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MARION COUNTY PUBLIC WORKS <br /> BUILDING INSPECTION DIVISION <br /> 5155 Silverton RD NE <br /> Salem OR 97305 <br /> (503)588-5147 <br /> MOUNTY FAX(503) 588-7948 <br /> www.co.marion.or.us <br /> RURAL AREA CONSIDERATION APPLICATION * <br /> APPLICANT: Pa\ C k ,E t <br /> MAILING ADDRESS: 2 q 5 GN-• L `S ZZ \vim <br /> &e.c .. S Ofcio, 9 102(c <br /> City r r State Zip <br /> PHONE: ('SW 9149 - t ,G"l <br /> LEGAL DESCRIPTION OF SUBJECT PROPERTY: <br /> SEPTIC SITE EVALUATION FILE#: ij51 -A el `DO 15 3 2-- <br /> oc.3°t <br /> TAX LOT#: v S 1-Cu La- ;TOWNSHIP: S 5 ;RANGE: 2W ; SECTION: 20 <br /> PROPERTY ADDRESS: ' Z R S (-v`'`, 5 '?G (1 r GOr-0-z S Gg. c17)Z ( <br /> PROPOSED USE OF PROPERTY: (33t=U Quo tiA S/A)G L L FA/11 iL,4 A/01✓7-t-i)0C <br /> G F LA <br /> PROPERTY E: 20 -11 Acres ZONING DESIGNATION:` vu 'y. Ze L 4►ter <br /> L <br /> / <br /> Signature of cant Date <br /> n. / aivay �, z.00 0 <br /> Received by: Marion County Building Insp. Date Received <br /> NOTE:Marion County Planning Department must verify that this property meets the zoning <br /> requirements for Rural Area Consideration. <br /> *SUBMIT APPLICATION WITH REQUIRED DOCUMENTS FOR <br /> RURAL AREA CONSIDERATION TO: <br /> MARION COUNTY BUILDING INSPECTION <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> PHONE: (503)588-5147 <br /> FAX: (503)588-7948 <br /> G:'FORMS\SEPTIC\S-42 Rural Area Consideration.doc <br />