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Marion County <br /> Septic Site Evaluation Application 5155 Silverton Rd NE <br /> r r I'' Salem,OR 97305 <br /> C�� 503-588-5147 <br /> Residential Site Evaluation Building@co.marion.or.us <br /> Q R:E'.Gf Q:N Website:co.marion.or.us <br /> 555-24-006424-EVAL <br /> APPI►c ttc3n statadatgItel k , , A r x s� <br /> Application <br /> $,�tat u qa t A....,p 5ua mt e <br /> � �'�#^ �'��,* <br /> Wd �desption BD: �y V1 <br /> F & li y e 01uk <br /> it"is .R u ; : rs'r. ,,,, v <br /> • <br /> Applicant: KAYA,ANDREY <br /> Address: 18926 BUTTEVILLE RD NE <br /> AURORA OR 97002 <br /> Phone: 503-951-7887 <br /> Email: andrey_kaya@outlook.com <br /> Owner: KAYA,ANDREY Property address: 9588 Fisherman Ln NE,Aurora,OR <br /> Address: 18926 BUTTEVILLE RD NE 97002 <br /> AURORA OR 97002 <br /> Parcel:TEMP MC-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 /> CALL BEFORE YOU DIG...ITPS 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 /> 8/14/24:4:13:21PM Page 1 of 1 ONS_OnsiteEvaluationApplication_pr <br />