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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: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ON-SITE APPLICATION <br />DATE/TIME : 03/21/96 15:40 ACTIVITY NO : 96-81868 <br />TYPE : SE STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : 03/21/1976 <br /> TO EXPIRE : 09/17/1996 <br /> PAGE 1 <br /> <br /> D" SC H!NFIR F'~RTITION SE TH REAdilY <br /> <br />FX!~4T BEDROOH~: PROPOSEO BFOROOMS : S <br />F'X]'ST FMP!..OYFF: F'ROF'(]~IF'D E'MF'I. OYFF¥1: <br /> <br />ST]"E AOOI~'ESS : CITY: MAR]iON COUNTY ~ 17fif~ D]:TTFR DR SF AM <br /> <br />ERH'[I.L '¥RACT <br /> <br />LO'¥: BLOCK: <br /> <br />F'AR.CE~ N!.t?!BF'R : 7.t,.~)40-~9l <br /> PP:RCEi.,~'"'~ '7~'~ .c .... : ~:~. <br /> <br />OW.dER <br /> ~qANE' <br /> <br />: I. ORE'. OOU[::LA~ C <br /> P:tM~VTI. I..E.~ (iR <br /> <br />F'HOi,,E' ~ <br /> <br />: [ORF~DOUGLAS C <br />: l:i'70~, i')I;T'TER i')R SE <br /> Ai IH.'::;¥ ]' L i [:' <br /> <br /> A~:.sess~d fees : <br /> Ad jusi"r,~ents : . <br /> 'rot:'al f~,,es : 32L~. <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET, YOU WILL BE NOTIFIED. <br /> <br />T)[ff, h.'~.h t:'~ W(iO)'l~.Fyv NAR]:[IN CO~.U'<TY ~HI:t:L.D]!'K: OFF]:CTAL / BY <br /> <br /> FOR OFFICE USE ONLY. THIS IS NOT A PERMIT <br />MAP: 48 ZONE: AR PROPERTY LOCATOR: ~81W28C <br /> <br />SEPTIC REVIEW: OATE: ZONING REVIEW: DATE: <br /> <br /> <br />