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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 09/27/99 12:52 <br />: SP <br /> <br />ON SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-08043 <br />APPLIED <br />09/27/1999 <br />00/00/0000 <br />03/25/2000 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS <br /> <br />MINOR REPAIR FOR SFR--TANK ONLY <br /> <br /> 2 PROPOSED BEDROOMS : 2 <br /> PROPOSED EMPLOYEES: <br /> <br /> 11486 MCCLELLAN LN SE AM <br /> <br />SUBDIVISION : NEST STAYTON LOT: 14 BL: 2 <br />TAX ACCOUNT : 75440-200 PARCEL: 15000.00 SF <br /> <br />APPLICANT : SMITH,MARVIN & GEAN A <br />ADDRESS : 11486 MC CLELLAN LN SE <br /> AUMSVILLE. OR <br /> 97325 <br />PHONE : 769-5429 <br /> <br />OWNER : SMITH.MARVIN & GEAN A <br />ADDRESS : 11486 MC CLELLAN LN SE <br /> AUMSVILLE, OR <br /> 97225 <br />PHONE : <br /> <br />LUCAIOR: O92W13DAUDBUU <br />CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: 62R <br />LAND USE: <br /> <br />DEQ INSTALLER: DON DAVIDSON CONSTRUCTION PHONE: (502) 227-2194 <br /> <br /> DEQ LICENSE: 27470 <br /> <br />Units Description Fee <br />1 Minor Repair 100.00 <br />1 DEQ Surcharge 30.00 <br /> <br /> Assessed fees : 120.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 130.00 <br /> PAYEE: SMITH,MARVIN & GEAN A Total payments: 130.00 <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 NOTIFIED. <br /> SIGNATURE OF APPLICAN~ <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-z~427 <br /> <br /> <br />