Laserfiche WebLink
, .. <br /> -MARION.COUNTY BUILDING INSPECTION DIVISION <br /> 5155 Silver:Ulu.TUNE <br /> I.111111 'SateX11:-OR:97305 <br /> (503)':588,5147 <br /> Vat: (503)58$4948, <br /> LAND USEttiMPATIBILITY STATEMENT.(LIJCS) <br /> FOR ON-SITE aWAGE-AYSTEMS <br /> DATE: q 2.D .2.02 mci„,i,e... <br /> SRCTION 1-APFLICAM INFORMATION <br /> 1, Property Address:,I t-C) r(NO.X' Val- PropertY <br /> Seehdrit Township. Range: Tax,t0 k: <br /> 2 Name of Applieant: 1 A Mt \ LUjrv1uif, Telephone#: SISZ -910 —7-1 .7. ' <br /> . <br /> Miiiing.Adoess. 1 C41 5c 0:11evi -A,4 V211 <br /> lV.A,1c*r— OYIL, C110:0:--a, <br /> • <br /> 1.. Describe type of facility the ort,Site.sewagUsyStem.*ifi serve:(busihes*reSidence,or other) <br /> , (1-;SI4gle Family Residence, <br /> 0 Business. <br /> 0 •Other: <br /> 4. Typeut ou=site Soi;vage syStetriperinitapplicatiori being proposed.for this property: <br /> U New Installation Permit <br /> : epair Permits <br /> 0 Alteration Perniit,rpt 0 ItOPtaceticat n*euing 0 Bedroom(*)addition <br /> 0'(Wier chat:IFS hrlanduselinvolvingpotentiatsewage flowincreaser, <br /> cliwatuvismnpAppligon,r4ckets‘S:491Lits:acc -ivids-39 rev:lifilimiti <br />, --, <br />