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MARION COUNTY BUILDING iNSPECTION <br />SENATOR E~LDG NO, 225 <br />, 220 H,IGH STREET NE <br /> SALtE-M, OREGON 97301 <br /> <br /> PHONE: 588-5147 8;00- 4:30 <br />24 HOUR CODS-A-PHONE: 588-7904 <br /> <br />own~n EMERY, ADR[AN <br /> <br />435 NOR~'H SANTIAM HMY <br />IJE TI,~,.) I I OR <br /> <br />97342 <br /> <br />5E <br /> <br />5717 ?47H AVE <br />KEIZE~ OR 97303 <br />PHONE: 390-1137 <br /> <br />OET ROi l NO <br /> <br />SU~O~VrS~ON 51VIALL t-ANE '[RACT ~10 <br /> <br />VALUAT iON ,~ <br /> <br />AREA <br /> <br />01 TOWNSHIP 10 nAN~i~ ~E Z(~N~ ~ MAP <br /> <br /> UNITS IRREG LOT ¥~ CO~NEI~ <br /> <br />PEr~l~ OR APPLICAIION NO: <br /> <br />CL.~IRAC[OR, NO. <br />EMERY, ADRIAN <br />6717 141'H AVE <br />K~IZ~R OR 97303 <br />VHL,,'NEr 390-1137 <br /> <br />9029057 <br /> <br />EXiStiNG TANK ~iZE: ~~__~ <br />~[STiNG D~IN FIELO <br />~EPTIC T~ <br /> <br />SIrE <br /> <br />QUAN [ 1 IY ARCAJN I <br /> <br /> TOTAL AS.SMMSED FEE~.'.~ $175.00 <br /> THiS R~EI PI" $175.00 <br /> ~A~NCE ~E $0. O0 <br /> <br />R~EIVED 8Y~ ~ ~ ,. fYPE~ iN CHEC~ ~: 0 <br /> <br /> THiS GOES NOT ~RANT OR IMPLY P~i,~510N TO BUILD ON THIS PARCEL. PLANNIN~ AND <br />~sr~'I i~ P~i~.~T~ ~E ~TA1NEO. EEFO~ ~UiLOIN~ OR SEPTIC iN~TAL~'rI~ ~IN~. <br /> <br />OFFICECOPY <br /> <br /> <br />