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DATE/TIME : 04/15/99 10:02 <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 />99-02767 <br />APPLIED <br />04/15/1999 <br />00/00/0000 <br />10/12/1999 <br /> <br />WORK DESC : ALTERATION --MOVING SYSTEM FOR NEW HOUSE <br /> <br />EXIST BEDROOMS: 3 PROPOSED BEDROOMS : 3 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS <br /> <br />19487 CASE RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br /> LOT: BL: <br />41878 000 PARCEL: 4,72 AC <br /> <br />APPLICANT : BURNHAM DENNIS DEQ INSTALLER: <br /> ADDRESS : 19517 CASE RD NE PHONE: <br /> AURORA OR 97002 <br /> <br />LOCAIOR: 042W2b 80108 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: 9 <br />LAND USE: <br /> <br />DEQ LICENSE: <br /> <br /> PHONE : 678 1847 <br /> <br />OWNER : BURNHAM,DENNIS A & ELENA <br /> ADDRESS : 19517 CASE RD NE <br /> AURORA, OR <br /> <br /> PHONE : <br /> <br />Units Description <br />i Alteration <br />i DEQ Surcharge <br /> <br />Fee <br /> 400.00 <br /> 30.00 <br /> <br />Assessed fees : 430.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 430.00 <br />PAYEE: BURNHAM DENNIS 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 />HAVE BEEN MET, YOU WILL BE NOTIFIED. <br /> <br />SIGNATURE OF APPLICANT:'~- <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 />