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:p . <br /> MARION COUNTY BUILDING INSPECTION DIVISION (34:57) & L0 <br /> la <br /> 5155 Silverton Rd NE <br /> Lti <br /> Salem OR 97305 <br /> (503)588-5147 ®CT 6 ZOZ3 <br /> Fax: (503)588-7948 <br /> MARION COUNTY <br /> BUILDING INSPECTION <br /> LAND USE COMPATIBILITY STATEMENT(LUCS) <br /> FOR ON-SITE SEWAGE SYSTEMS <br /> DATE: 10/12/2023 MCBI File#: <br /> SECTION 1-APPLICANT INFORMATION <br /> Orrb t'"• <br /> 1. Property Address: 107 Ser`bil AV Property ID#: <br /> Gates OR,97346 <br /> Section: 093 Township: E26 Range: CC 0280 Tax Lot#: <br /> 2. Name of Applicant: Trey Re0 <br /> noud Telephone#: 503-871-2260 <br /> Mailing Address: 11805 State St, Salem Or, 97317 <br /> 3. Describe type of facility the on-site sewage system will serve(business,residence or other): <br /> 0 Single Family Residence <br /> D Business <br /> ❑ Other: Duplex:2, 1 bedroom units <br /> 4. Type of on-site sewage system permit application being proposed for this property: <br /> 0 New Installation Permit <br /> 0 Repair Permit <br /> Alteration Permit for: 0 Replacement Dwelling 0 Bedroom(s)addition <br /> O Other changes in land use involving potential sewage flow increase: <br /> it Replace failing septic tank <br /> G:\FORMS\SEPTIC\Application Packets\S-39 LUCS.doc MC:S-39.rev:8/10,04/12 <br />