HomeMy WebLinkAboutSEP1972-00193 9O5 East Caroline OLYMPIC HEALTH DISTRICT Court House
Port Angeles Port Townsend
BUILDING SITE INSPECTION APPLICATION
Submit in Duplicate co U LtJrv\i - f-•
• OWNER�1,.,P.s` L.-�\es l DATE 3i 7z-
LEGAL DESCRIPTION CQ\���
DIRECTIONS FOR LOCATING
AN APPLICATION IS HEREBY MADE FOR APPROVAL OF THE ABOVE LOCATION FOR A-
STRUCTURE WHICH WILL BE SERVED BY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM.
RESIDENCE i I ERCIAL BUILDING OTHER
NO. BEDROOMS oZ BASEMENT SITE SIZE i00 '(w SOURCE OF WATER L.:` .1
TYPE OF SOIL c1� .)4,. DEPTH TO WATER TABLE
•D:RAW A SKETCH in the space below, indicating location of building in relation
to other buildings, property lines, well, streams or other bodies of water.
Indicate proposed location of sewage disposal system.
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Date of Site Inspection 77/31[ I l L APP •�- � -try-y•� .-:!,r
APprovedv; ' Disapproved * `'.
Sanitarian
* See reverse side for remarks.
THIS IS NOT AN APPLICATION FOR A SEWAGE DISPOSAL PERMIT. A SEPARATE PERMIT IS
NECESSARY PRIOR TO THE INSTALLATION OF A SEPTIC TANK AND DRAINFIELD.
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Parcel Print Page 1 of 1
Panel Number:936902302 08/15/2014
Owner Mailing Address:
DENNIS NEVILLE
615 54Th ST
PORT TOWNSEND WA 98368-1609
Site Address:
615 54TH ST
PORT TOWNSEND 98368-1609
Section: 34 School District: Port Townsend(50)
Qtr Section: NE1/4 Fire Dist: Port Townsend
Township: 31N Tax Status: SNR/DSBL
Range: 1W Tax Code: 0100
Planning area: 98368-1609
PTSEWER-
Sewer: Connected(No CWF) Drainage:
Bank: View 1:
R-I(SF)- Low Density Single-
View 2: Zoning 1: Family
Zoning 2: Zoning 3:
Sub Division: 9369 - CALIFORNIA
Land Use Code: 1100
98368-1609
Property Description:
CALIFORNIA ADDITION BLK 23 LOTS 3 & 4
http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=936902302 3/20/2015
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FOR INFORMATIONAL PURPOSES ONLY-
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