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DATE/TIME <br />TYPE <br /> <br />UGB: <br /> <br />: 10/07/99 16:23 <br />: SP <br /> <br />SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-08400 / <br />APPLIED <br />10/07/1999 <br />00/0010000 <br /> <br />WORK DESC <br /> <br />: ALTERATION FOR NEW 6/BED NEW DWELL <br /> <br />LOCATOR: 041N228 01100 <br />CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />PROPOSED BEDROOMS : 6 ZONE: EFU <br />PROPOSED EMPLOYEES: MAP: 5R <br /> LAND USE: ADM 96-27 <br /> <br />12728 DONALD LOOP RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />40928-000 PARCEL: 8.36 AC <br /> <br />JOE GREEN INVESTMENT CO <br />PO BOX 759 <br /> <br /> PORTLAND, OR 97207 <br />PHONE 685-9685 <br /> <br />DEQ INSTALLER: HICKS, JIM - EXCAVATION <br />PHONE: (503) 266-5975 <br /> <br />DEQ LICENSE: 36748 <br /> <br />OWNER GREEN JOE <br />ADDRESS PO BOX 759 <br /> PORTLAND <br /> OR 97207 <br />PHONE 503-685-9685 <br /> <br /> Units Description Fee <br /> 1 Alteration 348.00 <br /> i DEQ Surcharge 20.00 <br /> <br />Assessed fees 378.00 <br /> <br />PAYEE: JOE GREEN INVESTMENT CO <br /> <br />Adjustments 52.00 <br />Total fees 430.00 <br />Total payments: 430.00 <br /> due .00 <br /> <br />THIS IS NOT A PERMIT, THIS APPLICAT <br />SOIL. FEASABILITY AND <br />OF A PERMIT, IT IS THE RESPONSI <br />NECESSARY INFORMATION tS <br />HAVE BEEN MET. YOU WILL BE NOTII <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> THROUGH A REVIEW PROCESS WHERE <br /> ARE CHECKED PRIOR TO THE ISSUANCE <br /> APPLICANT TO ASSURE THAT ALL <br />AS ALL REQUIREMENTS OF THE REVIEW <br /> <br /> DONALD E. WOODLEY, MARION LDING OFFICIAL / BY DSTONE <br /> <br /> County Building Insl:~ction <br /> 3150 Lancaster Dr. N.E., Suite C Saleln, Oregon 97305-1398 <br />Office Hours: 8:00-4:20 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />