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DATE/TIME <br />TYPE <br /> <br />UGB~ SITE: <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />: 07/09/99 15:27 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-05509 <br />APPLIED <br />07/09/1999 <br />00/00/0000 <br />01/05/2000 <br /> <br /> [UCAIOR: 041W20A DOSDU <br />: SS:ALT FOR FUTURE 3 BDRM MD REPLACING A 2 BDRM DW CITY: MARION COUNTY <br /> <br />2 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />10333 WISEACRE LN NE AR <br /> <br />PHONE <br /> <br /> LOT: BL: <br />75790-290 PARCEL: 1.97 AC <br /> <br />APPLICANT : WELLS,TAMI DEQ INSTALLER: <br />ADDRESS : PO BOX 661 PHONE: <br /> CANBY OR <br /> 97013 DEQ LICENSE: <br />PHONE : 503 519-2618 <br /> <br />OWNER : WELLS,TAMI <br /> ADDRESS : PO BOX 661 <br /> CANBY OR <br /> 97013 <br /> : 502 519-2618 <br /> <br /> ZONE: EFU <br /> MAP: 6R <br />LAND USE: <br /> <br />Units Description Fee <br />1 Alteration 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: WELLS,TAMI 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 /> <br />SIGNATURE OF APPLICANT~,~-~-~//~/-~--?'_~· <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 />