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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SAL~=M, OREGON 97301
<br />
<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />of a regiJeredo'builder.
<br />Othsr
<br />
<br />this document,
<br />
<br />SIGNATURE OF APPL CANT:
<br />
<br />, DALE: 06/I~6/94 TIME: 7:4&r!49 ~
<br />
<br />~ ~S'TONEI:'~EL D CT SE ~
<br />
<br /> STONEFtELD GLEN
<br /> R];[:H~RD LYON RS 265'-6828
<br /> :L28;~5 NE BEVERLY DR NEWPORT 97~65 SITE NUMBER: 94-~222~
<br />
<br /> W O,TH BEtH A~&' [ UN ~ ~G LOT COB~ER
<br /> YES NO
<br />
<br />TYPE: OM-SITE SEWAGE
<br />
<br />PERMIT lie APPLTCATI'ON NO: 9~565
<br />
<br />COH (F(ACTOI;:,, HO.
<br />WOC?. OAYNE
<br />R~;t',H~RD LYgN t~S
<br />J2~35 NE BEVERLY DR NEWPORT 973
<br />PHOHE~ Z49---;:~236
<br />
<br />WATER SUPPLY: PW
<br />TEST NOL. E$ READY: YES
<br />SITE EVALUATION NUMBER:
<br />EXISTIN6 TANK SIZE:
<br />EXISTING D~A]N P[ELD LINF.;s:
<br />SEPTIC TANK PUMPED:
<br />PREVIOUS YO. BEDROOMS:
<br />
<br /> :iT TF.N
<br />SITE EVAL, IJATION,~ EA. ADDI_.
<br />
<br /> QUANTITY
<br />LOT; 1
<br />
<br /> TOTAL AS ESSED FEE~
<br />- PREVIOUS RECEIPTS
<br /> TMZS RECEIPT
<br />
<br />BALANCE DUE
<br />
<br />AMO(JNT
<br /> ~225,,00
<br />
<br /> $225.0~
<br /> $0.00
<br /> $225.00
<br />
<br /> $0.00
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<br />F?YEE: WOOD,~ W,A. YNE .,-, RECEIPT NO: . 58~$3
<br />RFCF.IVED ,T.4Y p~ YJ'~J/~ TYPE: C,K CHEI, K ~:: 2877t27
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<br />Sb:E AT'FACH~EDgO J,JH,cNT' ' FOR REflU[R}:MENTS'- - OF ON-SITE ~EWAGE SYSTEM.
<br />
<br /> K!I,,: H'~ .:~ DOI::.S NOT CRAI,IT OR IMPLY PERMISSION TO BUILD ON THI!B F'ARCEL. PL. ANN;~;WG AND
<br /> ~"' 4~' ' tCL~(~] , ..
<br />[fNS~I:&~C'TZON PERbt:L'fS HlbJ BL OBTAINED ~[.I-ORE BUILDING OR SEP'I:}'.C INS'f'AL. LATZCN Y .....
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<br /> .................................................~ CZ'fY JURi,~DZCTZOIL' ~ ," ~Y ..................... D,-,~ ,,.'*' ' c'. .. , ,. ,
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<br />I¥,FIAJ,tKO~T oFiS, l'l,,, Fd:Z, nDY/MIkO,,~ I AL r..1 IOr,IhG NEEDS A~,;~OR MAP AND STREr,'[-f' JqAM~iZ
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<br />~ORM * MO ~S-S~.aV, ~ OF FICE COPY
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