~ application ~ t~le aud correct <br /> tho be~t of Z~; knowledge and belief. <br /> <br />EH--S7 7/74 <br /> <br /> <br />