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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> NationSalem,OR 97305 <br /> County 503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> OREGON <br /> 555-23-009218-EVAL <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: LUKE ARENDT <br /> 12017 CHANTEL ST <br /> DONALD, OR 97020 <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: SE FOR NSFD 3 BERM - EXISTING SEPTIC TO BE USED FOR HARDSHIP <br /> Property Address: Parcel: Owner: ARENDT, LAURENCE DEAN & <br /> 20757 Case Rd Ne,Aurora, OR 97002 042W13 01700 - Primary ARENDT, LINDA D <br /> Address: 20757 CASE RD NE <br /> AURORA OR 97002 <br /> 'LICENSED PROFESSIONAL INFORMATION a' <br /> Business Name License Address Phone <br /> PERMIT SEES .� <br /> Fee Description Quantity Amount <br /> Site evaluation - Single family dwelling 1.00 Ea $810.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $910.00 <br /> Note: This may not include all the fees required for this project. <br /> This application will expire if application acceptance cannot be achieved within 180 days. <br /> All provisions of laws and ordinances governing this type of work will be complied with <br /> whether specified herein or not. <br /> All persons or entities performing work under this application are required to be licensed <br /> unless exempted by ORS 701.010. <br /> 1 std—BuildingApplication�r <br /> Printed on: 11/06/2023 <br />