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DATE/TIME : 09/30/99 t5:10 <br />TYPE : SPMS <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 />99-08171 <br />FINAL <br />09/30/1999 <br />09/30/1999 <br />09/29/2000 <br /> <br />W~3RK DESC : RECORD REVIEW FOR GARAGE <br /> <br />EXIST BEDROOMS: 3 <br />EXIST EMPLOYEE: <br /> <br />PROPOSED BEDROOMS : <br />PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : <br /> 22945 BUTTEVILLE RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />40030-000 PARCEL: .00 AC <br /> <br />FABRYCKI. RICHARD <br />23945 BU~EVILLE RD NE <br />AURORA OR 97002 <br /> <br />PHONE 678-1149 <br /> <br />OWNER <br /> ADDRESS <br /> <br />FABRYCKI. RICHARD <br />22945 BU~EVILLE RD NE <br />AURORA OR 97002 <br /> <br />PHONE 678-1149 <br /> <br />LUCAIOR: 031W32CAOObUO <br />CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: <br />LAND USE: <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />Units Description Fee <br /> I Record Review Fee 40.00 <br /> <br /> Assessed fees : 40.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 40.00 <br /> PAYEE: FABRYCKI. RICHARD Total payments: 40.00 <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 S033N.AS ALL REQUIREMENTS OF THE REVIEW <br /> HAVE BEEN MET. YOU WILL B~IFI~ ~/ / <br /> SIGNATUREOFAPPLICANT~//~~~ <br /> <br /> Marion County Building Inspe~ion <br /> 3150 Lancaster Dr. N.E,, Suite C Sal~, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)5~-5147 24-hr Ins~ction Line: (502)373-~27 <br /> <br /> <br />