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DATE/TIME : 05/26/99 11:26 <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 />99-03985 <br />APPLIED <br />05/26/1999 <br />00/00/0000 <br />11/22/1999 <br /> <br />WORK DESC : AUTH/FLD FOR MD REPLACEMENT <br /> <br />EXIST BEDROOMS: 3 <br />EXIST EMPLOYEE: <br /> <br />PROPOSED BEDROOMS : <br />PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : <br /> 9913 WISEACRE LN NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />75790-060 PARCEL: 3.20 AC <br /> <br />PETERSEN LAWRENCE <br />9913 WISEACRE LN NE <br />AURORA OR 97002 <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />678-1401 <br /> <br />PETERSEN LAWRENCE <br />9912 WISEACRE LN NE <br />AURORA OR 97002 <br /> <br />PHONE 678-1401 <br /> <br />LUCAIUR: U41W~OBAU02DO <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: 6R <br />LAND USE: <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />Units Description Fee <br />I Authorization w/Field Visit 250,00 <br />I DEQ Surcharge 30,00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br />PAYEE: PETERSEN LAWRENCE 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, FEASABILITY ANO 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 COUNT~ BUILDING OFFICIAL / BY MBULL <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 />