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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C ° Salem, Oregon 97305-1398 <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 : ~&/1~/97 16:2~ ACTIVITY HO 97-~43~1 <br />TYPE : 5P STATUS APPLIED <br />OCCUPANCY : R-3 SE APPLIED ~6/1B/1997 <br />PAGE : 1 SP APPLIED ~&/1~/1997 <br /> TO EXPIRE 12/67/1997 <br /> <br />WORK DESC : SS;AUTH:FLD PF 4130197 REPL 2/BED MD W/SBED HD <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : 3 <br />EX[ST EHPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11559 MCCLELLAN LN SE AM <br /> <br />S{O~DIVISION <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEL SIZE <br /> <br /> lOT: BLOCK: <br /> <br />WEST STAYTON RD SE/NORTH ON MCCLELLAN RD <br /> <br />75448-110 <br /> .S~ AC <br /> <br />OWNER <br /> ABDRESS <br /> <br />PHONE <br /> <br />BAXTER, DONALD <br />11559 flCCELk. AN LN SE <br />AUMSVILLE, ORECON <br /> <br />: 503-769-7238 <br /> <br />97325 <br /> <br />AUTH AGENT <br />ADQRESS <br /> <br />PHONE <br /> <br /> BA~TER~ DONALD <br />~ 1Io59 MCCELLAN LN SE <br /> AUflSVILLE~ OREGON <br /> <br />: 503-769-7238 <br /> <br />97325 <br /> <br />INSTAl LER : <br /> <br />PHONE : <br /> <br />[.l~tits <br /> <br />DEO LICENSE: <br /> <br /> Fee <br /> <br /> Oescri~t:ioYt <br />1 ~[~-~-~-izati'on w~Field Visit ~ <br />1 DEa Surcharge 38.00 <br /> <br /> Assessed fees : 247.00 <br /> AdjustMents : .00 <br /> Total fees : 247.0~ <br />F'AYEE: BAXTER~ DONALD Total pay~ertts: 247.88 <br /> Balance due : .00 <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS MHERE <br /> SOlL~ FEA~3ABILITY AHD INSTALLATION REQUIREHEHTS ARE CNECKEb PRIOR TO THE ISS~AHCE <br /> OF A PERNIT. IT IS THE RESPONSIDILILY OF THE APPLICANT ~0 ASSURE THAT ALL <br />HEcEssA,, I.rOR. TIO. IS PROVIDED. SOO. AS AU. ,EO E.E.TS OF REVIEN <br /> <br />******************************************************************** <br /> OONAL~ E. WO(!DLEY~ MARION COUNTY BIJiLBING OF'F'ICI~¢kff/ BY ~STONE~t.~ <br />................ FOR OFFICE USE ONLY. THIS I~ NOT A PERHIT ...... .~C--'~- ....... <br /> HAP~ 62R ZONE: AR PROPERTY LO~ATOR: e92#l~DA821Be <br /> <br />LAND USE CASE HO~ <br /> <br /> <br />