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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 · Phona: (503) 588-5147 * 24-HR Inapectlon Line: (503) 373-4427 <br /> <br /> ON-SITE APPLICATION <br />DATE/TIHE ; 1;!/22/96 17=~:~5 ACTTVITY NO = 96-~8426 <br />TYPE : SP STATUS = APPLIED <br />OCCUPANCY ; R-3 SE APpLI'ED <br />PAGE = I SP APPLIED <br /> TO EXPIRE .- <br /> <br />WORK 1)ESC : ~S:H,IR REPAIR <br /> <br />FXISI BEhROOMS: 2 PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />I:;T'FE AI)DRFSS : CIIY: AURORA t. 50'28 '..!N1) ST NE AR <br /> <br />SUF=DIVISION : <br /> <br />CROSS SFREE'I' : LIBERTY ST <br /> <br />PARCFI. NUMBER : 90~60-500 <br /> PARCEL SIZE : 148~.~SF <br /> <br />I..OT: BLOCK: <br /> <br />OWNFR <br /> ADDRESS <br /> <br /> PHONF <br /> <br />AURORA COtONY HIST SllCIEIY <br />P 0 BOX ~02 <br />AL!R(1RA~ OREI;ON <br /> 97002 <br />5~3-678-5754 <br /> <br />A!JTH AGENT <br />ADIIRFSS <br /> <br /> PHONE <br /> <br />AIJRORA COI..ONY HIST SOCIK'FY <br />P 0 IBOX 202 <br />AURORA, OREGON <br /> 9700? <br />503-678-5754 <br /> <br />iNSTAlL ER : <br /> <br />DE(.! L ICEI,ISt~: <br /> <br />PHONE : <br /> <br />Un~ts Des<;r_~j~tion <br />~ ~3~r Repair <br />I I)E(~ Surcharge <br /> <br /> Assessed fees : 218.00 <br /> Ad just~ents : .00 <br /> Total fees : 210.00 <br /> F'AYE~S: AIIRORA COLONY H:~S'r SOCIETY Total payments: .00 <br /> Balance due : 210.00 <br /> ********************************************************************************** <br /> <br /> THIS IS ~T A PERH~T. THIS ~PL~TI~ ~gT ~O ~OUGH A REVIE~ PROCE~ ~ERE <br /> ~L~ FEA~AB~LZTY ~ [~T~L~T~ R~UZRE~HTS ~E C~CKE~ PRIOR TO T~ ~SSU~CE <br /> OF A PE~T. ZT ~S T~ ~HSZBILZTY OF THE ~[~HT TO ~S~RE THaT ~LL <br /> NE~ I~TI~ IS P~ID~. AS S~N AS A~ ~IRENENTB ~ ~E REVIEW <br /> H&~ BEEH ~Te Y~ WILL ~ ~TIFIED. <br /> <br /> S~GNAI'IlRE OF APPL:ICAIqT: <br /> <br /> DONAI Il E. WOOP[ ~'Y, MARION COUNIY BLI}L~NG OFFICIAl_ / BY CLYNCH <br /> <br />................ FOR OFFICE U~E OHLY. THIS IS NOT A PERMIT .................. <br /> ~P: I ZOO: L~ PRO~RTY LO~TOR~ ~41~12C~74B~ <br /> <br /> ~EPTIC REVIEW= DATE= ZONZN~ ~VIEW= DATE= <br /> <br /> <br />