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Permit Issued:December 21,2016 Sob Name: <br /> Building Permit:555-16-003737-SEP,Page 2 of 2 <br /> Address:11484 Hazelgreen Rd Ne,Sllverton,OR 97381 - <br /> Parcel:TEMP MC <br /> p +. c,^sw - ice. "s_..-Y-s""„-a.,-.:3,' '?'m�gzl?j"';y '1-,rc'�r..�•a+"" .a'"" t -."'" �...-C :+-*a s <br /> n Frne u^' �. �x' a M` ' ,..., :-e�R)• ' y n�Y� anueanortuaft <br /> fee Description Ouantitv Amount <br /> Site evaluation-first lot 1 Qty $625.00 <br /> DEQ surcharge 1 Ea $100.00 <br /> Total Fees: $725.00 <br /> Printed an:12/21/2016 2 <br />