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DATE/TIME : 07/14/99 15:16 <br />TYPE : SP <br /> <br />UGB: SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STAlUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-05182 <br />APPLIED <br />04/29/1999 <br />00/00/0000 <br />10/26/1999 <br /> <br />WORK DESC : SP:INSTALL <br /> <br />EXIST BEDRO0~IS: <br />EXIST EMPLOYEE: <br /> <br /> LUCAIUR: U~IW19 01100 <br />PARTITION PARCEL 3B OF 4 AG BLDG CITY: MARION COUNTY <br /> <br />PROPOSED BEDROOMS : 4 ZONE: AR <br />PROPOSED EMPLOYEES: MAP: 4BR <br /> LAND USE: <br /> <br />SITE ADDRESS : <br /> 10031BROWNELL DR SE AM <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br /> LOT: <br />75290-180 PARCEL: <br /> <br />GRAVES DEBP. A L <br />P 0 BOX 1108 <br />AUMSVILLE OREGON 97325 <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE 503-945-5716 <br /> <br />GRAVES DEBP~q L <br />P 0 BOX 1108 <br />AUMSVILLE OREGON 97325 <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE 503-945-5716 <br /> <br /> BL: <br />5.50 AC <br /> <br /> BEQ INSTALLER: BETHEL,DWAIN & SONS EXCAVA INC <br /> PHONE: (503) 743-2343 <br /> <br /> DEQ LICENSE: 26198 <br /> <br />Units Description Fee <br />1 Construction Permit 400.00 <br />1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 430.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 430.00 <br />PAYEE: GRAVES DEBRA L 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 />SIGNATURE OFAPPLICANT: ~~.~.~ <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY MBULL <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 />