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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SI¢~NATURE OF APPLICANT <br /> DATE <br /> <br /> BALL:: 0~/26/91 I~M~: 14;57:40 <br />OWNER <br /> <br /> BORNER, DONALD <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />OCCUPANCY <br /> <br /> 85f2 HOLfVY~41JiSf RD NE <br />AUIv~Vi LLE OR 9'732b <br /> <br />USE O¢ 8UILOING <br /> <br />BARf ON COUN f Y NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF e6~ROOMS <br /> <br />AUNSVILLE, (,)f'( 9?325 <br />PIdQN~; 749-1092 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br />31 <br /> <br />Si'IF NUMBER: <br /> VALUAflC~N: <br /> <br /> lW <br /> <br />ZONP MAP <br /> <br /> AR 48 <br /> IRREG LOT CO~NER <br />AC NO NO <br /> <br /> HOLES READY: CALL I WK%A~D <br /> EVALUATION NUMBER: ~O (~N6 OUr <br /> <br />TYPE: r-)N-Si IE ~b~A(~b <br /> <br />P~RM[l OR APPLICA/tON NO: <br /> <br />CONYRACfOR, NO- <br />8ORNER, DONALD <br />8582 HONQU[Sf RD SE <br />AU~bViLLE, OR 97325 <br />PHQNb; (&9~.1092 <br /> <br />E.XISFiNG I'ANK ~iZE: <br />E×iSTING DRAIN FIELD LINES: <br />~PIIC lANK PUMPEO: <br />PREVIOUS NO. BEDROOMZ%: <br /> <br /> Ifg~ ~, f,.XJANflfY AJ'4OUNf <br />31~E tVALUA~JON, Fi~] LOI z~/~N <br /> ,\ <br /> ,i~.X TOTAL AS.SE~EO FEES $1~5,00 <br /> \~) ' PRE~IOUS RECEIP'f~ $0.oo <br /> /v,,,-~ reis RECEIPf $175.00 <br /> <br /> BALANCE DUE <br /> <br /> /902 <br /> <br />PAYEE: BORNBR, OONALD REC~IPl NO: <br />R~CBtVBD BY: CL TYP~: CK CHECK <br />S~ AllACHED OOCUMENI FOR REQUiREMENI$ OF ON-~i1E ~EWAGE SYSfE~. <br /> <br />NOTE: THiS ~OES NOT GRANT OR iMPLY PER~II~I(]N TO BUILD ON THIS PARCEL. PLANNING AND <br />~ST~CTI~ PE~iTS ~ST BE ~TAINED BEFORE BUILDING OR SEPTIC INSTAL~TI~ G~iN5. <br /> PLAN REVIEW: ~Y.~/~ OAr~ ~/~>/~/ CifY JURiSDiCIiON: UY O$T~ <br /> <br />FORM # MC 16-56 R~,/ 4,90 OFFICE COPY <br /> <br /> <br />