HomeMy WebLinkAboutCAR1994-00087 SEWAGE DISPOSAL PERMIT APPLICATION
JEFFERSON COUNTY PERMIT CENTER
621 SHERIDAN STREET, PORT TOWNSEND, WA 98368 (206) 379-4450
DATE RECEIVED/REVISED: 08/19/94 PERMIT NUMBER:SEP94-0330
Application to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE
DISPOSAL SYSTEM IN JEFFERSON COUNTY, WASHINGTON
OWNER PHONE: 638-2423
ISSUED TO • STEVE SWANSON
MAILING ADDRESS. . : 4577 NE TWIN SPITS RD
: HANSVILLE WA 98340
INT PHONE:
INTERESTED PARTY. :
MAILING ADDRESS. . :
DESIGNER • RYAN TILLMAN P.E.
MAILING ADDRESS. . : PO BOX 216
: NORDLAND WA 98358
PARCEL NUMBER • 801042024 STR: 04-28-01W
(Permit valid for this/these parcel(s) ONLY)
LEGAL DESCRIPTION/SUBDIVISION: STRICKLAND/SWANSON BLOCK:
LOT(S) :
LOCATION • BROTHERS RD
TYPE OF SYSTEM: PRESSURE MOUND
ASSIGNED TO •CELIA
FEE: NWA $ 210.00 MTM 08/19/94 96049 /
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12
sep _app .txt 07/10/93
PL1•
Jefferson County Permit Center Receipt:
Development Review Division
621 Sheridan Street Check#:
Port Townsend, WA 98368
(206) 379-4463 Fee:
Date: C L p
CAR#• 7 ° v O
CRITICAL AREAS REVIEW APPLICATION
APPLICANT NAME: C'IW-e_- PROJECT NAME:
Triggering Permit:
❑ Building Permit ❑ Land Use Permit/Zoning ❑ Shoreline Permit
❑ Septic Permit ❑ Subdivision Permit ❑ Other:
CRITICAL AREAS ON OR ❑ Wetlands ❑ Seismic
IMMEDIATELY ADJACENT TO SITE: ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1
❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2
Erosio
Landslin de
Zone:
Urban Growth Area: yes / no Status:
Parcel Size: Reviewed by:
Comprehensive Plan Land Use Designation: Date:
Community Plan:
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