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DATE/TIME <br />'f~PE <br /> <br />05/14/98 13:02 <br />SP <br /> <br />ON-SITE APPLICATION <br /> <br />ACTIVITY NO <br />STATUS <br />SE APPLIED <br />SP APPLIED <br />TO EXPIRE <br /> <br />98-03855 <br />APPLIED <br />05/14/1998 <br />05/14/1998 <br />11/10/1998 <br /> <br />WORK DESC AUTH/FLD & RELOCATE TANK FOR MFG 98-02854 <br /> <br />EXIST BEDROOMS: 2 PROPOSED BEDROOMS : 3 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS <br /> <br />7878 SHERMAN RD SE AM <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />PARCEL 3 LOT: BL: <br />71050-062 PARCEL: 1.51 AC <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />BRAY DICK <br />7878 SHERMAN RD SE <br />AUMSVILLE OR <br /> <br />585-5069 <br /> <br />BRAY DICK <br />7878 SHERMAN RD SE <br />AUMSVILLE OR <br /> <br />PHONE 585-5069 <br /> <br />97225 <br /> <br />97325 <br /> <br />DEQ INSTALLER <br /> PHONE <br /> Units Description <br /> 1 Authorization w/Field Visit <br /> 1 Authorization/Alteration <br /> 1 DEQ Surcharge <br /> <br />DEQ LICENSE: <br /> <br />LOCAIOR: 081W290 02402 <br /> CITY: HARION COUNTY <br /> <br /> ZONE: RA <br />MAP: 48R <br />LAND USE: P94-23 <br /> <br />Fee <br /> 217,00 <br /> 131.00 <br /> 30.00 <br /> <br /> Assessed fees : 378.00 <br /> Adjustments : .00 <br /> Total fees ~ 378.0B <br />PAYEE: BRAY DICK Total payments: 278.00 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PER~IT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUAMCE <br />OF A PERMIT. IT IS THE RESPO~I~IBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PR(~fI~ED. AS SOON A~ALL REQUIREMENTS OF THE REVIEW <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <br /> 315~ LancBster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588.5147 24:hr Inspection Line: (503)373-4427 <br /> <br /> <br />