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DATE/TIME : 10/01/99 10:27 <br />TYPE : SP <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 />99-08197 <br />APPLIED <br />10/01/1999 <br />00/00/0000 <br />03/29/2000 <br /> <br />WORK DESC : ESE: PARCEL 1 OF 2 PARTITION <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : 2 <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 />PHONE <br /> <br />7878 BARBARA LN SE AM <br /> <br />THE RANCH LOT: 3 BL: 4 <br />74110-130 PARCEL: 2.24 AC <br /> <br />ALBEE JEFFREY & ROXANE <br />7878 BARBARA LN SE <br />AUMSVILLE OREGON 97328 <br /> <br />503-769-4339 <br /> <br />ALBEE,JEFFREY D & RO×ANE E <br />7878 BARBA~ LN SE <br />AUMSVILLE, OR <br /> <br />LOCATDR: 081W28C D3900 <br />CITY: MARION COUNTY <br /> <br /> ZONE: AR <br />MAP: 48R <br />LAND USE: P97-53 <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />Units Description ~ Fee <br />1 Existing System Evaluation / 250.00 <br />i DEQ Surcharge ,,/F 30.00 <br /> <br /> Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br /> PAYEE: ALBEE JEFFREY & ROXANE Total payments: 280.00 <br /> Balance due : ,00 <br /> <br /> THZS 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 BEi~OTIFIED, <br /> SIGNATURE OF APPLICANT: ~f~ ~/~.. <br /> DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH III <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: (505)5~-5147 24-hr Inspection Line: (503)373-~-427 <br /> <br /> <br />