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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 2U Churoh 8tre~t NE * Room 1~2 * 8~lem, Oregon 97~01-~670 <br />Offl=e Hour~: e:00-4:~O · Phone: (~0~) U~-6147 · ~4-HR Inlpeotion Une: (~0~)$7~-4427 <br /> <br /> ON-SITE ~PPLICATION <br />D~TE/TIHE : ~6/S5/9& 15:17 ACTIVITY NO : 96-8399~ <br />TYPE : SP STATUS : ~PPLIED <br />OCCUPY : R-3 SE A~IED : <br />P~E : I SP AP~IEO : B6/~5/1996 <br /> TO EXPIRE : <br /> <br />WORK ~ESC : <br /> <br />EXIST ;BEDROOMS~ <br />EXISTEMPLOYEE. <br /> <br />SITE ADDRESS : <br /> <br />AOTH:FLD <br /> <br /> 2 PROPOSED DEDROOM~ : <br /> PROPOSED EMPLOYEES: <br /> <br /> 9824 KEENE LN SE AM <br /> <br />-4¸ <br /> <br />PITY: MARION COUNTY <br /> <br />SUBDIVISION : <br /> <br />STREET : SHAW HWY <br /> <br />(UMBER : 56117-888 <br />SIZE : 217482.8SF <br /> <br />ADDRESS <br /> <br />: L. ORANCE.MARILYN AND TERRY <br />· 9824 KEENE LN <br /> AUMSVILLE OR <br /> 97~02 <br />~ NA <br /> <br /> ~. PHONE <br /> <br /> APPL I C AN T <br /> NAME : WHITBECK~ STEVEN <br /> ADDRESS :'PO BOX 4492 <br /> SALE~ OR <br /> <br />· PHONE : ~27-2820 <br /> <br /> DEQ CONTRACTOR: WHITBECK,~TEVEN. <br /> / A~ENT .~ WHITBECK,.STEVEN <br /> PHONE . ~27-2828 . <br /> <br /> Un,ts Description ~ <br /> 1 D~Q Surcharge <br /> <br />97~02 <br /> <br />LOT: <br /> <br />BLOCK: <br /> <br />DEI~ LICENSE: <br /> OCCB: <br /> <br />Fee__~.~ <br /> ~0.80 <br /> <br /> Assessed fees : 247.00 <br /> Adjustments : .00 <br /> Total fees : 247.00 <br /> PAYEE~ WHIT~ECK, STEYEN Total payments: 247.00 <br /> Balance due . .00 <br /> <br /> ~S I~ NOT A PERHIT. THIS APPLICATION NUST GO THROUGH A REVIE# PROCESS WHERE <br /> L~ FEASABILITY.AND INSTALLATION REGUIRE~ENTS N~E CHECKED PRIOR TO THE ISSUANCE <br /> OF~_PF. RHIT. IT IS THE RESPONSIBILITY OF I'HE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORflATION IS PROVIDED. 'AS SOON AS N.L REQUIREMENTS OF THE REVIEW <br /> HAVE'BEEN NET~ Yi~J BILL BE NOTIFIED. <br /> SIGHATUR~ OF APPLICANT: <br /> ~ONALD ~. WOODLEY, M~RION COUNTY BIJ~LDING OFFICIAl~ / BY DI:rREILINr~ ~ <br />................ FOR OFFICE LL~E OHLY. THIS IS NOT A PERMII .................. <br /> NAP: 48 ZONE: AR PROPERTY LOCATOR: 881W19B 88388 <br /> <br /> SEPTIC REVIEW: DATE: ZONING R~VIEW: DATE: <br /> <br /> <br />