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DATE/TIME : 02/16/99 09~57 <br />TYPE : SP <br /> <br />UGB: SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-01144 <br />APPLIED <br />02/16/1999 <br />00/00/0000 <br />08/15/1999 <br /> <br />WORK DESC <br /> <br /> LUCAIgR: 092WIJUAO1300 <br />: SS AUTH/NO VISIT & MINOR REPAIR FOR REPLACEMENT CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: 3 PROPOSED BEDROOMS : 3 ZONE: AR <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: 62 <br /> LAND USE: <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 />11535 MCCLELLAN LN SE AM <br /> <br /> LOT: BL: <br />75440-400 PARCEL: .48 AC <br /> <br />HALES,GARY A & ICqTHLEEN <br />11535 MCCLELLAN LN SE <br />AUMSVILLE,OR <br /> 97325 <br />769-3800 <br /> <br />DEQ INSTALLER: ACE SEPTIC TANK SERVICE <br />PHONE: (503) 392-1033 <br /> <br />DEQ LICENSE: 33012 <br /> <br /> HALES,GARY A & I~THLEEN <br /> 11535MCCLELLAN LN SE <br /> AUMSVILLE.OR <br /> 97325 <br />PHONE 769-2800 <br /> <br /> Units DescrNption Fee <br /> 1 MNnor Repair 100,00 <br /> 1 Author~zatqon, no F~eld VisNt 90,00 <br /> 2 DEQ Surcharge 60.00 <br /> <br />Assessed fees : 250.00 <br /> <br /> Adjustments : ,00 <br /> Total fees : 250.00 <br />PAYEE: HALES,GARY A & ~THLEEN Total payments: 250.00 <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. ~-I ~ <br />SIGNATURE OF APPLICANT:~ ~ ~ <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)588-5147 24-hr Imapection Line: (503)373-4427 <br /> <br /> <br />