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Marion County
<br /> Septic Site Evaluation Application 5155 Silverton Rd NE
<br /> - } Salem,OR 97305
<br /> Marion
<br /> County 503-588-5147
<br /> O R
<br /> Residential Site Evaluation Building@co.marion.or.us E G:O
<br /> Website:co.marion.or.us
<br /> 555-24-005465-EVAL
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<br /> WOrit.d�escription:��SI IAL.FOR�FU U g4BDRM t"fl y A 1. �
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<br /> Applicant: Ken Tooze Excavation, Inc Primary contractor: Ken Tooze Excavation, Inc
<br /> Address: 8624 Blackhawk Ct SE Installer License:39231
<br /> Salem OR 97317 Address: 8624 Blackhawk Ct SE
<br /> Phone: 503-932-4175 Salem OR 97317
<br /> Email: kwtexcavation@aol.com Phone: 5033900510
<br /> Email: kwtexcavation@aol.com
<br /> Owner: GARCIA, ROBERTO CARLOS Property address: 8232 Davis Ridge Dr SE,Aumsville,
<br /> Address: 773 SUMMERVIEW DR OR 97325
<br /> STAYTON OR 97383
<br /> Parcel:081 W33B 01401 -Primary
<br /> Lot size: N/A Water supply: Well
<br /> Zoning: N/A City/County/UGB: N/A
<br /> • Accessory Dwelling Unit: No
<br /> Proposed use of structure: N/A
<br /> Category of construction: Single Family Dwelling
<br /> •
<br /> CALL.BEFORE YOU DIG...ITS THE LAW
<br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain
<br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.)
<br /> 7/16/24:2:03:48PM Page 1 of 1 ONS_OnsiteEvaluationApplication pr
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