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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 />I)ATE/TIHE '. 87/31/76 1B-'23 ACTIVITY NO <br />TYPE .' SP STATUS -' APPLIED <br />OCCUPAHCY : R-3 SE APPLIED <br />PAgE : I SP APPLIED <br /> TO EXPIRE : i~1/21997 <br /> <br />WORI( DIZ$C : AUTH:FI, D HARDSHIP <br /> <br />F! ×"ST EMF LOYEE: <br /> EMPL.OYEES: <br /> <br />S,[IE AQi),E.,~o : CZ'FY: MARION COUNTY <br /> <br />18073 FR]ENDI.Y ACRES RD SE AH <br /> <br />SUI4QTVtS [0N : LOT: BL]CK: <br /> <br />]ROSS STREET : SHAW HWY <br /> <br />FAR .El NUfIBFR : 7~ ~.90 ~420 <br /> !'ARCEI St,~ : 6,,OAC <br /> <br />OWN ..R <br /> <br /> AY)~)RESS <br /> <br />P Hlll'll::T <br /> <br />-,FI L].[ ANT <br /> NAitI:: <br /> Al) ORESS <br /> <br />PNitNI: <br /> <br />H( RRISON.~ALICE Pi <br />10073 FRIk-NDI.Y ACRES RD <br />AUMS¥]'L I..E~ OR <br /> 9'?-~25 <br />37S-3885 <br /> <br />Uni 'ts i)es(: r <br />:i ))Fl; Surr h ar g,f., <br /> <br />30.00 <br /> <br /> Assessed fees : 247.00 <br /> Ad just~,~ents : .00 <br /> FAYr[:. HI1RR'[S( N~ ALICE H ~(:,'Oa]. p~xiqmr(s: 247. ~0 <br /> 8a l. al'lce due : .~ <br /> ********************************************************************************** <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATION HOST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASABILITY AND INSTALLATION REOUIREHENTS ~E CHECKED PRIOR TO THE ISSUANCE <br /> OF A PERHIT. IT IS THE RESPONSIBILITY DF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORHATIDN IS PROVIDED. AS SOON AS ALL ~EDUIREHEHTS OF THE REVIEW <br /> HAVE BEEN HET, YflU WILL BE <br /> <br /> %]~;HAIURE OF APPLZCAN]: <br /> <br /> DONA! 1:. F.. W(i[ll)LE:Y~ MAI:CiOll COUN'IY BU]J l)IIq(; OFF]C'iAL / BY I)FFdZII_IN~ <br /> <br />................ FOR OFFICE USE ONLY. THIS IS NOT A PERMIT .................. <br /> ~AP: 48 Z~WE: AR PROPERTY LOCATOR: 881W19 ~85~ <br /> <br /> SEPTIC REVIEW: ~ATE: ZONING REVIEW: gATE: <br /> <br /> <br />