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SENATOR BLDG, NO, 225 <br /> 220 HIGH STREET NE <br /> · ' SALEM, OREGON 97301 ,,~ ~__ <br /> PHONE: 588-5147 8:00 - 4:30 /'~'\ /'"~ ~7,2 <br /> 24 HOUR CODE-A-PHONE: 588-7904...----H~ //' ./~.~ <br /> <br />thio document. ~ <br /> <br />', GARRI,SON, DON ............... 744~2=101 ,. EESI;QENTIAL <br /> <br />: &17;~ SANTIAH SPRINGS CT ~ <br />~ AUMSVlLLE OR ~7325 , MARION COUN'rYj NO <br />0¢~ OF ~OILO~N~: <br /> <br /> ~ SAN~:iAM-. SPBINGS-E~T-A~ES <br /> 7585 BATTLECREEK RD SE <br /> SALEM OR ~7~8t SITE NU~BEB: <br /> F HONE~ ~7~-.~8~ VALUATION: <br /> M~P: <br /> <br />w )T~' ~OEPTH ~ A~ UNITes ~'~. ~8~ .......... ~SA~': .............. ~ <br />: _ ~. Z5 _ _AG I YES ',.-.-.--~ES;;-:,; ................... <br /> <br />TYPE: ON-SITE SEI4A6E <br /> <br />PERMIT 01~ APPLICATION <br /> <br />7585 BATTLECREEK R~ SE <br />SALEH Oi~ <br />PHONE: ~7~-258e <br /> <br />WATER SUPPLY: F'W <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 72-'887 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIEL~ LINES: <br />SEPTIC TANK F'UMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> I'FE~I QUANTITY Ai~OUHT <br /> STANDARI) ON-SITE SYSTEM 1 $255.00 <br /> <br /> TO~rAL, ASSESSE~ FEES *255.00 <br /> PRE'V[OU~ :EECE~PTS $8. e~ <br /> ~HtS RECEIPT $~.5,.~. 8e <br /> <br /> PAYEE,, VALLEY OAK~' : RECEIF[ NO,, .,-~¢8 <br /> fkECE~VED BY: MB---~ . TYPE: 6K CHECK ~: 4~1 <br /> SEE AT'f ACHED t)OCUHENT F:OR R~QOIF(E~EN~S:OF ON-;SiTE SEWhGE SYS'fEH. <br /> *THZS ~S NOT A PERMIT. ~ ZHROU6H A REVIE~ PROCESS ~HERE THE ¢ <br />FOI,.LOW~NG MUST BE COMPLETE~; ?REoPQNSIBILITY OF THE AP:LICANT TQ ASoORE TMAT <br />ALL IIEGESSARY INFORMATION HAS BEEN:PROVlDE~. <br /> <br /> 22 .................................. <br /> PLAN REVIIEW:: BY.,. <br /> <br />OFFICE COPY <br /> <br /> <br />