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DATE/TIME <br />~PE <br /> <br />12/30/98 12:10 <br />SPMS <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 /> 98-11094... <br />: AP_.~.,.~'O ~"?~,~r <br />:..i-2/30/1998 <br /> 00/00/0000 <br /> 06/28/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />RECORD REVIEW FOR POLE B[DG 98-11093 <br /> <br /> PROPOSED BEDROOMS : <br /> 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 /> 13393 EHLEN RD NE AR <br /> <br /> LOT: <br />40244-000 PARCEL: <br /> <br />KEYSA CONSTRUCTION INC <br />18791 SW MARTIAZZI AVE <br /> <br />TUALATIN. OR 97062 <br />692-7007 <br /> <br />CRAWFORD.MILTON M & SAP~ ELLEN <br />13392 EHLEN RD NE <br />AURORA, OR <br /> 97062 <br /> <br />BL: <br /> <br />LOCAIUR: 041W1D DlbUD <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: <br />LAND USE: <br /> <br />.00 AC <br /> <br /> DEQ INSTALLER: <br /> PHONE: <br /> <br /> DEQ LICENSE: <br /> <br /> PHONE <br />***~x~****~*****~`**********~******~************~*~z~*~******* <br /> Units Description Fee <br /> I Record Review Fee 40.00 <br /> <br />Assessed fees : 40.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 40.00 <br />PAYEE: KEYSA CONSTRUCTION INC Total payments: 40.00 <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 ll~E 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 />SIGNAI'URE OF APPLICANT: <br /> <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 g7305-1398 <br />Office Hours: 8:00-4:3D Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />