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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. N©, 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 />of a registered builder. <br /> <br />OWNL~'I'E: 05/06/92 TIME: 12:02:;18 T~ LOT CATEGORY: <br /> LiFFLANOER, J~N & CA~L 57665-000 <br />SITUS ADDRESS: CONSTRUCTION TYPE; OCCUPANCY. <br /> <br /> 8851 ~I'FH RO <br />AUlVrSVi LLE OR 97325 <br /> <br />CONTRACT CITY UGB OCCL nANT LOAD <br />D1ARiON COUNTY NO ye or <br /> <br />3290 r¢ALSAM DR S <br />SALF-.¢4 OR 97302 WK 3?8-3738 <br />PHONE: 363-6418 <br /> <br /> 31.4 <br /> <br />TOWNSHIP <br /> <br />UNITS: <br /> <br />SUBDIVISION <br /> <br /> SITE NUMBER: 92-01540 <br /> VALUATION: <br /> RANGE ZONE~ MAP' <br /> <br />8S 2~ SA 61 <br /> RREG, LOT. CORNER <br /> <br />AC NO NO <br /> <br />4 <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERIVli'1' OR APPLICAI'ION NO: 9039804 <br /> <br />CONTRACTOR, NO. <br />LIPFLANDER, JOHN & CAROL <br />3290 BALZ%A~ DR S <br />SALEN OR 97302 NK 378-3738 <br />PHONE: 363-6418 <br /> <br />SITE EVALUA'f'IOH, FIRST LOT <br /> <br />NAI'ER SUPPLY: F~ <br />TE~T HOLES READY: YES <br />SiTE EVALUATION NUIVlBER: <br />EXISTING TANK SIZE: <br />EXiSTtNG DRAIN FIELD LINES: <br />SEPTIC 'rANK PUMPED: <br />PREVIOUS NO. BEDRC~IVlS: <br /> <br /> QUAN'ri'rY AIvlOLIN'[ <br /> 1 $220.00 <br /> <br />'FO'FAL ABS~ED FEES $220.00 <br />PREVIOUS RECEIPTS $0.00 <br />THiS RECEIPT $220.00 <br /> <br />BALANCE BUE $0.00 <br /> <br /> ' RECEIPT NO: 41847 <br />PAYEE: LIFFLJfClDER. JOHN & CAROL /~ TYPE: CK CHECK ~: 11'19 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE <br /> <br />NOTE: THIS DOE~ NOT GRANT OR If~PLY PER~i~ION TO BUILD ~N THIS PARCEL. PLANNING AND <br />CONSTRUCTION PER,tITS FLF~T 8E (~TAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> BY~.....~__..~... D¢.TF.......~'A~,y~_~__ Ct TY JURiSDICTiON: BY ............................... DATE <br /> PLAN <br /> REVIEW: <br /> <br /> REf~ARKZS: SiTE E¥'AL <br /> <br />iFFICE COPY <br /> <br /> <br />