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MARION COUNTY BUILDING INSPECTION <br />SENATOR OLDG. NO- 225 <br />220 H~GH STREET NE <br /> SALEM: OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE' 588-7904 <br />I afl, p~rform~ng v~ork On ~ property ~ own or occup~ N~ ~~ <br /> <br /> 8~20 HOLC~jU~S~ RD <br />AUtv~Vi LLE <br /> <br />OR 9'7325 <br /> <br />MARION COUNIY NO <br /> <br />AUMSVILLE, OR 97325 <br />~HONE: 585-1782 <br /> <br /> Si1E NU~q~3ER: ~1~05 <br />TOWNSHip RAN~L~JATION~ ZONE M~P <br /> <br />WIDTN DE~TH <br /> <br />, ,,, 1,77 AC YE.~ NO <br /> <br />4~ <br /> <br /> IYPE: ON-~iTE <br /> <br />~ER~4iI O~ APPLiCAT'~ON NO: <br /> <br />C~,,.~,I'[RAC1OR~ NO_ <br />NICHOL. GLEN E. <br />9'/48 BA1P..~ RD SE <br />AU~SVILLB, OR <br />~HONg: 585-1782 <br /> <br /> I WA~ER ~UPPLY: PW <br /> I I'E. S7 HOLE~ RP~ADY: REAOy <br />9027~1~ <br /> SiTE EVALUATION NUIV~ER: <br /> <br /> ~iSFING O~IN FigLD LINES: <br /> / ~, SEPtIc T~K P~PED= <br /> <br />TOTAL A~EE~EO FEES <br /> <br />qU~T'I"I'Y <br /> 1 <br /> <br />~I~ EVALUAT'iON, F]k~ LO/ <br /> <br /> THiS ~EiPT <br /> <br /> BALANCE DU~ <br />PA,,YJ;~; NiC'HOL, ~E.~ RECEIPT NO: <br /> <br />SEE AIIAG~D ~M~N1 FOR REdIReCtS OF ~-SiTE ~EWAGE SYSI'EM. <br /> <br /> $175.00 <br /> $175,U0 <br /> <br /> $o.oo <br />29403 <br /> <br />NOT~; THIS DOES NOT GRANT OR iMPLY PERIV~I~L~5iON TO ~:¢UALD ON THiS PARCEL. PLANNING ~0 <br />¢~RKS: ~1]'~ gVAL R~332~ <br /> <br />OFFICE COPY <br /> <br /> <br />