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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 />0H-SITE APPL[CATIOH <br /> <br />DATE/TIHE : ~1/88/?S <br />TYPE = SP <br />SCCUPAMCY : R-3 <br />PAGE = 1 <br /> <br />1~:82 <br /> <br />ACTIVITY NO : 98-~82~1 <br />STATUS : APPLIED <br />SE APPLIED : ~1/88/199B, <br />SP APPLIED : <br />TO EXPIRE : <br /> <br />U~RK-~J~'§O ....... ~-G['T~P~T~O~-FO~=EEQ-~7~Eg'-~EO-OOEEE .............. EOO~TO~-~O22B 01108 <br /> CITY: MARION COUNTY <br /> <br />i: .iS1 BEI)ROOMS: <br />~:.XI~T FMP,OYFE: <br /> <br />PROm- OSEI BEDROOMS <br /> , p <br />PRO OSED FMP[.OYEES: <br /> <br />12728 DONAI.~ LOOP RD NE AR <br /> <br />LAND USE: <br /> MAP: <br /> <br />SUBDIVISIOW : LOT: BLOCK: <br /> <br />~,ROSS STREET : NAREET <br /> <br />?ARCEL NUMBEF~ : 40928-000 <br /> PARCEl. SIZE : 8.3& AC <br /> <br />97...~7 <br /> <br />r;WHER ." [.R(:' )FN ,JOE <br />ADDRESS : PO BOX 759 <br /> PORTLAN)) <br /> OR <br />PHONE : 503-6R5-9685 <br /> <br />PI:(; INSTALLER '- <br /> PHONE <br /> LIC'ENSE Nil : <br /> (;nits Oescr i. oti, on <br /> <br /> 1 l)Er~ Surcharge <br /> <br />ADH 96-27 <br />5R ZONE: EFU <br /> <br />CONTR/AGENT: ,JOE GREEN INVESTNENT CO <br /> ADDRESS: PO BOX 759 <br /> <br /> F'ORTLAN~, OR <br />PHONE: 685-9685 <br /> OCCB. 0057652 <br /> <br />97207 <br /> <br />Fee <br /> <br /> 30.00 <br /> <br />P~YEE. Jt~: GRF. E INVESTMENT CO <br /> <br />THIS IS NOT A ?ERNIT. THIS <br />~IL, FEASABILITY AHD <br />OF A PERHIT. IT IS THE <br />ti~CESSARY IHFORHATION IS <br />~AYE ~EH HET~ YOU WILL <br />S~GNATURE'OF APPLICANT: <br />********************* <br />DONAI3) E, WOOOLFy, MARI(I~ <br /> <br /> Assessed fees : 378.08 <br /> AdjustMents : <br /> To~al f~es : 378.08 <br /> Tota 378.88 <br /> : .08 <br /> ******************************* <br /> A REVIEW PROCESS WHERE <br />ARE CHECKEDPRIOR TO THE ISSUANCE' <br />THE APPLICANT TO ~SSURE THAT ALL <br />SOOH AS ALL REGUIREHENTS OF THE REVZE~ <br /> <br />BUILDING OFFiCIAl. / BY htBULL <br /> <br /> <br />