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ON-SITE <br /> <br />DATE/TIME : 09/25/98 08:55 ACTIVITY NO <br />TYPE : SPMS STATUS <br /> SE/SP APPLIED <br />UGB: SITE: ISSUED <br /> TO EXPIRE <br /> <br />98-08062 <br />ISSUED <br />09/17/1998 <br />09/25/1998 <br />09/25/1999 <br /> <br /> LOCAIUR: D41WOgDUUUbUD <br />WORK DESC : RECORD FIELD REVIEW TO VERIFY LOCATION OF DF CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : ZONE: ID <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: <br /> LAND USE: <br />SITE ADDRESS : <br /> 12334 EHLEN RD NE AR Un: UTL/STG <br /> <br />SUBDIVISION LOT: BL: <br />T~( ACCOUNT 40217-000 PARCEL: 12,17 AC <br /> <br />APPLICANT KAPPERTZ DESIGN CORPORATION DEQ INSTALLER: <br />ADDRESS ANN: LARRY W RITCHEY PHONE: <br /> P 0 BOX 2828 <br /> SALEM OREGON 97208-2838 DEQ LICENSE: <br /> PHONE 502-260-2126 <br /> <br />OWNER LEATHERS LTD PARTNERSHIP <br />ADDRESS 22200 SE STARK <br /> GRESHAM. OR <br /> 97308-2838 <br />PHONE <br /> <br /> Units Description Fee <br /> I Septic Consultation 50.00 <br /> <br /> Assessed fees : 50.00 <br /> Adjustments : -10,00 <br /> Total fees : 40.00 <br />PAYEE: KAPPERTZ DESIGN CORPORATION Total payments: 40.00 <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 NOTIFIED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <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)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />