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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 08/28/98 16:16 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />98-07352 <br />APPLIED <br />08/28/1998 <br />00/00/0000 <br />02/24/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <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 />: SS:AUTH W/ FIELD VISIT MANF DWELL REPLACEMENT <br /> <br /> 3 PROPOSED BEDROOMS : 3 <br /> PROPOSED EMPLOYEES: <br /> <br />LUC^ILIR: U§2WSbA DUbOU <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: 51r <br />LAND USE: FLOOD PLAIN <br /> <br /> 9145 BATES RD SE AM <br /> <br /> LOT: BL: <br />58298-000 PARCEL: 1.42 AC <br /> <br />GOWER.DAVID L DEQ INSTALLER: <br />9175 BATES ROAD SE PHONE: <br />AUMSVILLE. OR <br /> 97325 DEQ LICENSE: <br />503 749-2394 <br /> <br />GOWER,DAVID L <br />9175 BATES ROAD SE <br />AUMSVILLE. OR <br /> <br />97325 <br /> <br />PHONE 503 749-2294 <br /> <br /> Units Description Fee <br /> I Authorization w/Field Visit 217,00 <br /> I DEQ Surcharge 20.00 <br /> <br /> Assessed fees 247.00 <br /> Adjustments .00 <br /> Total fees 247.00 <br />PAYEE: GOWER,DAVID L Total payments: 247,00 <br /> Balance due : <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 RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET. YOU WILL BE NOTIFIED. <br />SIGNATURE OF APPLICANT: ~t~..~. ~ <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-6147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />