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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 /> SITE EVALUATION APPROVAL <br />DATE/TIME : B7/15/96 1B:~2 APPROVAL NO : 96-a4372 <br />TYPE = SE STATUS : APPROVED <br />OCCUPANCY : R-3 APPROVED ~ ~7/15/1796 <br /> <br /> PAGE <br /> <br />WORK DESC : SE: 2ND LOCATION ON PROPERTY FOR FUTURE RES-RELOC <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 11278 SIMPSON RD SE AM <br /> <br />SUBDIVISION : <br /> <br />CROSS STREET : SHERMAN RD SE <br /> <br />PARCEL NUMBER : 56130-088 <br /> PARCEL SIZE : 2e. OAC <br /> <br />OWNER NAME <br /> <br />:APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />WILI. ETTS, PAUL <br /> <br />WILLETTS~ PAUL <br />11278 SIMPSON RD SE <br />AU~SVILLE~ OR <br /> <br /> PHONE : 541-748-3466 <br /> <br /> AGENT : <br /> PHONE : <br /> iINiTIAL SYSTEM: STAHDARD <br />REPLACEMENT SYSTEM: STANDARD <br /> <br /> U~its Description <br /> 1 Site evaluation <br /> 1 OEO Surcharge <br /> <br /> LOT: BLOCK: <br /> <br />PROPERTY LOCATOR: 081W20 81388 <br /> ZONE: EFU <br /> <br />97325 <br /> <br />Fee <br /> <br /> Assessed fees : 328.80 <br /> Adjustments : .00 <br /> Total fees : 328.80 <br />PAYEE: WILLETTS, PAUL Total payments: 320.00 <br /> e due : .00 <br />*************************************************************************************** <br /> <br />THIS IS ~T A PERMIT ~ INSTALL A SEW~E SYS~M ~D IS ~N-REFUNDA~E. A PERNIT MAY <br />~ ISSU~ ~LY AFTER THE PROPERTY HAS SEEN FOUND TO DE COMPATZBLE WITH APPLICAD~ <br />LCDC ACKNOWLEDGED LOCAL COMPREHENSIVE L~D USE PLAN. <br /> <br /> <br />