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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 430 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />ow.i-~,~rE= 03/27/91 "riME: 13:33:57 <br /> <br />:~uus ~,ua.~s~rAIE OF ORE H~Y DEPT. <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />51 MILE PO~r N. S/~NTiAM HHY <br />DErROiI OR 97342 <br />U~E OP BUILDING <br /> <br />MARION Or.,~N1'Y ' <br /> <br />UGB <br /> <br />NO <br /> <br /> ~,E~IIOR- ~'~ERNE¥, JERRY <br /> P.O. 881 DETROIT. OR 97342 <br /> PHONE; 854-3807 <br /> <br />LOT BLOCK SECTION <br /> <br />WIDTII ~SPfH AREA <br /> <br />TOWNSHIP <br />UNITS <br /> <br /> SITE NUMrEER: 12266 <br /> RANGV~LUA'r ION: ZOnE <br /> <br />10 ~RREQ LOT 5E CORNER lC <br /> NO NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />RF..~I DEN ] iAL <br /> <br />MAP <br /> <br /> 105 <br /> <br />tYPE.. ON--~I"rE -qE%~AGE <br /> <br />PEI;~Ii r OR APPLICAtiON NO: 30289 <br /> <br />CONTRACTOR, NO. <br />S'I'ATE OF ORE Hk~Y OEP'f. <br />REN'roR- IV~NE/~IEY, JERRY <br />P.O. 881 DETROIT, OR 97342 <br />PHQ~E: 854-3807 <br /> <br />WATER ~SUPPLY: C~ <br />'I'E~'{ HOLES READY: <br />SITE EVALUATION Nur,~ER: <br />ED(iSlING lANK ~IZE: <br />EXISTING DRAIN ~iELO LiNP~= <br />SEPTIC TANK PUMPEO~ NEED TO CALL <br />PREVIOUS NO+ BEOROOIV~: <br /> <br /> 11E~1 QUAN'I i TY <br />AUTHORIZATION NorlcE - FLU. VISIT <br /> <br />PAYEE: <br />RECEIVED BY: Cr <br /> <br />TOTAL A,~SESSED FEE~ <br />PREWiOUS RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE [XJE <br /> <br />$105.00 <br /> <br />$305.00 <br />$105+00 <br /> $o.oo <br /> <br /> $o.oo <br /> <br /> TYPE= CHECK <br /> ?~ ]'i".."' ~"-~-------' ~"""'''''''-' =' ""'~~m ~ '~'" ~ <br />SEE AlrACHEO DOCUMENT FOR REQUIRE},IENTS OF ON-SiTE ~ENAGE SYSIEN~ <br /> <br />IS A REPUND DOCtJi~ENT. <br /> <br />REi~RKS <br /> <br /> / <br /> <br />FORM t' MC 15-56 RE¥ 4/go OFFICE COPY <br /> <br /> <br />