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DATE/TIME : 08/24/99 13:55 <br />TYPE : SP <br /> <br />UGB: SITE: <br /> <br />ON SITE APPLICATION <br /> ACTIVITY ND <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-06964 <br />APPLIED <br />08/24/1999 <br />O0/OO/O000 <br />02/20/2000 <br /> <br />WORK DESC : MJR.REPLACE CABIN #4 & #5. DUPLEX <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <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 />4 FOREST SERVICE RD NE DT <br />5 FOREST SERVICE RD NE DT <br /> <br /> LOT: BL: <br />R4016-9 PARCEL: 15.00 AC <br /> <br />FRIENDS OF OPAL CREEK DEQ INSTALLER: <br />SCOTT FOGERTY PHONE: <br />PO BOX 318 <br />MILL CITY OR 97360 DEQ LICENSE: <br />503-897-2921 <br /> <br />FRIENDS OF OPAL CREEK <br />33435 LITTLE NORTH FORK RD <br />LYONS OR <br /> <br />LOCAIOR: 085E28 00700 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: TC <br /> MAP: 88R <br />LAND USE: <br /> <br />PHONE N/A <br /> <br /> Units Description Fee <br /> 1 Major Repair 200,00 <br /> i DEQ Surcharge 30,00 <br /> <br />Assessed Fees : 230.00 <br /> <br /> Adjustments : <br /> Total Fees : 230.00 <br />PAYEE: FRIENDS OF OPAL CREEK Total payments: <br /> Balance due : 230.00 <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 NOTIFIED. <br /> <br />SIGNATURE OF APPLICANT: . <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E.. Suite C Salem, Oregon 97305-1398 <br /> <br /> <br />