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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Selem, 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 APPI. IrJeJTl6ff <br /> <br />DATF/TIMF <br />TYP; : SP <br />OCCtlPAHCY <br />PACE : <br /> <br />ACTIVITY HO = 76-S8881 <br />STATUS : N:'PLIED <br />SE APPLIED : <br />SP APPLIED : <br />TO EXPIRE = Q5/07/1777 <br /> <br />~ORK ~FSC : FSF <br /> <br />F~X I.~T 8EDRIIOMS,'. 2 <br />F'XT,RT FMPI [1YFFr, <br /> <br />.STTE At)I)RE.SS ~- <br /> <br /> Fl'iR I OTI IMF AD,ILISTMFNT <br /> <br /> PROPI}.~*:D ~FDRflf}M~ : <br /> PRDPOSFD FMP~ fly FF'S: <br /> <br />~?~5,~ NFA~ ST .~F AM <br /> <br />CII'Y: MARION COUNTY <br /> <br />CROSB ~TRF'FT : STAYTON RD <br /> <br />PARCEl, NIJM~ER : 7~50~-.'l~ <br /> PARCFI ~TTF ~ ,~AC <br /> <br />LOT: 5 BLOCK: <br /> <br />OWNER <br /> ADDRF,~S <br /> <br />P H 0 N F: <br /> <br />: HOI.I.ING~WORTH,AI.TA & ROBERT <br /> ,JFFFERSr)N <br /> <br />: 3~7-19~3 <br /> <br />AII1H AF, FNT <br /> AI)I)RE.~.~ <br /> <br />PH(1NF <br /> <br />H(ll I .TNI;SW(1R'FH.AI 'FA & RO~FRT <br />44:)4 BIIENA VT.~I'A RI) ,~ <br />JEFFERSON <br />fir 97:~52 <br /> <br />OF.[~ TNS'FAI.I ER -, <br /> <br />PH(tNF .- <br /> <br /> Assessed fees : 247.~0 <br /> Adju~tn~nts : .00 <br /> Tota) f~es : 247.08 <br /> PAYEE: HOLI,INGSWORTH~AI.TA & ROBERT Total oayMents: 247.08 <br /> Ra)anr~ Uue : .00 <br /> <br /> THIS I~ NflT A PERMIT. THIS ~PPLI~ATIDH MUST Gfl THROUGH A REVIEW PROCESS WHERE <br /> SOIl.., FEASABII.ITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br /> ~F A PERMIT. TT TS THF RFSPQNSTRTLTTY OF THF APPL~CAHT TO ASSURE THAT ALL <br /> NECESSARY INFORHATION IS PROVIOEO. AS SOON AS ALL REQU~REHEHTS OF THE REVIEW <br /> HAVF BFFN HFT~ YOII,WTII DF H.OTIFTEP.., , , ~ ~ ~ __ <br /> APP'.. CANT, Yl/_ .,. <br /> <br />................ FflR flFFICF US~ BN[Y. THI~ IS NflT A PERH~T <br /> MAP: ZONE: AR PROPERTY IiOCATOR= ~91W19BBS31SS <br /> ~FPTTC RFVIFW: DATF: ZflNTN~ RFVIEW: DATE: <br /> <br /> <br />