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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 02/17/99 15:23 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-01911 <br />APPLIED <br />03/17/1999 <br />00/00/0000 <br />09/13/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: 2 <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />: AUTH/FLD NO HISTORY REPL MFG W/ DWELLING <br /> <br /> PROPOSED BEDROOMS : 3 <br /> PROPOSED EMPLOYEES: <br /> <br />18995 BEAVER LN NE AR <br /> <br /> LOT: BL: <br />75790-340 PARCEL: 3,00 AC <br /> <br />LOCA1DR: 041W30A 02900 <br /> CITY: MARION COUNT'f <br /> <br /> ZONE: EFU <br /> MAP: 6R <br />LAND USE: ADM IN PROCESS <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />ADAIR HOMES INC <br />1111SW 170TH AVE <br /> <br />BEAVERTON, OR 97006-4444 <br />645-1156 <br /> <br />CHAPMAN DORAN & BARBETE <br />18995 BEAVER LN NE <br />AURORA OREGON 97002 <br /> 97006-4444 <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />PHONE 503-678-5884 <br /> <br /> Un~ts DescrJptqon Fee <br /> 1 Authorization w/F~eld VJs~t 250,00 <br /> I DEQ Surcharge 30.00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br />PAYEE: ADAIR HOMES INC Total payments: 280,00 <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~ESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION I~¥ROVID[~). AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br /> <br />SIGNATURE OF APPLICANT:k~t~'~'~L~JL-j~-~ <br /> <br />DONALD E, WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <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 />