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DATE/TIME : 06/25/99 14:37 <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 />99-04990 <br />APPLIED <br />06/24/1999 <br />00/00/0000 <br />12/21/1999 <br /> <br />WORK DESC <br /> <br />: PARCEL 1 OF 3 TENANT: OFFICE <br /> <br />LDCAIUR: U41WllA DU2OUA1 <br />CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: 1 PROPOSED EMPLOYEES: 1 <br /> <br />SITE ADDRESS <br /> <br />14397 KEIL RD NE AR <br /> <br /> ZONE: P <br /> MAP: 3 <br />LAND USE: P98-28 <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />PHONE <br /> <br /> LOT: BL: <br />40403-612 PARCEL: 1.00 AC <br /> <br />SEARS A C DEQ INSTALLER: <br />14397 KEIL RD NE PHONE: <br />AURORA OREGON <br /> <br />503-678-2989 <br /> <br />A C SEARS <br />14297 KEIL RD NE <br />AURORA. OR <br /> <br />97002 DEQ LICENSE: <br /> <br />97002 <br /> <br />Units Description Fee <br />1 Construction Permit 400~00 <br />1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 420.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 430.00 <br />PAYEE: SEARS A C 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 MEI, YOU WILL BE NOTIFIED, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <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 />