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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · S~lsm, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone:.(503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />OH-S~TE APPLICATIOH <br /> <br />DATE/TItlE : ~3/28/97 <br />TYPE : SP <br />OCCUPANCY : R-3 <br />PAGE : 1 <br /> <br />15:32 <br /> <br />;ICTIVITY NO : ?7-81643 <br />STATUS : APPLIED <br />SE APPLIED : 83/12/1977 <br />SP APPLIED : 83/12/1797 <br />TO EXPIRE : 87/88/1977 <br /> <br />WORK ~ESC : <br /> <br />EX[ST BEDROOMS: <br />'X!ST EMPLOYEE: <br /> <br />SITE AOORESS : <br /> <br />LLA: ESE FOR PARCEL B <br /> <br /> PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br /> 9533 YERGEN RD NE AR <br /> <br />CITY: MARION COUNTY <br /> <br />SU~OIVISION : <br /> <br />CROSS STREE'I : CASE RD EAST ON YERGEN RD <br /> <br />PARCEl NUHBFR : 41648-808 <br /> PARCEL SIZE : 9.58 AC <br /> <br />PARCEl. B <br /> <br />LOT: <br /> <br />BLOCK: <br /> <br />OWNER : HARTIN.LA VERNK L & TWILA M <br />ADORESS : 9603 YERGEN RD NE <br /> AURORA ~ OR <br /> 9'7802 <br />PHONE : ,.~83-678-~187 <br /> <br />AUTH AGENI : MARTIN,LA VERNE L <br />ADDRESS : 9683 YERGEN RD NE <br /> AORORA, OR <br /> 97B02 <br />PHONE : 503-678-5187 <br /> <br />I):.::Q I NSTALI...ER <br /> PHONE <br /> Units Descr ip~iO~l <br /> ~ OEO Sur~ha)'mg e <br /> <br />gEQ LICENSE: <br /> <br />Fee <br /> <br /> 30.00 <br /> <br /> Assessed fees : 247.08 <br /> Adjustments : .00 <br /> Tqtal fees : 247.80 <br /> PAYEE: ~ARTIN~LA YERNE [ & TWILA M T~tal paxments: 247.00 <br /> Balance ~ue · <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASAD;LITY AND INSTALLATIDN REOUIREHENT$ ARE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERNIT. IT IS THE RE~PONSIDILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INEORHATION I~ PROVIDED. AS 5DON Asr-ALL R[OUIRENENTS DF THE REVIE~ <br /> ?AVE DEEN NET, YOU #ILL SE..~40!IFIEB. <br /> SIeNA'lURE OF,APPLICA~T~: ~..~ <br /> <br /> ~OFIALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY NBULL <br /> <br />................ FOR OFFICE USE OHLY. THI~ IS NOT A PER~IT .................. <br /> HAP: ZONE: EFU PROPERTY LOCATOR. 842013 88188 <br /> SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />