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MARION COUNTY <br /> P;LIII I)ING INSPb( TION <br /> <br />DATE: 12/09/88 TIME: 9:22: 14a <br /> <br /> C~ARDNER, STE'v'EN & CARLA <br /> <br /> 87§4 SHAN SOUARE RD <br />~ILLE <br /> <br />NARI ON COUNTY NO <br /> <br />2 <br /> <br />2590 BROWN RO <br />SALE~. OR 97305 <br />PHC~E: 362-6713 <br /> <br />ON-SiTE <br /> <br />24 <br /> <br />PERNIT OR APPLICATION NO: 12468 <br /> <br />CONTRACTOR, NO. <br />G/kI;~NiER, STEVEN & CARLA <br />2590 8ROAN RD <br />,?xALE~, OR 97305 <br />~E; 362-8713 <br /> <br /> SITE NUNt3ER: 5982 <br /> VALUATIONz <br /> <br />85 2N AR3 <br />AC NO NO <br /> <br />h~TERSUPPLY= <br />TEST HOLES READY: YES <br />SITE EVALUATION NU~ER: 79-1857 <br />EXISTING TANK SIZE= <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK <br />PREVIOUS NO. <br /> <br /> iTB,1 <br />SE < 6 ~46NTHS OLD <br />SITE EVALUATION, FIRST LOT <br /> <br />TOTAL ASSE~ED FEES <br />PREVIOUS ~-CEIPTS <br />THIS RECEIPT <br /> <br />Q~ANTITY AJ~C[~ <br />! $110.00 <br />1 $175.00 <br /> <br />$285_08 <br />$285.88 <br /> <br />BALANCE UJE SC_CS <br /> <br />RECEIPT NO= <br />CHECK <br /> <br />PAYEE= <br />RECEIVED BY: PS TYPE: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIRE~ISNTS OF ON-SITE SENAGE SYSTEt~. <br /> <br />NOTE: THIS DOES NOT ~ OR II~Y ~ISSlON TO BUILD ON THIS PARCEL. PLANNING <br />CONSTRUCTION PER~ITS ~ILLST 8E OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />RE~C,-qiKS: CH. ANGED TEST HOLE SITE R~5315 <br /> <br />[XDNA~_O E. i"~)ODLE'Y, MARION COL~NTY BUILDING OFFICIAL / BY <br /> <br /> <br />