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DATE/TIME : 09/29/98 16:07 <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 />WORK DESC : SS: ESE FOR PARTITIONING; LOT 2 OF 3 <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : 2 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS <br /> 8210 SAMS WY SE AM <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br /> LOT: BL: <br />56445-000 PARCEL: 1.50 AC <br /> <br />SCHUMANN.RICHARD DEQ INSTALLER: <br />302 N 11TH PHONE: <br />AUMSVILLE,OR <br /> <br />APPLICANT <br />ADDRESS <br /> <br />97325 DEQ LICENSE: <br /> <br />PHONE 551-8460 <br /> <br />BALL.LELAND J & MILDRED E <br />10673 MILL CREEK RD <br />AUMSVILLE, OR <br /> 97325 <br /> <br />OWNER <br /> ADDRESS <br /> <br />98-08457 <br />APPLIED <br />09/29/1998 <br />00/00/0000 <br />02/28/1999 <br /> <br />LDCAIUR: 081W3ZU 01300 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: <br />LAND USE: <br /> <br />PHONE <br /> <br /> Units Description Fee <br /> 1 Existing System Evaluation 217.00 <br /> 1 DEQ Surcharge 30,00 <br /> <br /> Assessed fees : 247.00 <br /> Adjustments : 22.00 <br /> Total fees : 280,00 <br />PAYEE: SCHUMANN.RICHARD Total payments: 280,00 <br /> BALL,MILLIE & TAYLOR,DEBOP~A 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 NOTIF~ED.~/~ /~ - ~ <br />SIGNATURE OFAPPLICANT: /~/t~~ ~m~-~/' ~,-~-~ ~ <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <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 />