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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 /> ON-SITE APPLICATION <br />DATE/TIHE : 83/13/77 11:3& ACTIVITY NO : 77-81&72 <br />TYPE = SP STATUS = APPLIED <br />OCCUPANCY : R-3 SE APPLIED ; 83/13/1797 <br />PAGE : 1 SP APPLIED : 83/1S/1997 <br /> TO EXPIRE : 89/89/1997 <br /> <br />WORE DESC : SS;AUTH:FLD 3 BEDRM TO 4 BEDRH-ADDD-TO DWELL <br /> <br />EXIST BEDROOMS: 3 RROROSED BEDROOMS : 4 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE AOORESS : CITY: MARION COUNTY <br /> 8712 SHAW SO SE AM <br /> <br />SUBI)IV'{S'[ON <br /> <br />I:ROSS STREET : HWY 22/8080 BL.K SILVER FALLS HWY SE <br /> <br />PARCEL NUMBER : 75300-960 <br /> PARCEL SIZE : 5.00 AC <br /> <br />LOT: BLOCK: <br /> <br />OWNER : JOCHUMS,RICHAR~ M & ROSEMARIE <br /> ADDRESS : 87~2 SHAW SQUARE RD <br /> AUMSVILLE, OR <br /> 77325 <br /> PHONE <br /> <br />AUTH AGENT : JOCHUMS ED & ¥ICKI <br /> A1)ORFF;S : 8712 SHAW SQ RD gE <br /> AUMSVILLE,OR <br /> <br /> PHONE : 364-8998 <br /> <br />O~Z~ {NSTALLER : <br /> <br /> I'"HONE : <br /> <br />97~5 <br /> <br />Un'its Descr :i~ion <br />1 I)EQ S.r,':r ~ r le <br /> <br />DEQ LICENSE: <br /> <br /> Fee <br /> <br />30.00 <br /> <br /> Assessed fees : 247.80 <br /> Adjustments : .00 <br /> Total fe~s : 247.08 <br />PAY!SE: J)CHUMS ED & VICKI Total p~yments: 247.00 <br /> Balanced'due . .08 <br />********************************************************************************** <br /> <br />THIS IS NOT A PERNIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REOUIRENENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORHATION IS PROVIDED. AS SOON AS ALL REOUIREHENTS OF THE REVIEW <br />HAVE BEEN HET, YOU WILL DE NOTIFIED. <br /> <br />MAP: 49R ZONE: AR PROPERTY LOCATOR: 882W14D 81888 <br /> <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />