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MARION COUN'FY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 506-7904 <br /> <br />SITE EVALUATION APPROVAL <br /> <br />BA"rE/TIHE : 11/2~/95 i1:~3 APPROVAL NO : 95-17116 <br />TYPE : SE STAT~S : APPEOVE~ <br /> <br /> 1 <br /> <br />Wf~Rk DESC : SE; TH:YES/PARTION1N[,~ PRDPOSE~) ~EI) RM 3 <br /> <br />SIl'~ Al)DRESS : CITY: MARION COUNTY <br /> 11895 NOBLE LN SE AM <br /> <br />SUBDIVIS,[tIN : THE RANCH L. OT: Y BI_OinK: 4 <br /> <br />CROSS STRI,.;ET ~ S'~EINKAMP RD SE/BARBARA LN/EVIE (PARCEL <br /> <br />PARCEL NUMBER : 74118-178 F'ROF'ERTY LOCATOR: 881W28C <br /> PARCEL S7~7[: ~ 1.9 AC ZONE: AR <br /> <br />OWNI;:R NAME : SWEE'I',~ROI:~ERT ~ LETHA-TRUST <br /> <br />APi,'L ICANT <br /> 14AMIZ <br /> Al)DR[ S.i <br /> <br /> : L[)L, YER,bE )R[~E A <br /> : 4608 F'UHF(EI;~ ST NE <br /> SALEM ~ OR <br /> <br />1NITI~L, SYSTEM: ~T~ND~RD <br />REPLAOEMEI,IT SYSTEM: SANg FILTER <br /> <br /> 1 <br /> <br />97~05 <br /> <br />l) escx-j,l,~t:[ on , <br /> DE(~ Surcharge <br /> <br /> As~esmed fees 320.00 <br /> Ad ~ust~qen'ts <br /> Tot, al fees p~,~,. <br /> To~ai cayment's: <br /> Balance due <br />PAYEE: [;0LY[R ~EORgE A . , , ,,,0~ ,,, <br /> <br />THIS IS NOT A FERNIT TO iNSTALL A SEMA~E SY~EN AND iS NON-REFUNdABLE. A PERN~T MAY <br />BE ~SSU~ ONLY AFTER THE P~PERTY HAS BEEN FOUND TO BE CO~AT~B[.E WITH APPLICABLE <br />LCD~ ACKNOWLE~GE~ LOCAL COHPREHENSIVE ~NO UgE PLAN. <br /> <br />D(tNALI) E WOO1)LEY~ BUILDING OFFICIAL / BY TNEAL, <br /> <br /> <br />