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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) 373-4427 <br /> <br /> ON-SITE APPLICATION <br />DATE/TIHE : 88/27/96 15=28 ACTIVITY NO = 96-86640 <br />TYPE : SP STATUS : APPLIED <br />OCCUPANCY : R-3 SE APPLIED = <br />PACE : I SP APPLIED : <br /> TO EXPIRE = B2/21997 <br /> <br />WORK PESC : $S;AUTH/FLP (APO 1-BORM 9&-06639) <br /> <br />EXIST BEOROOMS: 2 PROPOSED BEDROOMS : ~ <br />EX]ST EMPLOYEEr PROPOSEP EMPLOYEES: <br /> <br />SITE Al)DRESS : CITY: ~ARION COUNTY <br /> 6~08 SHERMAN RD SE AM <br /> <br />CROSS STREET ~ FAL.LS HY/SIMPSON Rg <br /> <br />PARCEL NUHBER : 5&1~8-~08 <br /> PARCEL SIZE : ~.OAC <br /> <br />LOT: BLOCK: <br /> <br />OWNEiR TRUMP~MEI..BIIRN & NINA <br /> Al)DRESS ~ 65BS SHERMAN ROAD SE <br /> AUMSVILLE~ OR <br /> <br />PHONE <br /> <br />97;~25 <br /> <br />AlrrH AGENl <br /> A1)ORESS <br /> <br />PHONE <br /> <br />TRHMP,RUTH-AGT <br />C/O: TRUMP,MELBURN & NINA <br />6~08 SHERMAN RD SE <br />AIIMSVILLE,OR 97~25 <br />749-2765 <br /> <br />DFQ INSTALLER : <br /> <br />PHONE : <br /> <br />QEQ LICENSE: <br /> <br />Units Oescription Fee <br />I ~uthorizati~F-~ ~ <br />I O~ Surcharge ~0.00 <br /> <br /> Assessed fees : 247.00 <br /> AdjustMents : .08 <br /> To~l fees : 247.00 <br /> PAYEE: TRUMP~RHTH-AGT Total p~xments: 247.00 <br /> TRUMF'~RUTH-AGENT B~]anc~ ~ue : .~ <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASABILITY AN~ INSTALLATION REQUIRENENTS AJ~E CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPI. ICAHT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROV~I. DF.~, AS SOON AS ALL REOUIRENEHTS OF THE REVIEW <br /> HAVE BEEN NET, YOU WILL BF...4COTIB.I~D. <br /> <br /> SIGNAI'URF OF APPLICAN~ <br /> ********************* JJJJ~J J *********************** <br /> <br /> DONALD E. WOODI.EY, MARION 'U'}UNTY BUILDING OFFICIAL / BY DSTONE ~_~ <br />................ FOR OFFICE QSE ONLY. THIS IS NOT A PERMIT ......... <br /> MAP: 48R ZOHE: EFU PROPERTY LOCATOR: 881W21 81188 <br /> <br /> SEPTIC REVIEW: DATE: ZONIN~ REVIEW: DATE: <br /> <br /> <br />