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DATE/TIME <br />TYPE <br /> <br />04/21/98 13:23 <br />SP <br /> <br />ON-SITE APPLICATION <br /> <br />ACTIVITY NO <br />STATUS <br />SE APPLIED <br />SP APPLIED <br />TO EXPIRE <br /> <br />98-03082 <br />APPLIED <br />04/21/1998 <br />04/21/1998 <br />10/18/1998 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS <br /> <br />MINOR REPAIR FOR 4 BDRMS <br /> <br /> 4 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />11683 ARNDT RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br /> LOT: BL: <br />40075-000 PARCEL: 18.00 AC <br /> <br />BLACKWELL,VIRGINIA <br />11683 ARNDT RD NE <br />AURORA, OR <br /> <br />503 678-5402 <br /> <br />BLACKWELL.H DALE <br />11683 ARNDT RD <br />AURORA. OR <br /> <br />97002 <br /> <br />97002 <br /> <br />LUCA[OR: 021W33CCU30DO <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: 1 <br />LAND USE: <br /> <br />DEQ LICENSE: <br /> <br />DEQ INSTALLER <br /> PHONE <br /> Units Description Fee <br /> i Minor Repair 100.00 <br /> t DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 130.00 <br /> Adjustments : .00 <br /> Total fees : 130.00 <br />PAYEE: BLACKWELL,VIRGINIA Total payments: 130.00 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL. FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFOR~TION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET, YOU ~ILL B~EZED.-- ,. <br />SIGNATURE OF APPLICANT: F~I~/~/~ <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <br /> <br /> Marion County Building Inspection <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 /> <br />