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DATE/TIME : 04/12/99 14:44 <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 />99-02669 <br />APPLIED <br />04/13/1999 <br />00/00/0000 <br />10/10/1999 <br /> <br /> LO~^IOR: <br />WORK DESC : NO HISTORY A~ACHED: AUTH/FLD REPL: DWELLW/MFG CITY: <br /> <br />UB1W3OC 020gU <br />MARION COUNTY <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : 3 ZONE: SA <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: 48R <br /> LAND USE: CU 99-013 <br /> <br />SITE ADDRESS <br /> 7781 BISHOP RD SE AM <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br /> LOT: BL: <br />56284-000 PARCEL: 1.14 AC <br /> <br />PALMER ARCHIE W <br />7781 BISHOP RD SE <br />AUMSVILLE OR 97325 <br /> <br />APPLICANT <br />ADDRESS <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />PHONE 749-2524 <br /> <br />PALMER ARCHIE W <br />7781 BISHOP RD SE <br />AUMSVILLE OR 97325 <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE 749-2524 <br /> <br /> Un~ts Description Fee <br /> 1 Authorization w/Field Visit 250.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280,00 <br />PAYE[~ALMER AR~.~IE W Total payments: 280.00 <br />(~'~5~!.~/~.~s~.d~ 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 NOTIFIED. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E. W~]ODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> Marion County Building Inspedtion <br /> 3150 Lancaster Dr, N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Rhone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />