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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: 8:004:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> SITE EVALUATIUH APPROVAL <br />DATE/TIHE = ~4/11/97 16=17 APPROVAL NO = 97-B2236 <br />TYPE : SE STATUS : APPROVED <br />OCCUPANCY : R-3 APPROVED : ~4/11/1997 <br /> <br /> PAGE 1 <br /> <br />WORK DESC : SE: PARTITION PARCEL. 2 OF 2 <br /> <br />SII'E ADDRESS : CITY: MARION COUNTY <br /> 7867 BARBARA L.W SE AM <br /> <br />SUBDIVISION <br /> <br />CROSS STREET : VICKI LN <br /> <br />PARCEt. NUMBER : 74110-070 <br /> PARCEL SIZE : ].58AC <br /> <br />OWNER NAME : NELSON~C IAN & KATHLEEN <br /> <br />APPL]'CANT <br /> FRAME <br /> ADDRESS <br /> <br />: NELSON, C 1AN & KATHLEEN <br />:, P 0 BOX 336 <br />STAYTON, OR <br /> 97383 <br /> <br />: 503-769-1214 <br /> <br /> PHONE <br /> <br />A!~ENT : PHONE <br /> <br />iiNITIAL SYSTEM: STANDARD <br />REPI.ACE~4ENT SYSTEM: SAND FILTER <br /> <br /> Units Description <br /> 1 site 'evaluation <br /> 1 DEQ Surcharge <br /> <br />LOT: BLOCK: <br /> <br />F'ROPERTY LOCATOR: 081W28C 02800 <br /> ZONE: AR <br /> <br />Fee <br /> <br />2Y0.00 <br /> <br /> AssesSed fees : 320.00 <br /> Ad j u~t Ments : .00 <br /> . Totm/~ f~es : 320.00 <br />PAYEE: NELSON~C IAN & KATHLEEN Total payments: ~20.00 <br /> Bm 1/anc~ due : .88 <br /> <br />THIS IS NOT A PERNIT TO INST~LL ~ SE~E S~TE~ ~ IS N~-REFUNB~E. ~ ~ER~IT <br />BE ISSUED ONLY ~FTER TNE PROPERTY ~S BEE~F~UND TO BE C~TI~E ~IT~ ~PPLI~BLE <br />LCDC ACKNOWLEDGED LOlL COHPREHEHSIVE LAND USE PLAN. <br />************************************************************************************* <br />OONALQ E WOOgLEY~ BUIL. D~NG OFFICIAL / ~Y PMUNRO ~] <br /> <br /> <br />