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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) 586-514i' · 24-HR Inspection Line: (503) 373-4427 <br /> <br />SITE EVALUATION APPROVAL <br /> <br />BATE/TIHE = 61/23/97 11=41 APPROVAL NO = 97-~B33B <br />TYPE = SE STATUS = APPROVED <br />OCCUPANCY : R-3 APPROVED = 61/23/1997 <br /> <br /> PAGE 1 <br /> <br />WORK DESC : SE <br /> <br />S~TE ADDRESS : CITY: MARION COUNTY <br /> ~0647 LEVERMAN RD SE AM <br /> <br />SUBDIVISION : LOT: BLOCK: <br />CROSS STREET : MILL. CREEK RD SE <br /> <br />PARCEL NUMBER : 56466-25~ PROPERTY LOCATOR: ~81W29C 02600 <br /> PARCEl. SIZE : 2,50AC ZONE: AR <br />OWNER NAME : CONKLIN, RALPH & PATR~CIA <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />AGENT <br /> PHONE <br /> <br />CONKLIN~ RALPH & PATRICIA <br />1951LABONA DR <br />EUGENE, OREGON <br /> 97404 <br /> <br />: 541-688-6144 <br /> <br />INITIAl. SYSTEM: STANDARD <br />RFPLACEMENT SYSTEM: SAND FILTER <br /> <br /> Units Descri~.ion <br /> ' ~ ~i-~e <br /> 1 BED Surcharge <br /> <br />Fee <br /> <br />38.00 <br /> <br /> Assessed fees 320.00 <br /> AdjustMents .00 <br /> To~] fees 320.00 <br />PAYEE: CONKLIN, RALPH & PATRIC:EA Totml pmy~ents: 320.00 <br /> B~lance ~ue : .00 <br /> <br />THIS IS NOT A PERHIT TO INSTALL A SEWAGE SYSTEN AND IS HON-REFUNDA~I.£. A PERHIT HAY <br />SE ISSUED ONLY AFTER THE PR(~ERTY HAS BEEN FOUND TO BE COMPATIBLE WITH APPLICABLE <br />LC~C ACKNOWLEDGED LOCAL COI~REHENSI~q~ LAND USE PLAN. <br /> <br />********************************************************************************** <br />DONALD E WOI1DLEY~ BUILDING OFFICIAL / BY PMUNRO <br /> <br /> <br />