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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 28B Chumh ~zeet NE · Room 182 · 8elem, Oregon 2'rao1-a670 <br />Office Houre: 8:00-4:a0 · Phone: (80a) 888-8147 · 24-HR Inepeetlon Line: (80a) 87a-4427 <br /> <br />WORK DESC : <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SII'E AODRESS : <br /> <br /> OH-SiTE APPLICATION <br />DATE/TIME : E6/83/96 11:88 ~CTIVITY NO : 96-E3661 <br />TYPE : SP .. STATUS : APPLIED <br />OCCUPANCY : R-3 ~°PLIED -- 85/23/1996 <br /> TO EXPIRE .. 11/19/1996 <br /> P~,E 1 <br /> <br /> STD/MD PLACEMENT 3/BED <br /> <br /> PROPOSED BEDROOMS : 3 <br /> PROPOSED EMPLOYEES: <br /> <br />SUBDIVISION : <br />CROSS STREET : <br /> <br />PARCEl. NUMBER : <br />PARCEL SIZE : <br /> <br />OWNER <br />NAME : <br />ADDRESS : <br /> <br />-OITTERHILL TRACT <br /> <br />BARBARA <br /> <br />711040-891 <br /> 2.0AC <br /> <br />LORE,DOUGLAS C <br />PO BOX 1270 <br />AUMSVII.LE, OR <br /> <br />PHONE : 769-2866 <br /> <br />APPLICANT <br />NAME : LORE, DOUGLAS C <br />Al)DRESS : 11784 DITTER DR SE <br /> AUMS¥ILLE, OR <br /> <br /> PHONE : 769-2866 <br /> <br />DEQ CONTRACTOR: L. ORE~DOUGLAS C <br /> / AGENT : LORE,DOUGLAS C <br /> PHONE : 769-2866 <br /> <br /> Units DescriQtion <br /> T ~-~'~ qc t ion Permit <br /> ]. DEQ Surcharge <br /> <br />CITY: MARION COUNTY <br /> <br />LOT: BLOCK: <br /> <br />97325 <br /> <br />DEQ LICENSE: <br /> OCCB: <br /> <br />Fee <br /> <br />30.00 <br /> <br /> Assessed fees : 382.80 <br /> Adjustments : .00 <br /> Tota]. fees : 382.88 <br />PAYEE: LORE,DOUGLAS C Total paxments: 382.08 <br /> KREIGER.GARY Balance due : .00 <br />********************************************************************************** <br /> <br />THIS IS HOT A PERNIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REQUIRENENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORHATION IS P~IVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET, YOU #ILL.~BE~OTIFIED~ <br />SIGNATURE OF' AF'PLICANf: /V~/,x--~. ~.,,~],c)_~ ~ \ <br /> <br />DONALD E'. WOilDLE~, MAR~ON COUNTY BUILDING OFFICIAL, / BY DSTONE <br /> <br /> .FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .......... <br />MAP: 48 ZONE: AR PROPERTY LOCzITOR: 081W28C 00901 <br /> <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />