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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 />BATE/TIME : B8/05/97 15:B~ ACTIVITY N0 97-B5786 <br />TYPE : SE STATUS APPLIE]) <br />OCCUPAHCY : R-3 SE APPLIED BS/B5/l??7 <br />PAGE : I SP APPLIE~ <br /> TO EXPIRE <br /> <br />WORK DE:SC : 2ND SE ON PROPERTY SOUTH SIDE OF F'ROPERTY <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : <br />EXIST EMPI_OYEE: PROPOSED EMPLOYEES: <br /> <br />~;iTE ADORESS : CITY: MARION COUNTY <br /> 9911 BROWNE~L PR SE AM <br /> <br />SUBDi¥ISION : <br /> <br />CROSS STkEET : SHAW HY SE <br /> <br />PARCEL NUP1BER : 75290-t70 <br /> I'ARCEL SiZli : 5.00 AC <br /> <br />LO'I: B! OCK: <br /> <br />OWNER : CLARAMBEAU CRAIG A <br /> ADDRESS : P 0 BOX 11 <br /> STAYTON OREGON <br /> <br />A!iTH AgENl : CLARAMBEAU CRA:[[; A <br /> ............ : P 0 BOX !1 <br /> STAYTON OREfiON <br /> <br />-HONE : 918-2300 <br /> <br />97383 <br /> <br />I)EQ L, ICENSE: <br /> <br />35767 <br /> <br /> Fee <br /> <br /> Assessed fees : 320.00 <br /> Adjustments : .00 <br /> Tot~] fees : 320.00 <br /> PAYEE: CLARAMBEAU CRAIG A Total pay~lents: 320,,00 <br /> B~,!lan(::e due'. .00 <br /> ********************************************************************************** <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIl_, FEASABILITY AN~ INSTALLATIOH REQUIREMENTS ARE CHECKE9 PRIOR TO THE ISSUANCE <br /> OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY IHFORHATIOH IS PROVlgEO. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br /> HAVE BEEN MET, YOU WILL BE NOTIFIES. <br /> <br /> SIGHATURE OF APPLICANT: <br /> <br /> ~HNA!O E. WOO~LEY~ MARION COUNTY BHII~ING OFFICIAL / BY CLYNCH <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .................. <br /> MAP= 4SR ZONE= AR PROPERTY LOCATOR: 081W1~ <br /> <br />LAHD USE CASE <br /> <br /> <br />