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DATE/TIME : 06/10/99 12:51 <br />TYPE : SPMS <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 />99-04498 <br />APPLIED <br />06/10/1999 <br />00/00/0000 <br />12/07/1999 <br /> <br />WORK DESC : RECORD REVIEW FOR BU 99-04497 <br /> <br />EXIST BEDROOMS: 99 PROPOSED BEDROOMS : 99 <br />EXIST EMPLOYEE: 999 PROPOSED EMPLOYEES: 999 <br /> <br />SITE ADDRESS : <br /> 10771 LEVERMAN RD SE AM <br /> <br />SUBDIVISION LOT: <br />TAX ACCOUNT 56462-000 PARCEL: <br /> <br />APPLICANT BALKEMA JAMES <br />ADDRESS P 0 BOX 1327 <br /> AUMSVILLE, OR <br /> 97225 <br />PHONE 749-1197 <br /> <br />OWNER BALKEMA JAMES <br /> ADDRESS P 0 BOX 1327 <br /> AUMSVILLE, OR <br /> <br />97325 <br /> <br />LUCAIOR: UBiW29C 03000 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: 48R <br />LAND USE: <br /> <br /> BL: <br />1. O0 AC <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />PHONE 749-1197 <br /> <br /> Un~ts Description Fee <br /> I Record Review Fee 40.00 <br /> <br />Assessed fees : 40.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 40.00 <br />PAYEE: BALKEMA JAMES Total payments: 40.00 <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~OTIFIED. <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 />