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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 Inepectlon Line: (503) 588-7904 <br /> <br /> SITE EVALUATION APPROVAL <br />BATE/TIHE ~8/29/~Q ~8--S2 STATUS : APPROVED <br />PERHIT NO 95-14325 APPLIED : ~7/18/1975 <br />TYPE SE APPROVED : B8/29/1995 <br />CLASS <br />OCCUPAHCY R-3 P~.,E <br /> <br />~ITE ADBRESS = CITY: MARION COUNTY ~547 LEVERH~H RD SE ~H <br /> <br />SUBDIVISION : <br />CROSS STREET : MILL CREEK RD SE <br /> <br />PARCEL NUMBER : 564&6-250 <br /> PARCEL SIZE : 2.5 AC <br /> <br />OWNER NAME : BUTTS, EL. EHORA M <br /> <br />APPLICANT <br />NAMEADDRESS [ A & B SEPTIC SERVICE, INC. <br /> Windsor Is. Road, North <br /> 7525 <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY LOCATUR: 081W29C 02600 <br /> ZONE: AR <br /> <br />Keizer, OR 9738J <br /> <br />PHONE : (503) 393-1311 <br /> <br />INITIAL SYSTEM: SAND FILTER <br />REPLACEMENT SYSTEM: SAND FILTER <br /> <br />Units Description Fee <br />1 Site evaluation 2~0.00 <br />1 DEQ Surcharge 35.88 <br /> <br />Assessed fees : 325.88 <br />Adjustments : <br />Total fees : 325.08 <br />Total payments: 325.80 <br /> <br />Balance due : .BB <br /> <br />THIS IS NOT A PERHIT TO INSTALL A SEWAGE SYSTEM AND IS NON-REFUNDABLE. A PERMIT MAY <br />DE ISSUED ONLY AFTER THE PROPERTY HAS BEEN FOUND TO BE COMPATIBLE WITH APPLICABLE <br />LCDC ACKNOWLEDGED LOCAL COMPREHENSIVE LAND USE PLAN. <br /> <br />+1 <br /> <br /> <br />