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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 07/20/99 12:59 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-05844 <br />APPLIED <br />07/20/1999 <br />00/00/0000 <br />01/16/2000 <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 /> LUCAIOR: 041W11BCOO2UO <br />: AUTHO/W FIELD VISIT REPL 3 BEDRM WITH 3 BEDRMMANFH CITY: MARION COUNTY <br /> <br />2 PROPOSED BEDROOMS : 3 ZONE: AR <br /> PROPOSED EMPLOYEES: MAP: 3 <br /> LAND USE: <br /> <br /> 12630 WISTERIA DR NE AR <br /> <br />DEER CREEK EST LOT: 3 <br />71010-840 PARCEL: 10080.00 SF <br /> <br />BL~ <br /> <br />YAKE GARY DEQ INSTALLER: <br />2820 RIVER RD S PHONE: <br />APT B <br />SALEM OR 97302 DEQ LICENSE: <br />363-9410 <br /> <br />YAKE GARY <br />2820 RIVER RD S <br />APT B <br />SALEM OR 97302 <br /> <br />PHONE 363-9410 <br /> <br /> Units Description Fee <br /> 1 Authorization w/Field Visit 250.00 <br /> 1 DEQ Surcharge 30.00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 280.00 <br />PAYEE: YAKE GARY 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 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 ~O, TIFIED. <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 />