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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder. <br /> <br /> AREIII)T, I.,ARRY <br />,I ~i~b~.Xb6~E~:. ........ <br /> <br /> 28757 CASE RI) <br /> AURORA OR <br /> <br /> USE Of BUILDING: <br /> <br /> SAME I <br /> SITE NUHBER: ~4-~42 <br /> PHONE: 678-58~8 VALUATION: <br /> <br /> i4184&-088 RESII)ENI'IAL <br /> ', CONSTRUCTION TYPE: ; Ob'dUPRROY: <br /> <br />97ee2 ~ARION COUNTY ~YES <br /> <br />i 2 <br /> <br /> ;LOT; : MAP; <br /> <br />i 113 z__._4.8 ~W .EEU 9 <br />r~c~H ~l~i ~,~E~ i UNITS: iIRREG. LOT'. CORNER: <br /> ~5. AC ~NO NO <br /> <br />TYPE: UN-SITE SEWAGE <br /> <br />CONTRACTOR~ NO. <br />ARENDT, LARRY <br />SAME <br /> <br />PHONE: ~78-58~0 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES REAl)Y: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 18g~ <br />EXISTING l)RAIN FIELD LINES: <br />SEPTIC TANK PUMPEl): NO <br />PREVIOUS NO. BEDROOMS: ~ <br /> <br />588 <br /> <br /> ITEM QUANTITY AMOONT <br /> AUTHORIZATION NOTICE - PLl). VISIT 1 $168.08 <br /> <br /> TOTAL ASSESSED FEES $1~8.00 <br /> PREVIOUS RECEIPTS $8.08 <br /> THIS RECEIPT $168,00 <br /> <br /> BALANCE DUE $8.00 <br /> <br /> PAYEE: ARENDI~ LARRY /~ R~EI~X N~ ..... .&l~ <br /> RECEIYED BY: Mb_.L~/~__~~ .............. : ............ TY~k: ~ CHLGR e~_ ?b <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS CE ON-SITE SEWAGE SYSTEH, <br /> <br /> $ THIS IS HOT A PERHIT. THIS APPLICATION HUST ~)THROUGH A REVIEW PROCESS WHERE THE <br />F'OLLO~[NG MUST BE COHPLETEI). IT ~S THE RESPSN$IDILITY OF THE APPL.[CANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROV[DEI). <br /> <br />Pl.,AN REVIEN: BY ..... ~--- l)ATE-J~-----~----d CITY JURISDICTION: BY .................................... DATE <br />REMARKS: AU: FI.l) <br /> <br />OFFICE COPY <br /> <br /> <br />