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DATE/TIME <br />TYPE <br /> <br />ON-SITE APPLICATION <br /> <br />05/22/98 11:02 ACTIVITY NO <br />SP STATUS <br /> SE APPLIED <br /> SP APPLIED <br /> TO EXPIRE <br /> <br />98-04119 <br />APPLIED <br />05/22/1998 <br />05/22/1998 <br />11/18/1998 <br /> <br />WORK DESC SS:HAJOR REPAIR <br /> <br />LOCAIUR: U81W1BC D29DU <br /> CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: 3 PROPOSED BEDROOMS : ZONE: AR <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: 46R <br /> LAND USE: MP 690 <br /> <br />5828 SHAW HY SE AM <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br /> LOT: BL: <br />56054-000 PARCEL: 1.99 AC <br /> <br />BENTZ KENNETH D & JANET F <br />5828 SHAW HWY SE <br />AUMSVILLE <br />OR 97225 <br />N/A <br /> <br />BENTZ,KENNETH D & JANET F <br />5828 SHAW HWY SE <br />AUMSVILLE. OR <br /> 97225 <br /> <br />PHONE <br /> <br />DEQ INSTALLER BETHEL.DWAIN & SONS EXCAVA INC OEQ LICENSE: 26198 <br /> PHONE (503) 742-2243 <br /> Units Description Fee <br /> I Major Repair 180.00 <br /> 1 DEQ Surcharge 20.00 <br /> <br />FILE <br /> <br /> Assessed fees : 210.00 <br /> Adjustments : .00 <br /> Total fees : 210.00 <br />PAYEE: BENTZ KENNETH D & JANET F Total payments: 210.00 <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 INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET, YOU WILL BE NOTIFIED. <br />SIGNATURE OF APP ICANT: :: , <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 />