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ON-SITE APPLICATION <br />DATE/TIME : 11/25/98 12:32 ACTIVITY NO <br />TYPE : SP STATUS <br /> SE/SP APPLIED <br />UGB: SITE: ISSUED <br /> TO EXPIRE <br /> <br />98-10223 <br />APPLIED <br />11/25/1998 <br />00/00/0000 <br />05/24/1999 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />: SS: AUTH/FLD REPL SINGLE W/TRIPLE WIDE MFT <br /> <br /> 2 PROPOSED BEDROOMS : 2 <br /> PROPOSED EMPLOYEES: <br /> <br />10681 LEVERMAN RD SE AM <br /> <br /> LOT: BL: <br />56465-000 PARCEL: 2,00 AC <br /> <br />LOCAIOR: DB1W29C 02800 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: AR <br /> MAP: 48R <br />LAND USE: <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />THOMPSON. WILLARO <br />10681 LEVERMAN RD SE <br />AUMSVILLE, OREGON <br /> <br />749-22242 <br /> <br />THOMPSON, WILLARD <br />10681 LEVERMAN RD SE <br />AUMSVILLE. OREGON <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />97225 DEQ LICENSE: <br /> <br />97325 <br /> <br />PHONE 749-22342 <br /> <br /> Units Description Fee <br /> 1 Authorization w/Field Visit 250,00 <br /> 1 DEQ Surcharge 20,00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : . O0 <br /> Total fees : 280.00 <br />PAYEE: THO~4PSON. WILLARD Total payments: 280.00 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br />SOIL, FE~ABILITY AND INSTALLATION REQUIREMENTS ARE CHECKED PRIOR TO THE ISSUANCE <br />OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~SURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. ~S SOON AS ALL REQUIREMENTS OF THE REVIEW <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 />