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MARE)N BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 28~ (huSh Street NE · Room 1:32 * 8lmm, Orlgon 87301-~70 <br />Office Hour~: 8:00-4:30 · Phone: (50~) ~8-5147 · ~ Inspe~tion Line: (503) <br /> <br /> SITE EVP, I.,UATT~I APPROVAL <br />DATE/Ti;HE i 1~/B9/96 ~7:56 JIPPROVAL NO: 96-~7436 <br /> ~Sl~p~pR8~D : APPROVED <br />TYPE = SE <br />OCCUPANCY : R-3 : 18/89/1996 <br /> PAGE <br /> <br />WORK DES( :* SE: <br /> <br />SITE ADDRESS : '-I'-~$9 CITY: MARION COUNTY <br /> :/~ CARLETON LN SE AN <br /> <br />SUBDIVISIUN : <br /> <br />CROSS STREET : DITTER DR SE <br /> <br />PARCEL NUMBER : 71848-091 <br /> PARCF£ SIZE : <br /> <br />OWNER NAME : LORE,DOUGLAS <br /> <br />AF'PLICAN~ <br /> NAME <br /> ADDRESS : <br /> <br /> PHONE : <br /> <br />AGENT : <br /> PHONE : <br /> <br />LUT: BLOCK: <br /> <br />PROPERTY LOCATOR: 881W28C 0B901 <br /> ZOi~E: AR <br /> <br />STAYTON, HILL CITY & SILVERTON S <br />411~ Staytom Scio Drive, SE <br /> <br />Stayton, fir 97383 <br />(583) 769-2382 <br /> <br />INITIAL SYSTEM: STANDARD <br />REPLACEMENT SYSTEM:~SAND FIL'IER <br /> <br />Units ~escription Fem <br />' 1 Site evaluation 2?0.85 <br />I DEQ Surcharge 30.00 <br /> <br /> Assessed fees ~ 328.08 <br /> Adjustments : .00 <br /> Total fees <br />PAYEE: STAYTON, MILl CITY & SILVERTON S Total paxments: <br /> <br />~Z ~ Balance due <br /> , ****************************************************************************** <br />B sTHISsZS NOT A PERI, IT TO Zl,15TALL A SEINk'.,E SYSTEH AND IS RDN-REFUI'~ABLEw A PERIIIT HAY <br />E ! UED ONLY AFTER THE PROPERTY HAS ]BEEN FI~c,~,ID ?0 BE COHPATZBLE #ZTH APP£ZCABI.:,E <br />LCDC AC~EDGE~ LOCAL CONPREI~#5~VELAND USE PLAN. <br /> <br />I){')NAI. D E WOODI_EY~ BUll. DING OFFICIAL / BY (LYNCH <br /> <br /> <br />