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Marion County <br /> Septic Authorization Application 5155 Silverton Rd NE <br /> Marian Salem, OR 97305 <br /> county 503-588-5147 <br /> 555-23-009755-AUTH Building@co.marion.or.us <br /> O=;R E_ <br /> Residential Authorization Website:co.marion.or.us <br /> ,K`` y ,Ya. r� i#"'D g, . <br /> ✓ of t- '� E r � � - f •e' t �,�a � �Mk+� dF m �`,+`,� s <br /> :N q:. <br /> °{pp�►ca can.%-$ caty l a e 111Z812B24 ior � ,. y i <br /> swe Work,Description UT 14 BDRM SFD'at P*t BQRM MH 4" `R r <br /> � `� z i a a,.t��•�.. � �•F�.� �t + "' gip.. y� � uF�`ia �� ..+ � $ v •�„. ..�`. <br /> Applicant: SKYLINE BUILDERS LLC <br /> Address: 1280 FIR ST S <br /> SALEM OR 97302 <br /> Phone: 509-991-2573 <br /> Email: sam@skyline-co.com <br /> Owner: BROWN, PAIGE BROWN,GREG Property Address: 5501 Lipscomb St SE,Salem,OR 97301 <br /> Address: 5501 LIPSCOMB ST <br /> SALEM OR 97317 <br /> Parcel:082W17D 00400-Primary <br /> Authorization Notice for: Replacing One Dwelling with Another <br /> Lot Size: N/A Water Supply: Well <br /> 24 $ fir ?t `a� i. ! E_ a a" .€ y y •ra`�sue' .i� s§?' a` y 5 <br /> ^r a s^ w F/ n `Pro sect ? ds' <br /> Number of Bedrooms: 3 4 <br /> CALL BEFORE YOU DIG...ITS THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 11/29/23:11:29:12AM Page 1 of 1 ONS_OnsiteAuthorizationApplicationjr <br />