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12354860
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Last modified
9/3/2024 1:31:50 PM
Creation date
8/30/2024 9:18:30 AM
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Template:
Permits
Permit Address
450 NORTH SANTIAM HWY
Permit City
Gates
Permit Number
555-24-002271-AUTH
Parcel Number
093E27DA00400
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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0 <br /> MARION COUNTY BUILDING INSPECTION DIVISION <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> (503) 588-5147 <br /> Fax: (503) 588-7948 <br /> LAND USE COMPATIBILITY STATEMENT (LUCS) <br /> FOR ON-SITE SEWAGE SYSTEMS <br /> DATE: 6/4/2024 MCBI File#: <br /> SECTION 1—APPLICANT INFORMATION <br /> 1. Property Address: 450 N Santiam Hwy W Property ID#: <br /> Gates, OR 97346 <br /> Section: 09S Township: 3E Range: 27DB Tax Lot#: <br /> nnann <br /> 2. Name of Applicant: Tyler Fuhriman.WWS Telephone#: 435-760-0717 <br /> Mailing Address: 8727 SW 19th Ave. Portland. OR <br /> tylerfuhrimanconsultinq.com <br /> 3. Describe type of facility the on-site sewage system will serve(business,residence or other): <br /> ❑ Single Family Residence <br /> 1 Business <br /> ❑ Other: <br /> 4. Type of on-site sewage system permit application being proposed for this property: <br /> 0 New Installation Permit <br /> 0 Repair Permit <br /> Zl Alteration Permit for: El Replacement Dwelling I Bedroom(s)addition <br /> ❑ Other changes in land use involving potential sewage flow increase: <br /> System#1. Connect 18 RV pads to existing septic System <br /> G:\FORMS\SEPTIC\Application Packets\S-39 LUCS.doc MC:S-39 rev:8/10,04/12 <br />
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