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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 />SITE EVALU~TIOH APPROVAL <br /> <br />I)ATE/TIME : 02/g6/98 g?~58 APPROVAL NO : 98-ND723 <br />TYPE : SE STATUS : APPROVED <br />OCCUPANCY ~ R-3 APPROVED ~ B2/B6/1998 <br /> PAgE I <br /> <br />WORK 0~§0 ..... ~-BE-FOE-R~ROR-P~T~TTOR-~7[OT~-tEOT~5 .... [O0~TO~ .................. <br />SITE ADDRESS : CITY: MARION COUNTY <br />9244 SHAW SQ SE AM <br /> <br />S[I~DIVISION : LOT: 2 BLOCK: <br />TAX ACCOONT : HC - MAP: 49R ZONE: <br />PARCEL SIZE : 4.22AC <br /> <br />APPI.ICAN'r : POTTER HONROW J & MILDRED S OWNER: <br /> ADDRESS : 9224 SHAW S~ SE <br /> AOMSVILLE <br /> OR 97~25 <br /> <br />POTTER MONROW J & MILDRE]) S <br /> <br />PHONE <br /> <br />AGFNT <br /> PHONE <br /> <br />INITIAL SYSTEM: STANDARD <br />RFPi.ACEHENT SYSTEH: STANDARD <br /> <br />Units ~escription Fee <br />1 Site evaluation '2?B.OB <br />i DEQ Surcharge ~8.00 <br /> <br /> Asseseed fees : 328.80 <br /> AdjustMents : .80 <br /> Total fees : 328.88 <br />PAYEE. POTTER MONROW J & MILDRED S Total payments. 3~0.08 <br /> Balance due'. .00 <br /> <br />THIS IS HOT A PERHIT TO INSTALL A SEIJAGE SYSTEM A~4B IS NON-REFUNDABLE. A PERHIT MAY <br />BE ISSUED ONLY AFTER TIE PROPERTY HAS BEEN FOUNB~O~E COMPATIBLE #~TH APPLICABLE <br /> PR HEHSIVE LAND USE . <br />***************************************************************************** <br />~ONALO E WOODLEY, BUILDING OFFICIAL / BY PMUNR~/' <br /> I <br /> <br /> <br />