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Zoning V~l~d~tiO~ ~ ]~ ~ ~ ~ ~righBIdg,,st~etNO.N~225 <br /> <br /> BUILDIN~~~ ~ SEPT C ~ PERMIT APPLICATION <br /> Prop Owner ,, Mel~g Add~s~ <br /> <br /> Job Address Site No Cross~ <br /> Subdivisiqn Block <br /> <br />ity Setback Requiremen_ts:: <br /> <br />Section F TOwnShip Range <br />Lot width / Lo.t Depth::/Acres <br />¢.¢'; / <br /> <br />Zone:: Map <br /> <br />~R IAddmss <br /> <br />S of Permit <br /> <br /> Addition:: [] Demo [] Tech <br />Alter:: E~ Relocation:: [] eec Chg [] Review [] <br /> <br />Height of/~Buildi,~ I Ne Storiee::~/ <br />Mobile Home Mobile Home <br />Width :: Length <br /> <br />Sq Ft. Main Floor <br /> <br />Use of Building ~-- RES ~ <br /> <br />Bq Ft 2nd Floor <br />Ocoupancy Water Supply <br />Velulation <br /> <br />Sq Ft Garage Other <br />Occupant Load <br /> <br />Proposed Septic Installation <br />Previous Site Evaluation ¢ <br />Type of System <br />Test Holes Ready <br />Will call when holes ready, Proposed Bedrooms:: <br />Existing Septic System <br />E. xj~sting Tank Size:: <br /> <br />Existing Drainfleld L?n,~th:: <br /> <br />T~'~__e.. ~f System <br /> <br />Date Tank Pumped <br /> <br />_ Existin Bedrooms <br /> <br />J haYe ro~td th~s application in its entirety and cerSfy that the stated infornl&tiocfis <br />true and correct to the best of my knowledge <br /> <br />builder <br /> <br />the state of Oregon end the ordinances of Marion County <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.: PU.IMBING, MECHANICA/., ELECTRICAL <br />MC tS-6 <br /> <br />Mobile Home Fee <br /> <br />Fleet Surcharge:: <br /> <br />Zoning Surcharge <br /> <br />State Surcharge <br /> <br />Plans Check Fee <br /> <br />Site Evaluation Fee <br /> <br />Septic Permit Fee <br /> <br />DEQ Surcharge <br /> <br />Technical Rewew <br /> <br />Aeinspection Fee <br /> <br />Invesllgation Fee:: <br /> <br />RECEIPT NO <br /> <br /> <br />