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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaater 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 APPLICATTOH <br /> <br />DATE/T~MF = B9/26/77 <br />TYPE = SP <br />OCCUPANCY <br />PACE = t <br /> <br />15:35 <br /> <br />ACTIVITY NO : 97-~7697 <br />STATUS : APPLIED <br />SE APPLIED : ~9/26/1997 <br />SP APPLIED ~ B9/26/Z997 <br />TO EXPIRE ~ B3/25/1998 <br /> <br />EXIST <br />F×IST FflPIOYFE: <br /> <br />SITE AI)~RESS <br /> <br />SS;AOTH:FI.I) RFP[ACE FX$ST 2 BFD W/NFW 2 BEDRM <br /> <br /> 2 PROPOSED BEOROOMS: 2 <br /> PROPOSED EMPL OYFF~: <br /> <br />??~75 CAMF[LIA AV NF AR <br /> <br />CITY: MARION COUNTY <br /> <br />SIIeDTVTSTON : <br />(ZROSS STRFFT : <br /> <br />PARCEL NIIMBER : <br />PARCFI S~?F : <br /> <br />DEER CK EST ~2 I.OT: 9 <br /> <br />BOONES FERRY RD TO WISTERIA DR <br /> <br />7t010-888 <br /> .25 AC <br /> <br />BI.OCK: 5 <br /> <br />OWNKR : STANTON GARY & E MARIE <br />ADI)RFSS : PO AOX 174 <br /> AURORA OR <br /> 97882-0~74 <br />PHONE : 58~-678-~497 <br /> <br />AU'tH AGENT : STANTON GARY & F MARIE <br />ADDRESS ~ PO BOX 174 <br /> AURORA OR <br /> ~70~2-0174 <br />PHONF : 5~-678-7477 <br /> <br />I)EQ [NSI'AI.I_ER : <br /> <br />PHONF : <br /> <br />Units <br /> <br />DEQ LICENSE: <br /> <br /> Fee <br /> <br />De~cr'Lotien _ <br />Surcharge 30.00 <br /> <br /> Assessed fees : 247.08 <br /> Adjustments : .00 <br /> Tote1 fe~s : 247.0~ <br /> PAYEE: STANTON GARY & E MARIE I'otml p~yMe~ts: 247.00 <br /> R~)ance due : .00 <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATION ~UST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIL~ FEASABII.ITY AHO INSTALLATION REQUIREMEHTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERH~T. IT IS THE RESPONSIBILITY OF THE ~PPI. ICAHT TO ASSURE THAT ALL <br /> NECESSARY INFOR~TION IS PROVIDEB. AS SOON AS ALL REQUIREMEHTS OF THE REVIE~ <br /> HAVF BEEN HET, YOU WILL RF NOTIFIED. <br /> SIGNATURE OF APPI.ICANT: f. '~ ?~--__--~ <br /> OONA,.O E. WOODLEY, MARION COUNTY BUII.DING OFFICIAL / BY .~TONE~___ <br />........ % ...... FOR OFFICE USE ONLY. THIS IS NOT A PERMIT <br /> NAP: ~R Z~: AR PROPERTY L~ATORm <br /> <br /> <br />