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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 12/23/98 13:04 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVIl~/ NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />98-10987 <br />APPLIED <br />12/22/1998 <br />00/00/0000 <br />66/21/1999 <br /> <br />W~RK 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 />: AUTH/FLD <br /> 3 <br /> <br />PROPOSED BEDROOMS : 4 <br />PROPOSED EMPLOYEES: <br /> <br />LUCAIUR: U~IWU4B U19UD <br /> CITY: HARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: 60R <br />LAND USE: <br /> <br /> 9432 OOLF CLUB RD SE AM <br /> <br /> LOT: BL: <br />60432-000 PARCEL: 1.53 AC <br /> <br />JENKINS FRITZ DEQ INSTALLER: <br />9423 GOLF CLUB RD PHONE: <br />AUMSVILLE OR <br /> 97325 DEQ LICENSE: <br />769-3683 <br /> <br />JENKINS FRITZ <br />9422 GOLF CLUB RD <br />AUMSVILLE OR <br /> <br />97225 <br /> <br /> PHONE 769-3683 <br />*--********************--**************--*****--***--*****--*********------** <br /> Units Description Fee <br /> I Authorization w/Field ¥isit 250.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br />PAYEE: JENKINS FRITZ Total payments: 280.00 <br /> Balance due : .00 <br />*****************~-***********~****~*~xA******************~*********************** <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 P~ED. AS SDO~AS ALL REQUIREMENTS OF THE REVIEW <br />, vE BEEN MET, YOU WILL <br /> <br />SIGNATURE OF APPLICANT:/" <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office 14ours: 8:00-4:30 Phone: (503)5B8-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />