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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 09/15/98 12:14 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />98-07963 <br />APPLIED <br />09/15/1998 <br />00/00/0000 <br />02/14/1999 <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: MJR REPAIR NEW TANK & DRAINFIELD <br /> <br /> PROPOSED BEDROOMS : <br /> 10 PROPOSED EMPLOYEES: 10 <br /> <br />9694 GOLF CLUB RD SE AM <br /> <br /> LOT: BL: <br />60413-000 PARCEL: 58692.00 SF <br /> <br />EMERY,DALE & BETTY <br />9694 GOLF CLUB RD <br />STAYTON,OR <br /> <br />769-7751 <br /> <br />OEO INSTALLER: <br /> PHONE: <br /> <br />LUCAIOR: D91W04C UUBOU <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: <br />LAND USE: <br /> <br />97383 DEQ LICENSE: <br /> <br /> EMERY,L DALE & BETTY G-TRUST <br /> PO BOX 398 <br /> STAYTON, OR <br /> 97383 <br />PHONE <br /> <br /> Units Description Fee <br /> 1 Major Repair 180,00 <br /> I DEQ Surcharge 30.00 <br /> <br /> Assessed fees 210.00 <br /> Adjustments .00 <br /> Total fees 210.00 <br /> PAYEE: EMERY,DALE & Bm Total payments: 210.00 <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 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 NOTI~ <br /> SIGNATURE OF APPLICANT: ~ <br /> DONALD E. WOODLEY. MARION C~UILDING OFFICIAL / BY JSKYBERG <br /> <br /> Marfon County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />