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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 />OH-SITE APPLICATION <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br />PAGE <br /> <br />~9/S5/96 10=35 ACTIVITY HO <br />SP STATUS <br />R-3 SE APPLIED <br />I SP APPLIED <br /> TO EXPIRE <br /> <br />96-B6931 <br />APPLIED <br /> <br />03/~1997 <br /> <br />WORK DESC : SR: <br /> <br />EXIST BEDROOMS: 3 <br />EX IS"/ EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />FROFOSED BEDROOMS : <br />PROPOSED EMPLOYEES: <br /> <br />8561 LITTLE RD SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />SUBDIVISION : <br />CROSS STREET : <br /> <br />PARCEL NUMBER : <br />PARCEL SIZE : <br /> <br />OWNER <br /> ADDRESS : <br /> <br />FHONE : <br /> <br />WEST STAYTON RD SOUTH OF AItMSVILI_E <br /> <br />58284-000 <br /> 20~ OAC <br /> <br />S1.JRDIVAN¥,SIEFHEN t. & CAROL. ANN <br />8,~6 L. ITfLE RD SE <br />AUMSVILLE, OR <br /> <br />749-2622 <br /> <br />LOT: BLOCK: <br /> <br />AtITH AGEi,I'f <br /> ADDR .,SS <br /> <br />PHONE : <br /> <br />I)EQ 1NS A,.LER <br /> <br />FmHONE : <br /> <br />STURDIVANT,STEPHEN L & CAROL ANN <br />856t LITTLE RD SE <br />AIIMSVILL.E, OR <br /> 97325 <br />749-2622 <br /> <br />OR. LZC£.SE, 3491 , <br /> <br />U~its Descr'Lpt Lor~ <br />--"I .......... ~'~]~T -l~G% a ~--T¥~ <br />I OEO Surc)larpe <br /> <br /> Fee <br />............ <br /> 30.00 <br /> <br /> Assessed fees : 210.00 <br /> Adjustments : ,~ .00 <br /> To~al fees : ~10.00 <br /> PAYEE: STIJRDIVAN'F,STEPHEN t.. & CAROL. ANN Total payments: 210.00 <br /> Ba].ar~ce due : .00 <br /> ********************************************************************************** <br /> <br /> THIS IS NOT A PERNIT. THIS APPLICATION NUST GO THROUGH A REVIEN PROCESS ~HERE <br /> SOIL, FEASABILITY AND IHSTALLATIDH REOUIRENENTS ~E CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERflIT. IT IS THE RESPOHSISZLITY OF THE APPLICANT TO ASSURE THAT ALL <br /> HECESSARY INFORNATZON IS PROVIDED. AS SOON AS ALL REGUIREHENTS OF THE REVIEW <br /> HAVE BEEN HET~ YOU WILL BE NOTIFIEO. <br /> <br /> SIIiNATURE OF APPLICANT: <br /> ********************************************************************************** <br /> <br /> DONALD E.. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CI. YNCH <br /> <br />................ FOR OFFICE ~SE ONLY. THIS IS HOT A PERMIT .................. <br /> NAP: 51R ZOHE: EFU PROPERTY LOCATOR: 882W~66 08&08 <br /> <br /> SEPTIC REVIEW: ~ATE: ZONIN~ REVIEW: BATE: <br /> <br /> <br />