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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />04/12/99 11:24 <br />Change of Occupancy <br />U-1 <br />V-N <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />BUILDING APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />: CHANGE GUESI HOUSE 10 SIORAGL <br />9184 GOLF CLUB RD SE <br /> <br />99-02607 <br />APPLIED <br />04/12/1999 <br />10/09/1999 <br /> <br />60453-000 <br /> 1,88 AC <br /> <br />LUCAIOR: ugzWD4B 00400 <br /> CITY: MARION COUNTY <br /> <br />LOT: BL: <br />MAP: 60 ZONE:-'E"F't~N~f LAND USE:CU 93 97 <br /> <br />APPLICANT : FUSON DESMOND H OWNER : FUSON,DESMOND H & EVELYN <br />ADDRESS : 9184 GOLF CLUB RD PHONE: <br /> AUMSVILLE OR 97225 CONTR : <br /> PHONE: <br />PHONE : 769-9854 OCCB: <br /> <br />TOTAL SQ FEET : IST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> <br />VALUATION : $.00 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> i Change of Occupancy 50.00 <br /> 1 Zone surcharge 3,00 <br /> <br /> Assessed fees : 53.00 <br /> Adjustments : ,00 <br /> Total fees : 53,00 <br /> PAYEE: Total payments: 53.00 <br /> Balance due : .00 <br /> <br /> THIS IS NOT A PERMIT, THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br /> ISSUANCE OF A PERMIT, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED, <br /> <br /> [, ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed <br /> structure and will be my own general contractor. I understand that I must <br /> register as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion. If I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If I change my <br /> mind and do hi re a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor. <br /> .[ ] I am the CONTRACTOR registered with the State of Oregon, <br /> [ ] I am an AUTHORIZED R~P~NTATIV. F~of the p$opert~y ovmer or contractor. <br /> SIGNATURE OF APPLICANT~-~.~.~ ~--'~~ <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY BJENSEN <br />CALL BEFORE YOU DIG..,IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-232-1987) <br /> <br /> Marion County Building Inspection <br /> 3!50 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 />