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DATE/TIME : 07/27/99 12:07 <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 />99-06082 <br />APPLIED <br />07/27/1999 <br />00/00/0000 <br />01/23/2000 <br /> <br />WORK DESC : ALTERATION <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS <br /> 22785 AIRPORT RD NE AR <br /> <br />LOCAIOR: 041W020 00601 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: P <br /> MAP: 3 <br />LAND USE: CU97-019 <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />40159-816 PARCEL: 1.00 AC <br /> <br />JAMES, TIM AGENT <br />3335 CHILDS RD <br />LAKE OSWEGO OREGON 97034 <br /> <br />PHONE 503-638-3297 <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />OWNER <br /> ADDRESS <br /> <br />MENTOR PLUS SOFTWARE <br />PO BOX 356 <br />AURORA OR <br /> <br />PHONE 678~1431 <br /> <br /> Units Description Fee <br /> 1 Alteration 400.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 430.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 430.00 <br />PAYEE: JAMES, TIM AGENT Total payments: 430.00 <br />JAMES TIM 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 PROVIDF~E~, AS~OON AS ALL REQUIREMENTS OF THE REVIEW <br /> <br />SIGNATURE OF APPLICANT: ~ <br />DONALD E. WOODLE~, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <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 />