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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 09/04/98 13:57 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />98-07630 <br />APPLIED <br />09/04/1998 <br />O0/O0/OO00 <br />02/02/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <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 />: ALTER/TANK ONLY UPGIL~i)E <br /> <br /> PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br /> 10073 FRIENDLY ACRES RD SE AN <br /> <br /> LOT: <br />75290-020 PARCEL: <br /> <br />STAYTON CONSTRUCTION <br />FRANK WILSON <br />41155 STAYTON SCIO DR SE <br />STAYTON OR 97383 <br />(502) 769-4420 <br /> <br />MORRISON. ALICE & HOWARD <br />10073 FRIENDLY ACRES RD SE <br />AUMSVILLE.OR <br /> 97383 <br /> <br />CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: 51 <br />LAND USE: CU 96-052 <br /> <br /> BL: <br />6.00 AC <br /> <br />DEQ INSTALLER: STAYTON CONSTRUCTION <br /> PHONE: (503) 769-4430 <br /> <br />DEQ LICENSE: 34916 <br /> <br /> PHONE 749-1835 <br />*************~**;~;;*;*;~***************************~**~***~x~*********************;~;; <br /> Units Description Fee <br /> 1 Minor Repair 100.00 <br /> 1 DEQ Surcharge 20,00 <br /> <br /> Assessed fees : 130.00 <br /> Adjustments : ,00 <br /> Total fees : 130,00 <br /> PAYEE: STAYTON CONSTRUCTION Total payments: 130,00 <br /> Balance due : .00 <br /> <br /> THIS IS NOT A PERMIT, IHIS 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. ~ SOON AS AL[ REQUIREMENTS OF THE REVIEW <br /> HAVE BEEN MET. YOU WILL BE~J~}~'?~g..~ ~ <br /> SIGNATURE OF APPLICANT: ~' mnn\a~ } ~ - <br /> DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL/ B~' MMEYER ~ 9¢' <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-~427 <br /> <br /> <br />