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ON-SITE APPLICATION <br />DATE/TIME : 10/16/98 16:19 ACTIVITY NO <br />TYPE : SP STATUS <br /> SE/SP APPLIED <br />UGB: SITE~ ISSUED <br /> TO EXPIRE <br /> <br />98-09125 <br />APPLIED <br />10/]6/1998 <br />00/00/0000 <br />04/14/1999 <br /> <br /> LOCAIUR: <br />WORK DESC : SEPTIC INSTALLATION FOR BU 98-09124 CITY: <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : 3 ZONE: AR <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: 48R <br /> LAND USE: P628 <br />SITE ADDRESS : <br /> 6873 HAYS LN SE AM <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br /> LOT: BL: <br />56333-000 PARCEL: 7.50 AC <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />081W19C 01000 <br />MARION COUNTY <br /> <br /> SCHMID.ERNEST T & JANICE L DEQ INSTALLER: <br /> P 0 BOX 1126 PHONE: <br /> AUMSVILLE, OR <br /> 97325 DEQ LICENSE: <br /> 749-2238 <br /> <br /> SCHMID,ERNEST T & JANICE L <br /> P 0 BOX 1126 <br /> AUMSVILLE, OR <br /> 97325 <br />PHONE <br /> <br /> Units Description Fee <br /> 1 Construction Permlt 400.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 430.00 <br /> Adjustments : .00 <br /> Total fees : 430.00 <br /> PAYEE: SCHMID,ERNEST T & JANICE L Total payments: 430,00 <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 /> HAVEBEENMET, YOU~JJ~B~_NOTIFI.ED..~y~ Z ~-----~- <br /> <br /> ON LBE. WO00LEV, ; * <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 />