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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> ON-SITE APPLICATION <br />DATE/TiME : 83/26/96 10:38 ACTIVITY NO : 96-01975 <br />TYPE : SE STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : 03/26/199& <br /> TO EXPIRE : 09/22/1996 <br /> PAGE 1 <br /> <br />F'RfIF'O~::;~::ri ~,EDR;.,G,'~:~ : <br />P~-;.'OF'fi:SE)') Eh' P!. <br /> <br />: F:A!..Hi][iN,=CHARI. ES: ....Fi' ,% PAF.'n.., ,., ","~c E <br /> <br /> AI.iMRVii. LF~ OR <br /> '-77 }i ? 5 <br /> <br />A !::'F'. [ i7: <br /> NAME <br /> <br />:CAi. HOUN,,CHAR[.EF, R k F':AR. Of :l:tqF E <br />: 7968 8AF,.:BAF:A t.N SiT <br /> AtlI'4FW ]7!..!..F ~ OR <br /> <br />[:d?O CF)i,iTF,:A!'::T~}R: IrA HOUN~CH.".~R'.EF; R & CARF,!.iNE E <br /> ," Af;ENT : f~A["I'tl]ilN~f':i-.iAF,'~...F.c.-ii R & CAR[l!. ]NF E' <br /> <br />I)EC~ L.I CE.'.~SE: <br /> OCC B: <br /> <br />Assessed fees : 277~ .:20'-" <br />A;'! j u. ~:M" m e r.,'!:' s : . <br />Tnt'a ] 'F,:?e~ : 2;"7,, .'.:3~ <br /> <br />Ba]a ",,-,'e c _e : ,, <br /> <br />THiS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. iT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />N~,~oSARY ~NFORMA,~ON IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br /> <br />4~ <br /> <br /> '.q <br />-FOR BFF~CE U.E ~NLY. THiS IS NOT ~` E~.M[T .................. <br /> ,--'ONE: AA' PROPERTY LOCATOR: ~381W28C 04000 <br /> <br /> DATE: <br />DATE: ZONING ~EV!EW: <br /> <br /> <br />