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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr, N.E. · Suite C · Salem, Oregon 97305-1398 <br />O#~e Hourm: 8:00.4:30 · Phone: (KO3) 588.5147 · 24-HR Inepectlon Line: (503) 373.4427 <br /> <br /> ON-SITE APPLICATION <br />DATE/TIME ; 85/16/97 15=54 ACTIVITY NO = 97-83256 <br />TYPE : SP STATUS : APPLIED <br />OCCUPAHCY ; R-3 SE APPLIED = 85/87/1997 <br />PAGE = I SP APPLI/9 : 85/87/1997 <br /> TO EXPIRE : 11/83/1997 <br /> <br />WOi~l( DES[; : ALTER.PARCEL A RELOCATE TANK & DRAINFIELD <br /> <br />EXIST BEDROOMS: 2 PROPOSEQ BEBROOMS : <br />EXIST EMPLOYEE: PROPOSEB EMPLOYEES: <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 7603 BETHANY LN SE AM <br /> <br />SOBDI¥ISION : PARCEL A <br /> <br />CROSS STRE. ET : 76TH AV SE <br /> <br />PARCEL NUMBER : 57884-0~8 <br /> HARCEL SIZE : 4.19 AC <br /> <br />LOT: BLOCK: <br /> <br />OWNER : ELLENBECKER,ROD & ERIKA <br />ADDRESS : 7&83 ?61'H AV SE <br /> SALEM OR <br /> 97J81 <br />PHONE : 74~-~211 <br /> <br />AUTH AGENT : ELLENBECKER,ROB & ERIKA <br />AODRESS : 7683 76TH AV SE <br /> SALEM OR <br /> 97381 <br />PHONE : 749-3211 <br /> <br />DEQ ~NSTALL.ER : <br /> PHONE : <br /> Units Dmsc~iotion <br /> I DEB SurEhmrge <br /> <br />DEB LICENSE. <br /> <br /> Fee <br /> <br />38.00 <br /> <br /> Assessed fees : 247.00 <br /> AdjustMents : .08 <br /> Total fees : 247.00 <br /> PAYEE: ELLENBECKER, ROD& ERtKA Total paxMents: 247.00 <br /> B~'~lance ~ue : <br /> ********************************************************************************** <br /> <br /> THIS IS NOT A PER#IT. THIS APPLICATIOH NUST ~0 THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASABILITY A~D INSTALLATION REQUIREHENT5 ARE CHECKED PRIOR TO THE ISSUAHCE <br /> OF A PERHIT. ~ IS THE RESPOHSIBILITY OF THE APP~.ICAHTTQ ASSURE THaT ALL <br /> NECESSARY INFORHATIOH IS PROVIDED. AS SOOH AS ALL REOUIREliERTS OF THE REVIEW <br /> HAVE BEEH HET~ YOU WILL SE NOTIFIED. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ~L <br />................ FOR OFFICE USE O~LY. THI~ IS HOT A PERMIT .... = .............! <br /> HAP: 51R ZONE: AR PROPERTY LOCATOR: 882028B 81888 <br /> <br /> LAND USE CASE NO: P 97-6 <br /> <br /> <br />