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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 255 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) 373-4427 <br /> <br /> OH-SITE APPLICATIOH <br />DATE/TIHE : ~6/10/96 16:41~ ACTIVITY HO 96-1~4159 <br />TYPE : SP STATUS APPLIED <br />OCCUPANCY : R-3 SE APPLIED <br />PAGE : I SP APPLIED ~6/lIt/1776 <br /> TO EXPIRE 12/01~'76 <br /> <br />WORK DESC ~ RF'R.~MAJOR DRAIN LIN~/ NOT WOR~INC; <br /> <br />EXIST ~EDROOMS: 2 PROPOSED BEDROOMS : ~ <br />EXIST EFfPLOYEE= PROPOSED EMPLOYS-ES: <br /> <br /> SITE ADDRESS : CITY: MARION COUNTY <br /> 1~4~6 BUTTEVILLE RD NE AR <br /> <br />SUBDIVTSION .~ !.OT: BLOCK: <br /> <br />CROSS STREET : Sl PAUL HWY NE <br /> <br />PARCEl. NUMBER : 75790-008 <br /> PARCEL. SIZE : .OAC <br /> <br />OWNER <br /> NAME <br /> Al)DRESS <br /> <br />PHONE <br /> <br />APPLICANT <br /> NAME <br /> F ' <br /> A~)DR ,SS <br /> <br />PHONE <br /> <br />MEGY, FORREST <br />'i. 94~6 BUTTEVILLE RD FIE <br />AURORA OR <br /> 97002 <br />678-5995 <br /> <br />19438 BIJTFEVILLE RD NE <br />AI,!I.([~RA OR <br /> 97802 <br />,47S-5995 <br /> <br />DE(~ .,ON[RAC, TL~, ."g~:GY~ FORREST <br /> / A~,~NT ~ M!'qY~FORREST <br /> PHONE : 878--5995 <br /> <br />OEO LICENSE: <br /> <br />Units <br />~ ......... <br />1 P F (~,~ Sur ct'~ar !:? <br /> <br />30.00 <br /> <br /> Assessed fees : 2!0~00 <br /> Ad just~ents : .00 <br /> 'Fot~l fries : 210.00 <br />PAYIFE: MEf~I,FORR~.S; T~'r~al pay~qm'r~s: <br /> B.~ lance due : <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REOUIREHENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATIO~ IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEH NET, YOU WILL BE NOTIFIED. <br /> <br />DONA[ )') E. Wi OD.Ft'~ MAR](}N COLiF!TY BLili'l. D:iN(: OFFTC!A) .... / BY P.t:R_.LII, TM -r. ,* <br /> <br />NAP: 6 <br /> <br />FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .................. <br /> ZONE: EFU PROPERTY LOC~TOR: 041W30BA80308 <br /> <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />