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Marion County <br /> Septic Authorization Application 5155 Silverton Rd NE <br /> Marion Salem,OR 97305 <br /> County ' 503-588-5147 <br /> 555-24-007093-AUTH Building@co.marion.or.us <br /> •b:R e:t O N <br /> Residential Authorization Website:co.marion.or.us <br /> p ;Yday. <br /> application�iration�( 09/06/ rY €I oft <br /> �,, z are ? <br /> Descrt n A ADD 1 BDR TO AA3 BDRM SFi r� O ALOF� $ <br /> u�1 l'a r � „ .,m' ..s. ity 5 <br /> .. <br /> y k! ,� i1'� RIB ° <br /> ,..SMAI.4a �«... <br /> Applicant: SLOAN,JAMES&SLOAN, KAREN <br /> Address: 67 ANKENY HILL RD SE <br /> JEFFERSON OR 97352 <br /> Phone: 775-303-6213 <br /> Email: jimsloan3@gmail.com <br /> Owner: SLOAN,JAMES&SLOAN, KAREN Property Address: 67 Ankeny Hill Rd SE,Jefferson,OR <br /> Address: 67 ANKENY HILL RD SE 97352 <br /> JEFFERSON OR 97352 <br /> Parcel:093W09 00800-Primary <br /> Accessory Dwelling Unit: N/A <br /> Authorization Notice for: Addition of One or More Bedrooms <br /> Lot Size: N/A Water Supply: Well <br /> Category of Construction: Single Family Dwelling <br /> "WV, az ;�, p r; �zrr +, ' iE$, 5t ,a+. <br /> �.x s kuw .. ... ,. ?F..ea aH F �. _; ! XI$1ntJ a �<_.a a T.. ,. ; n a 2 r Pria(-- .4.4.:r ZANd-at <br /> Number of Bedrooms: 3 4 <br /> CALL.BEFORE YOU DIG...IT'S 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 /> 9/6/24:11:54:51AM Page 1 of 1 ONS_OnsiteAuthorizationApplication pr <br />