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FOR CITY UgE ONLY <br />Rc~civcd B~:~ <br />Zonifig Validation,' ~.--~ ' <br />Date:' <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salan, Oregon 97301 <br /> 8:OOam.4:3Opm Phone 588-5147 <br /> 24 hr. Inspection Line 585-7904 <br /> <br /> SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATION <br />L LOCATION OF INSTALLATION <br /> <br />S~tion /L Towmhip ~f Range / ~ Zo~ ~--~ Map q ~ ~ [~ Wa~rSupply: <br />~t Wldlh ~t Depth Acm~ . ~ l~g. ~t ~ Comer ~ Community Well ( ) City <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />3, FEES <br /> <br />077q7l <br /> <br />Site Evaluation, Commercial 1000. $000 gallons .......................................................................................................... 325.00 + $100/500 gallons <br /> <br /> Holding Tank (Commercial only) ...................................................................................................... 387.00 <br /> S~ag~ Pit ......................................................................................................................................... 317.00 <br /> <br /> Almmtions .......................................................................................................................................... 383.00 <br /> Pump or Dosing Siphon ....................................................................................................................... 25.~ <br /> <br /> <br />