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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office HourS: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> · SITE EVALUATIOH APPROVAL . <br />DATE/TTME ;. R?/27/B& :L6.17 APPROVAL HO ,, ~5'1485~ <br />TYPE, .. SE STATUS .. APPROVED <br />.cCOFA.CY . A-~ APPROVED . <br /> <br /> ................... : .................. " ......... : ...................... <br /> <br />~:;:[1E ~h~RF'SS ~ CI'I~ H~R~ON CO[lillY ?2785 AIt:/F'ORT RD NE AR <br /> <br />CROSS S FREET : ON AiIRI)RA A!:RF'ORI' AI;CI;:SS RD <br /> <br />F'ARCI:'i h!UHB[q,' : 4~'159-,~;KI5 <br /> <br />F'R(IPFRTY IPCAIOR: 04~WI~2D 08600 <br /> ZONE: P <br /> <br />AF'F'I.Ti;ANT <br /> <br />: YAI4RI ADI!:REI',!~:,KiHN <br /> ,'.qa07 St' (i¢,H <br /> F'OR I'1 .~I',!,D OR <br /> <br />972t4 <br /> <br />r, <br /> <br />,'. <br /> <br />Chlfl'(A!..qYSl'tqH: CAF:'PTNq FI:I,.t <br />RI: I"i ACFHt NT !:;Y,ql'l?H: ('t.(-IPf'?'Nf. F:f[ L <br /> <br />THIS IS NOT A PERMIT TO INSTALL A SEWAGE SYSTEM AND IS NON-REFUNDABLE. A PERHTT MAY <br />BE ISSUED ONLY AFTER THE PROPERTY HAS BEEN FOUND TO BE COMPATIBLE WITH APPLICABLE <br />LI~D~ A~KHflWIFDGFD L.O~AL CO~PREHFNS3VF LAND USF PLAN. <br /> <br />************************************************************************************************ <br /> <br />DOI,IALI~ I: WI/IiDI t:'Y~ BIITID:iI,I(; OFF)'C;fA! / lay INIAI <br /> <br /> <br />