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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 05/04/99 11:26 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-03340 <br />APPLIED <br />05/04/1999 <br />00/00/0000 <br />10/31/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />: MAJOR REPAIR ( DRAINFIELD ONLY) <br /> <br /> 2 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br /> 9251 SMITH RD SE AM <br /> <br /> LOT: <br />57659-000 PARCEL: <br /> <br />AGENT: LAWRENCE, PHILIP R <br />P 0 BOX 20811 _~/ <br />SALEM OREGON 97207 <br /> <br />390-1819 <br /> <br />BRUCE,LARRY R <br />9251 SMITH RD SE <br />AUMSVILLE, OR <br /> <br />LOCAIUR: OBZWZ4A OlBUD <br /> CITY: MARION COUNTY <br /> <br /> ZONE: SA <br /> MAP: 51R <br />LAND USE: <br /> <br /> BL: <br />2.50 AC <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />PHONE 769-2139 <br /> <br /> Units Description Fee <br /> i Major Repair 200.00 <br /> i DEQ Surcharge 20.00 <br /> <br />Assessed fees : 230.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 230.00 <br />PAYEE: AGENT: LAWRENCE, PHILIP R Total payments: 230.00 <br />FASCO - FAST DALE E Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLIC~ON MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEAS~ILITY AND INSTALLATI~QUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONS~I~TY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS P~AS SOON A~ ALL REQUIREMENTS OF THE REVIEW <br /> <br />~Ag~R~*~L2C~~.~.~...**--****************--**************--***** <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-~27 <br /> <br /> <br />