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MARION COUNTY 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: (5~3) 588-5147 * 24-HR Inspection Line: (503) 588-7904 <br /> <br />CF~OSS STREET <br /> <br />I::'AR",~I. S:~ZE : 1~700~0 SF <br /> <br />~ M'.ELJ_ICAN~MARTHA L. <br />~ PI) BOX 484 <br /> 'OETRO~'I', OR <br /> <br />APPLI[]ANT <br /> <br />~II1..LICAN~HAR?HA I- <br />PO ~0× <br />DETRO~T~ OR <br /> <br />9',7342 <br /> <br />LO,. <br /> <br /> Ass~s~ed fees ~ 210~00 <br /> <br /> ~ oral fees : 21~. <br /> ~ Total p~x~e~ts: . <br /> I:'A~EE: HtL, LICAN?AR'~HA L Balance Sue : <br /> <br /> THIS IS NOT A PERHtT. TH[~ APPLICATION HU~T CO THROUGH A REVIEW PROCESS WHERE <br /> SOIL~ FEA~ABILITY AND INSTALLATION EEQUIRE~EHT~ A~E CHECKE~ PRIOR TO THE <br /> OF A PER~tT. IT IS THE RESPOnSIBILiTY OF TH[ AP~ICANT TO ASSURE THAT ALL <br /> NECESSARY I~FORMATI~ IS P~OVIDE~. AS ~OH AS ~LL REGUiREHERTS OF THE REVIEW <br /> HAVE BEEN ~ET, YOU WTLL B~ NOT,FiEf. <br /> <br />.................... KO~ gFF[C[ USE ONLY. TH[8 IS HOT ~ PEEH[T <br /> <br /> HAP: ~5 Z~NE: RS PROPERTY LO~ATO~ I~5EeICB6~288 <br /> <br /> SEPTIC REVIEW: DATE: ZONIN~ REVIEW: DATE: <br /> <br /> <br />