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MARION COUNTY <br /> Building Application 5155 5ilverton Rd NE <br /> MaY1011 Salem,OR 97305 <br /> county Site Evaluation NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> Q R.E G o N <br /> 555-23-001397-EVAL <br /> www.co.marlon.or.us building@co.marion.or.us <br /> Applicant: OLANDER, LARRY <br /> PO BOX 571 <br /> EAGLE CREEK, OR 97002 <br /> .:T.PTOZOF WORK <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 4 BDRM NSFD <br /> �� t.� rznB.'SITE INFORMATION <br /> Property Address: Parcel: Owner: STOLLER,RICHARD <br /> 13870 Ehlen Rd Ne,Aurora,OR 97002 041W14B 00300-Primary <br /> Address: PO BOX 801 <br /> AURORA OR 97002 <br /> LICENSED.PROFESSIONAL INFORMATION ;>. � <br /> Business Name License Address Phone <br /> PERMIT FEES. <br /> Fee Description Quantity Amount <br /> Site evaluation -Single family dwelling 1.00 Ea $725.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $825.00 <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 /> Printed on:02/i4/2023 1 std_BuildingApplication pr <br />