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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/TIHE : 81/29/77 89:38 ACTIVITY HO 77-8B574 <br />TYPE = SP STATUS APPLIED <br />O~CUPANCY = R-3 SE APPLIED <br />PA~E : I SP APPLIED 81/29/1977 <br /> TO EXPIRE 87/28/1997 <br /> <br />HHRK DESC : SEPTIC TANK REPAIR <br /> <br />EX[ST REDROOMS: PROPOSED BEDROOMS : <br />EXTST EMPIOYEE~ PROPOSED EMPLOYEES~ <br /> <br />S'[I'E ADDRESS : CITY: AURORA 28834 WA[NUT ST NE AR <br /> <br />SUBOTVTSION : NEW COLONY PARK <br />ICROSS STR~FT : OTTOWAY RD <br /> <br />PARCF!.. NUMBER : 9~t98-240 <br /> PARCEL S)TF : 5250.0SF <br /> <br />LOT: BLOCK: <br /> <br />OWNER : INGALI.S~STEVEN !. <br /> ADDRESS : BX 274 <br /> AURORA, OR <br /> <br />PHONF <br /> <br />97~38 <br /> <br />AUTH AGFNT <br /> ADDRESS <br /> <br />PHONF <br /> <br />: CLINKSCALES SEPTIC SERVICE <br />: .JlMt41E LYON <br /> PO BOX 10~6 <br /> MOI..ALLA OR 970:~8 <br />: (5~3) 829-8458 <br /> <br />DEQ '[NSTAI.I,ER : CLINKSCAL.ES SEPTIC SERVICE <br /> <br />I)EQ LICENSE: 36078 <br /> <br />PHONE : (50S) 829-8458 <br /> <br />I]ni Os OescF'i. ption . <br />---~ ..... ~~ ,-- <br />I ;)E~ Sutr charge <br /> <br />Fee <br /> <br />3~. 00 <br /> <br /> Assessed 'Fees : 130.08 <br /> Acljust~ents : <br /> Total fees : 138.00 <br /> PAYEE: £ ' ' .... . <br /> ilNKSCALES ~!~FPTIC SFRV'[CE Total payD~ents: 130.80 <br /> Ba]a~ e ~ue : <br /> ********************************************************************************** <br /> <br /> THIS IS NOT A P£RNIT. THIS APPLICATION MUST ~0 THROUGH A REVIEW PROCESS WHERE <br /> ~O[L, FEA~ABILITY AHD IHSTALLATIOH REQUIREHENTS ARE CHECKED PRIOR TO THE I$SUAHCE <br /> OF A PEEHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> HECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br /> HAVE DFEH HFT, YOU WILL BE HOTIFTED. <br /> <br /> SIgNAtURE OF' APPI,[CAN'¥: <br /> <br /> A' <br /> DONA~I) E. WOODLEY~ M RION COUNTY BUII.DING OFFICIAL / BY PRYON <br /> <br />................ FOR OEEICE OSE ONkY. THI~ IS HOT A PERHIT .................. <br /> MAP: 3 ZONE: RS PROPERTY LOCATOR: <br /> <br /> SEPTIC REVIEW: DATE: ZOHIN~ REVIEW: DATE: <br /> <br /> <br />