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MAR]ON COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE:~8-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE, 588-7904 <br /> <br />CATE: 12/28/90 f[ME: 14:34:34 <br /> <br />TAX LOT <br /> <br /> 2O53? C4~5~ RD <br />AURORA <br /> <br />USL C)F BUILDING <br /> <br /> PHON~; 678-5687 <br /> <br />OR 97002 <br /> <br />NE <br /> <br />NARION COUNTY NO <br /> <br />SU 8DIVISION <br /> <br />~5IlE NUt, I~ ER: <br /> VALUATION: <br /> <br />24 4~ 2W EP'U <br /> <br />1 . 5 LJN~TS <br /> <br />AC IRREG LOT NO CORNE~O <br /> <br />9029553 <br /> <br />WA'TEk SUPPLY: <br />TE':3T HOLES REAOY: <br />~i~E E~ALUAIlDN NUMBER: <br />P...XI~'TIN~ "rANK SIZE: <br />~iSTiNG DP,~-iN FIELD LiN~: <br />~EPTiC T~K ~PaO~ NILL HAVE <br />PR~I~ NO. 5EO~= 3 <br /> <br /> !;EM <br />AU}'HO,RI/'AIiON NOIICE ~ FLD. Vl~i"r <br /> <br />TOTAL A,S~D FEES <br />PREVIOUS RECEIP"r$ <br />3HiS RECEIPT <br /> <br />~JANTiI'Y AhYOUNI <br /> ~ $105.00 <br /> <br />$105.00 <br /> $o.oo <br />$~o5_oo <br /> <br />BALANCg DUE $0_d0 <br /> <br />RECEIPT NO: <br /> <br /> 31217 <br /> RECEIVED BY~ PR TYPE: OK CHECK ~: 645 <br /> SkE Al ~Ag.~ED GOCLI~NT FOR REqUiREmENTS OF ON-SIrE SEWAGE SYSTEM. <br /> <br />* THIS iS NOT A ~[T. THI~ APPL[~T[~ ~ST ~ TH~ A R~[~ P~ ~ERE THE <br />FOLL~N~ ~ BE ~PLETED, JT 1S THE R~IBJLJTY OF THE APPLJ~T TO ~R~ THA~ <br />ALL N~ INFO~Ti~ <br /> <br />OFFICE COPY <br /> <br /> <br />