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MARION COUNI /BUILDING INSPECTION <br />COMMUNII f DEVELOPMENT CENTER <br /> <br /> 285 Chumh St~et NE * R~m 132 * Salem, Oregon 97301-3670 <br />office Hours: 8:1~:30 · Phone: (503) ~147 · 24-HR inspection Llrte: (503) 5&B-79(~4 <br /> <br /> ..,.-. OH-BI~E APPLICATIOH <br /> <br />TYPE = SETUP APPLIED <br />OCCU~AtACY ; R-~ TO EXPIRE : ~2/21/1996 <br /> <br />sITE ADDRESS : C[TY~ DETROIT <br /> ~10 LAKE~EEST DR DT <br /> <br />SUBDIVISION : PATTON ADD l <br />(.;ROSS STREET : 2ND ST <br /> <br />PARCEL NU~.BER ; ~025t~-~50 <br /> PARCEL SIZE : 1~66~.0 BF <br /> <br />OWNER <br />NAME : BU~T~HARLE~ D & SHIRLEY'D <br />ADDRESS : ~9.~1CROISAfl CREEK RD S <br /> ~)AL. EM, OR <br /> <br /> PHONE : <br /> <br />ARPLIBANT : <br />NAME : BURT~CHARLES <br />ADDRESS : ~88 STATE ST <br /> SALEM QR <br /> <br />PHONE t 581-2421 <br /> <br />/ AGENT <br /> <br />975~1 <br /> <br />BURT, CHARLE~ <br />BURT.CHARLE$ <br /> <br />LOT; (5 B)_O~K: 1 <br /> <br />DEQ LICENb;E. <br /> <br />70.~0 <br /> <br /> Assessed fees 712.08 <br /> :Adjustments <br /> · Total. fees 712.00 <br /> ' To'ta~ paz~ents: <br /> PAYEE: BURT, CHARLE~ · ;; Balance' Sue : 712.~0 <br /> ************************************************************************************** <br /> THIS IS HOT A PER~IT. llAlS APPLICATI0~[ HUSf KO THROUCH A REVIEW PROCESS WHERE <br /> SOIL, FEA~ABiL~TY AND INSTALLATION REliU-IREHENTS ~E ~C~ PRIOR TO THE ISSUANCE <br /> OF A PERHIT. IT IS T~ ~SP~IBILI~ OF TA ~I~NT TO a~SU~ THAT ALL <br /> <br /> S!GNATU~ DF APPL~CA~T~ '' <br /> <br /> !>fINAL.~ E, WOODLKY~ MARION COUNTY BUILDING OFFICIAL / BY ]'HEAL <br />................... FOE OFFICE ~E ONLY. TNIS '~S N~T A PE~T- ................. <br /> ~AP= ZONE: ~ P~PERTY LOCATO~= laSE82AD0260~ <br /> SEPTIC REVIEW: DATE: ZONIN~ REVIEW: DATE: <br /> <br /> <br />