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ON-SITE APPLICATION <br />DATE/TIME : 05/10/99 09:34 ACTIVITY NO <br />TYPE : SP STATUS <br /> SE/SP APPLIED <br />UGB: AR SITE: ISSUED <br /> TO EXPIRE <br /> <br />99-03469 <br />APPLIED <br />05/07/1999 <br />00/00/0000 <br />11/06/1999 <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 />PHONE <br /> <br />: MAJOR REPAIR- REP[ MH - ENFORCE 99-03167 <br /> <br />3 PROPOSED BEDROOMS : 2 <br /> PROPOSED EMPLOYEES: <br /> <br />20822 FILBERT ST NE AR <br /> <br />NEW COLONY PARK LOT: 4 BL: 11 <br />90190-420 PARCEL: 4950.00 SF <br /> <br />MILLER MONTE DEQ INSTALLER: <br />5816 ST LOUIS RD NE PHONE: <br />GERVAIS OR 97026 <br /> <br />503-792-3516 <br /> <br />RODRIQUES EUGENE <br />20832 FILBERT ST NE <br />AURORA OR 97002 <br /> <br />503-678-2064 <br /> <br />LOCAIUR: U41WISCAO1800 <br /> CITY: AUROP~q <br /> <br /> ZONE: RS <br /> MAP: 3 <br />LAND USE: <br /> <br />DEQ LICENSE: <br /> <br />Units Description Fee <br />1 Major Repair 200.00 <br />1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 230.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 230.00 <br />PAYEE: MILLER MONTE Total payments: .00 <br /> Balance due : 230.00 <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. WOODLE¥, MARION COUNI~f BUILDING OFFICIAL / BY PMUNRO <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 />