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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 ,~ ~alem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Une: (503) 373.4427 <br /> <br /> ON-SITE /Aa~LTCATIflN <br />])ATE/TTHE m J3/~3/97 13=~ ~zVZTy ~; 97-~14~ <br /> <br />~C~Y = R-3 ~ ; ~3/~/19~7 <br />P~E = I ~ A~IED <br /> ~ ~RE ~ ~8/3~/19~ <br /> <br />~EK PFR~ = SF/H~H~R P~ET~T[OH PRR~FLr 3R OF 4 <br /> <br />~XIST ~E~ROOH~= PROPOSED B~OR~M~ : 3 <br />FX~ST EMP[OYEE: PROPOSF9 EHPLOYEFS= <br /> <br />SITE AODRCSS : CITY: ~RION COUNTY <br /> 1~7~ DR~WHEll DR SF AM <br /> <br />SUB1)~VISI f)N : <br /> <br />CROSS STRFFT = SHAW HY SF <br /> <br />PARCEl. NUMBER : 75~gr~-tT~ <br /> PARCEL S)'7F : 1B,85 AC <br /> <br />LOT: BLOCK: <br /> <br />OWNER : AHACK. MELVIN K & MARY <br />APPRFSS : 62] NORWOOD DR <br /> WEST FIELD, N.J <br /> 97~83-~B].~ <br />PHONE : <br /> <br />AIITH AGFNT : C[ARAHBFAU~CRATC A <br />ADDRESS : PO BOX 11 <br /> STAYTON <br /> OR <br />PHONF : <br /> <br />1)EQ INSI'ALLER : <br /> <br />PHONF : <br /> <br />Units Description <br />1 DEQ Surcharg~ <br /> <br />97~83-%%tI <br /> <br />BEG LICENSE: <br /> <br />Fee <br /> 226.2§ <br /> <br /> Assessed fees : 256.25 <br /> Adjustments : <br /> Total fees : 256.25 <br /> PAYEE: CI.ARAMBEAIJ,CRAT~ A Total pa%merits: 256.25 <br /> Balance ~ue : .0~ <br /> <br />  H[S IS_MT A _F~R~_HIT. THIS .N~.PLICATION~T GO THRO~ A RE¥IE# PROCE~ MHERE <br /> ~,p.F.~E..A~IL]_TY:_AN~ II~__TALLATIGM:REOULREHENTS ARE CHECY~:PRIOR TO THE ~SSUANCE <br /> NECE$_~_H~._zI. ~ZT ~S TH~_ I~SP..~._'~L~TY OF THE APPLICANT TO A~SIJRE THAT ALL <br />HA,,.. A. .EOUI .E.TS OF THE <br /> <br /> DONAI~ E. WOr)DI.EY, MARION COIJHTY BIJII.OING OFFICIAL / BY MBULL <br /> <br />............... FOR OFFICE USE ONLY. THIS IS NOT A PERNIT ............ <br /> RAP: 48R ZONE: AR PROPERTY LOC~TOR: ~811/19 gll~ <br /> SEPTIC REVIEW: D~TE: ZONINg REVIEW: DATE: <br /> <br /> <br />