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DATE/TIME : 09/18/98 13:27 <br />TYPE : SP <br /> <br />UGB: SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />98-08105 <br />APPLIED <br />09/18/1998 <br />00/00/0000 <br />03/17/1999 <br /> <br />WORK DESC : AUTH FOR MD REPLACEMENT <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <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 />LOCAIUR: OB2W260 02600 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: 5iR <br />LAND USE: <br /> <br /> 7932 TERRANCE LN SE AM <br /> <br /> LOT: BL: <br />75060-120 PARCEL: .44 AC <br /> <br />HATFIELD STEVAN C DEQ INSTALLER: <br />PO BOX 1122 PHONE: <br />AUMSVILLE <br />OR 97225 DEQ LICENSE: <br />749-3628 <br /> <br />HATFIELD STEVAN C <br />PO BOX 1122 <br />AUMSVILLE <br />OR 97225 <br /> <br />PHONE 749-3628 <br /> <br /> Units Description Fee <br /> 1 Authorization w/Field Visit 250.00 <br /> 1 DEQ Surcharge 30,00 <br /> <br /> Assessed fees 280.00 <br /> Adjustments .00 <br /> Total fees 280,00 <br />PAYEE: HATFIELD STEVAN C Total payments: .00 <br /> Balance due : 280.00 <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 /> <br />S~IGNATURE OF APPLICANT <br /> <br />DONALB E. WOOBEE¥, Mtn, ION COUNTY BUILDING OFFICIAL / BY MBUEk <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-zP127 <br /> <br /> <br />