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MARION COUNTY BUILDING INSPECTION DIVISION <br /> 5155 Silverton Rd NE <br /> l\ <br /> Salem OR 97305 <br /> (503)588-5147 <br /> Fax: (503) 588-7948 <br /> LAND USE COMPATIBILITY STATEMENT (LUCS) <br /> FOR ON-SITE SEWAGE SYSTEMS <br /> DATE: 7/6/2023 MCBI File#: <br /> SECTION 1—APPLICANT INFORMATION <br /> I. Property Address:- <br /> 5144 36th Ave SE Property ID#: <br /> Salem OR 97317 <br /> Section: Township: i35 Range: ZNA) Tax T. t#: <br /> -1000 <br /> Richard Kraft <br /> 36th Street Prop$at7C LL Telephone#:503.991.1226 <br /> 2. Name of Applicant: 2661 Kashmir SE p <br /> Mailing Address: Salem OR 97317 <br /> 3. Describe type of facility the on-site sewage system will serve(business,residence or other): <br /> ❑ Single Family Residence <br /> ].,Business <br /> ❑ Other: <br /> 4. Type of on-site sewage system permit application being proposed for this property: <br /> Remove existing system and install <br /> 05 New Installation Permit holding tank <br /> ❑ Repair Permit <br /> ❑ Alteration Permit for: 0 Replacement Dwelling 0 Bedroom(s)addition <br /> ❑ Other changes in land use involving potential sewage flow increase: <br /> G:\FORMS\SEPTIC\Applieation Packets\S-39 LUCS.doc MC:S-39 rev:8/10,04/12 <br />