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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 /> SITE EVALUATIONAPPROVAL <br />DATE/TIHE : 83/17/97 18:14 ~PPROVaLNO : 97~14~8 <br />TYPE : SE STATUS : ~PROVED <br />OCC~CY = R-3 APPROVED : B~/~7/1997 <br /> <br />WORK OESC : SE/MINOR PARTITION PARCEL ~A OF 4 <br /> <br />SiTE ADDRESS : CITY: MARION COUNTY <br /> ~8B21BROWNELL ~R SE AH <br /> <br />SUBDIVISION : <br /> <br />CROSS STREET : SHAW HY SE <br /> <br />PARCEL NUMBER : 75290-178 <br /> PARCEL SIZE : 10.85AC <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />: AMAOK, M£LVIN ~ & MARY <br /> <br />: CLARAMBEAU~CRAIG A <br />: PO BOX 11 <br /> STAYTON <br /> OR <br /> <br /> PHONE : 918-2300 <br /> <br />AGENT <br /> PHONE : <br /> <br />INITIAL SYSTEM: STANDARD <br />REPLACEMENT SYSTEM: STANDARD <br /> <br />LOT: <br /> <br />PROPERTY LOCATOR: 081W19 <br /> ZONE: AR <br /> <br />~7~83-0011 <br /> <br />BLOCK: <br /> <br /> 81100 <br /> <br />Units Descriptio~ Fee <br />] 5ire eva~uation <br />1 DEO Surcharge ~0.00 <br /> <br /> Assessed fees : 256.25 <br /> AdjustMents : .00 <br /> Total fees : 256.25 <br />PAYEE~ CLARAMBEAU,CRAIG A Total pagMents~ 256.25 <br /> Balance due .00 <br /> <br />THIS IS NOT A PERMIT TS INSTALL A SEMRGE SYSTEH AND IS NON-REFUNDaBLE. A PERMIT HAY <br />BE ISSUED ONLY AFTER THE PROPERTY H~S BEEN FOUND TO BE COHPATIBLE ~TH APPLICABLE <br />LCDC ACKNDk~EDgED LOCAL CON~NSIVE L~O USE PLAN. <br /> <br />~OI'IAL~ E WOODLEY, BUILDING OFFICIAL / BY' PMUNRO ~ <br /> l/ <br /> <br /> <br />