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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 />B~TE/TIHE OH-SITE aPP~IC <br />TYPE %. = SP '"'"'-"'~' ~ . ~'[~ ~J ~(.~ <br />OCCUPNiCY = R-3 <br />P~E = I <br /> <br /> C~TY~ H~OH COUHTY <br />EX~ST ~F~ROOHS: 3 PROPOSED ~E'~EO~MS : LAN~ USE~ P97-~6 <br />EX~ST E~PLOYE~: PROPOSED E~PLOYEES: HAP: 49R ZONE: AR <br /> <br />S)TE A~RESS ~ <br /> 9224 SHAW ~Q SE AM <br /> <br />aCTIVITY ND = 98-1~S721 <br />STATUS = APPLIED <br />SE APPLIED = ~J./29/1998 <br />SP aPPLIED m Sl/27/1998 <br /> <br />SUBDIVISION : LOT: 1 BLOCK: <br /> <br />CROSS STREET : SILVER FALLS HY SE <br /> <br />PARCEL. NUMRER : 75Z88-018 <br /> PARCEL STZE : 4.67 AC <br /> <br />OWNER <br /> <br />: 9224 SHAW SQ RD <br /> AUMSVILLE OR <br /> <br />POTTER MONROE J & MILDRED S CONTR/AGENT= POTTER MONROE J & MILDRED S <br /> ADDRESS: 9224 SHAW SQ RD <br /> AUMSVILLE OR <br /> 97325 97325 <br /> PHONE: ~62-6168 <br /> OCCB: <br /> <br />DFQ INSTALIFR : <br /> PHONE : <br /> LICFNSE Nil <br /> Un,ts De~cri.tion <br /> Authorization w/FieId Visit <br /> DEO Surcharge <br /> <br />Fee <br /> <br />217.88 <br /> 38.88 <br /> <br /> Assessed fees : 247.88 <br /> Adjustments : .88 <br /> Total fees : 247.~8 <br />PAYEE: POTTER MONROE J & MILDRED S Total payments: 247.80 <br /> Balance due : .88 <br /> <br />THIS IS HOT ~ PERNIT. THIS APPLICATIOH HU~T GO THROUGH A REVIEW PROCE~ WHERE <br />~IL, F~B[LI~ AND I~T~LATI~ <br />OF A PERHIT. IT IS T~ ~S~[BIL[TY ~ THE ~ZC~T TO ~SS~E T~T ALL <br />~ESS~Y IHFO~TI~ IS ~VIDED. ~S S~ AS A~ REQUiREHEHTS OF THE ~ZEW <br />HAVE BEEN ~T. Y~ ~IL~ BE ~TIFI~, <br />SI~NA'FURE OF APPLICANT. <br /> <br />~ON~I~ E. WOOPLEY~ MAR~ON COUNTY ~UIL~IN~ OFEICIAL / DY MBULL <br /> <br /> <br />