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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 />DATE/TIME : 09/11/96 10:06 ACTIVITY NO 96-07077 <br />TYPE : SE STATUS APPLIED <br />OCCUPANCY : B-2 SE APPLIED 09/1B/1996 <br />PAGE : 1 SP APPLIED 89/18/1796 <br /> TO EXPIRE ~3/0:t v97 <br /> <br />~ZXIST BEDRF)ON~-~: F'RGFmOSED BEDROOHS : <br />)::X[ST {HI:-'[OYEE: 2F~ F'RO::'f)SF)) EHPi..O/CFS: <br /> <br />Si I'E ADDRE,qg <br /> <br />I:-/i ? I. N):: <br /> <br />,.0,. BI_tiCK: <br /> <br /> As!~e~sed fe!~s <br /> Tnt'ai fe'.~!; 320,, <br /> <br /> TN[S IS HOT A PERMIT. THIS AF'PLI~ATIDH HUST GO THROUGH A REV~E~ PROCESS ~HERE <br /> S8~[.~ FEASAB[LITY AHD INSTALLATION REBUIREHEHTS ARE ~HECKE9 PRIOR TO THE ISSUANCE <br /> DF 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 MEI'~ YOU WILL BE NOTIFIED. <br /> <br />................ FOR OFFICE USE ONLY, THIS IS NOT A PERmiT .................. <br /> MAP: S ZONE: EFU PROPERTY LOCATOR: ~41W~2D <br /> <br /> SE~PTIC REVIEW: DATE: ZONING R~VIEW: DATE: <br /> <br /> <br />