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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 B:O0 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br /> DATE: 01/22/93 <br />OwNEn: <br /> GHIGLIERI, LORENZO <br /> SITUS ADDRESS: <br /> <br />T <br />YMF <br /> '-- tAX Lb¥; : ~AYEG6R?i <br /> 40342-000 RESIDENTIAL <br /> CONSTRUCTION TYPE'. OCCUPANCY: <br /> <br /> 12993 EHLEN RO <br /> AURORA <br /> <br />USE OF BUILDING'. ' ' <br />MAILING ADDRESS; <br /> <br /> NE CONTRACT CITY UGB; OCCUPANT LOAD: <br />OR 97002 MARIOh COUNTY NO <br /> <br />SUBDIVISION. <br /> <br /> PHONE," <br /> <br /> LOT; SLOCK: <br /> <br />,WIDTH: DEPTN; <br /> <br /> SITE NUHDER: 93-00280 <br /> VALUATION: <br /> ........................ <br />SECTION: TOWNSHIP: RANGE ' ZONE: <br /> <br />AREA UNITS: ARES LOT; ,CORNER; <br /> 60. AC NO ~ NO <br /> <br />MAP: <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 44212 <br /> <br />CONTRACTOR, NO. 64013 <br />B.O. ABLES <br />PO 80X 105 <br />CANBY, 97013 <br />PHONE: 263-2271 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPEO: <br />PREVIOUS NO. BEDROOMS," <br /> <br /> ITEM QUANTITY AMOUNT <br />SITE EVALUATION, FIRST LOT 1 $220,00 <br /> <br /> TOTAL ASSESSED FEES $220.00 <br /> PREVIOUS RECEIPTS $220.00 <br /> THIS RECEIPT $0.00 <br /> BALANCE DUE $0.00 <br />PAYEE: RECEIPT NO: <br />RECEIVED 8Y: P8 ................................. TYPE: CHECK ~: 0 <br />BEE ATTACHED DOCUMENT FOR REQUIREMENTS OF OH-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR :IMPLY PERMISSION TO BUILD ON THIS PARCEL. PLANNING AND <br />ONSTRUCTION PERMITS MUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SITE EVAL APPR. STD SYS <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. ~90 <br /> <br /> <br />