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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) 373-4427 <br /> <br /> ON-SITE APPLICATION <br />D. ATE/T[ME : (~5/~8/96 B9:53 ACTIVITY NO : 96-03786 <br />TYPE : ,c;p STATUS : APPLIED <br />OCC. LIPANCY : R-.~ APPLIED : <br /> TO EXPIRE : 11/26/1996 <br /> PA~E <br /> <br />!.,!ORK OESC : A~FF~F'[.~--F'I..ACI~N~ A i'~W ?~H~B.FLI::~ Hf'}i~E' <br /> <br />!-'X~!ST BEDF:(~Pi~: ? F'ROPO~I~'D BEPROOHS : <br /> <br />i!Wl, ER <br /> NAHE <br /> <br />: MCi,IAHON., .EI)WARD N <br /> <br />t ....... ~ BLOCK: <br /> <br />DEQ L:I <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIl_, FEASABII.ITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPOHSIBILITY OF THE APPLICAHT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BE'EH MET~ YOU WILL BE NOTIFIED. <br /> <br /> ..... ,.~ Y OFF 1:AL / BY IN~ <br /> FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .................. <br />MAP: ZONE: RS PROPERTY LOCATOR: 841W13CAB~B8 <br /> <br />SEPTIC REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />