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DATE/TIME : 10/06/99 16:32 <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 />99-08262 <br />APPLIED <br />10/06/1999 <br />00/00/0000 <br />04/02/2000 <br /> <br />WORK DESC : PRESSURE DIS FOR NEW DWELL 4/BED <br /> <br />EXIST BEDROOMS: 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 />8340 DARLEY RD SE AM <br /> <br /> LOT: BL: <br />61622-001 PARCEL: 59.00 AC <br /> <br />~'LAGEE GARY <br /> ~q,~G 3ACELCNA DR D~ <br /> <br /> 97301 <br /> 502-581-9019 <br /> <br />FLAGER GARY <br />5966 BACELONA DR SE <br />SALEM OREGON <br /> 97301 <br />502-581-9019 <br /> <br />LOCAIUR: 092W140 00/00 <br />CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> HAP: 62R <br />LAND USE: FD 91-19 <br /> <br />DEQ INSTALL[R. G~i-TEun <br /> PI'~)J~E: ~5~3) 3C~ 7~79 <br /> <br />DEQ LICENSE: 35767 <br /> <br />Units Description Fee <br />1 Construction Permit 600.00 <br />i DEQ Surcharge <br /> <br /> Assessed fees : 630,00 <br /> <br /> Adjustments : .00 <br /> Total fees : 620,00 <br /> PAYEE: FLAGER GARY Total payments: 630.00 <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 A~SSURE 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 /> SIGNATUREOFAPPLICANT: <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-~27 <br /> <br /> <br />