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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 /> SITE EVALUATION APPROVAL <br />DATE/TIME : 88/06/77 11:04 APPROVAL NO : 9?-04855 <br />~p : SE STATUS : APPROVED <br /> ANCY = R-3 APPROVED : 88/06/1997 <br /> <br /> PAGE 1 <br /> <br />WORK DESC : SE FOR TRAILER TILLICUM PARK <br /> <br />SITE AD[IR!~SS : CITY: MARION COUNTY <br /> 15582 ARNDT RD NE AR <br /> <br />SUB)'~IViSION '~ LO]: BLOCK: <br />CROSS STREET : AIRPORT ROAD / PUDDING RIVER <br /> <br />RAk'CEL Ni,iWH!~R : 6~379-008 PROPERTY LOCATOR: 841E86BBO~588 <br /> PARCEL SIYE : 11.82AC ZONE: EFU <br /> <br />OWNER NAH~' : TRAILER TILLICUH PARK <br /> <br />AF'P[iCANT <br /> NAHE <br /> ADDRESS <br /> <br />: SANI-TECH <br />: ZAN EWING <br /> 3289 CHEYENNE CT NW <br /> SALEM OR <br /> <br />PHONE : (50S) 564-7470 <br /> <br />97384 <br /> <br />A[;ENT : PMONE : <br /> <br />iNiTIAl. SYSTEM: SAND FILTER <br />R~;PLACEMEI,iT SYSIEH. SAND FILTER <br /> <br /> Unit's Oescriotio~ _ <br /> ]. DEQ Surcharge <br /> <br />3B.00 <br /> <br /> Assessed 'Fees : 520.00 <br /> Ad just!',~ent s : -200.00 <br /> To'~a 1 fees : 328.08 <br />PAYFE: SANi-TECH Tota:L o,~X~,~ents.: <br /> Bal. an~: ~ due <br /> <br />THIS IS NOT A PERMIT TO INSTALL. A SEWAGE SYSTEM AND IS NON-REFUNDABLE. A PERMIT MAY <br />BE ISSUED ONLY AFTER THE PROPERTY HAS BEEN FOUNI~ TO ~E COMPATIBLE WITH APPLICABLE <br />LCDC AC. KHOWLEDG, ED LOCAL COHP~EHEHSIVE LAHD USE~A./ , <br />~ON~i.~) E WOO~LEY. RUILDit,I(; OFFICIAL / ~Y F'MUNRO%/ <br /> <br /> <br />