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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 08/13/98 15:10 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />98-06820 <br />APPLIED <br />08/12/1998 <br />O0/O0/O000 <br />02/09/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROUMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />: INSTALL SEPTIC REF 98-00723 <br /> <br /> PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br /> 9244 SHAW SQ SE ~ <br /> <br /> LOT: <br />MC PARCEL: <br /> <br /> PoI-rER MONROW J & MILDRED S <br />9224 SHAW SQ SE <br />AUMSVILLE <br />OR 97225 <br />362-6168 <br /> <br /> POI-FER MONROW J & MILDRED S <br />9224 SHAW SQ SE <br />AUMSVILLE <br />OR 97225 <br /> <br />2 BL: <br />4.22 AC <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />LUCAFOR: <br /> CITY: MARION COUNTY <br /> <br /> ZONE: <br />MAP: 49R <br />LAND USE: P97-66 <br /> <br />PHONE 362-6168 <br /> <br /> Units Description Fee <br /> i Construction Permit 352.00 <br /> i DEQ Surcharge 20.00 <br /> <br /> Assessed fees : 382.00 <br /> Adjustments : .00 <br /> Total fees : 382.00 <br />PAYEE: POTTER MONROW J & MILDRED S Total payments: 382.00 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT, THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL. FEASABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE.RESPONSIBILII~( OF THE APPLICANT TO ASSURE THAT ~J_L <br />NECESSARY INFOf~IATION'IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET. YOU WILL BE NOTIFIED, <br />SIGNATURE OFAPPLICA,T:, :$ z> <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY BJENSEN <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office ~ours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />