HomeMy WebLinkAboutCRESTBROOK BLK 1 LT 2b ook
011
,APPL! NT FILLS OUT UPPER HAL ~ONLY .
Property Owner ~ Linde Prescott (executress of mothePs wt11) Phone
Mailing ~Addres~ ~ '~ Zip Code
Buyer 1qr. & lqrs. Dengel
Address Presently resldtfla tn Valdez , ., Zlp Code
- Phone
Lentil,0 Inst,~,o, FirSt Alaskan Ptortage and escrotf (NIFC) .,~?~//? 27603:]7
Address Bustp. e_~s Park zip Code 276-t1_W'!_7
Realty Go. & Agent Finn-Creek Realty ~1tm AnderSon Broker Phone
Address 3~5 E. Dtmmmd Blvd ~chor&ge, Alaska zipcod,gg$03 349-3925
Legal Description
Lot 2 Block ;1 Crest. brook Subd
Street Location ~. JUrA Rf~J _~tn~"~'--..' Pl-,'~ .~_.¢.hO.~_~,~e_. A~.=_~_k=_ __e95_~]
Type of Residence
~ singl, Pam,,y t Hoae on Its o~n lot, ct-t)' ~r aa4 maaaatt~ ~11
Multiple Family No. of~ooms
[] Other
Water Supply
[] Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
For wells drilled prior to that date, give well depth (attach log if available).
Community
Public Utility
Sewer Disposal
[] Individual Year Individual Installed:
CI Public Utility When Connected to Public Utility:
[] Holding Tank _,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
/ Date
Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
("~APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED ~
( ) CONDITIONAL APPROVAL*
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
72-023(3/82)