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DATE/TIME <br />TYPE <br /> <br />UGB: <br /> <br />: 06/11/99 15:22 <br />: SP <br /> <br />SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-04571 <br />APPLIED <br />06/11/1999 <br />00/00/0000 <br />12/08/1999 <br /> <br />WORK DESC <br /> <br />: MAJOR REPAIR <br /> <br />LOCAIUR: UB1W19B 0220~ <br /> CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <br /> <br />SITE ADDRESS : <br /> <br />3 PROPOSED BEDROOMS : <br /> PROPOSED EMPLOYEES: <br /> <br />5983 SHAW HY SE AM <br /> <br /> ZONE: AR <br /> MAP: <br />LAND USE: <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br /> LOT: BL: <br />56118-000 PARCEL: 6.90 AC <br /> <br />SANCHEZ EVELIA AL <br />5983 SHAW HWY SE <br />AUMSVILLE OR 97325 <br /> <br />371-3103 <br /> <br />SANCHEZ EVELIA AL <br />5983 SHAW HWY SE <br />AUMSVILLE OR 97325 <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br /> PHONE 371-3103 ~/~ ~/~_ <br />*****~t*~***~*~c*~;~;~*~***********~-**********************************;e*~**********~***.*~*~ ~('~ <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: SANCHEZ EVELIA AL Total payments: 230,00 <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. <br /> ! . <br />SIGNATUREOFAPPLICANT:~3~JLO~. <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-~27 <br /> <br /> <br />