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DATE/TIME : 07/27/99 15:15 <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 />99-06113 <br />APPLIED <br />07/27/1999 <br />00/00/0000 <br />01/23/2000 <br /> <br />WORK DESC : REC REVIEW FOR ROOM ADD 99-06112 <br /> <br />EXIST BEDROOMS: 5 PROPOSED BEDROOMS : 4 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : <br /> 9191 SMITH RD SE AM <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />57652-000 PARCEL: 3.33 AC <br /> <br />CAMPBELL,RICHARD E & BEVERLY A <br />9191 SMITH RD SE <br />AUMSVILLE, OR 97325 <br /> <br />PHONE 749-1239 <br /> <br />OWNER <br /> ADDRESS <br /> <br />CAMPBELL,RICHARD E & BEVERLY A <br />919t SMITH RD SE <br />AUMSVtLLE, OR <br /> <br />LOCATOR: D82W24A 01800 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: SA <br /> MAP: 51R <br />LAND USE: <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <br /> <br />PHONE <br /> <br /> Units Description Fee <br /> 1 Record Review Fee 40.00 <br /> <br />Assessed fees : 40.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 40.00 <br /> PAYEE: CAMPBELL,RICHARD E & BEVERLY A Total payments: 40,00 <br /> Balance due : ,00 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE <br /> SOIL, FEASABtLITY 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 /> SIGNATURE OF APPLICANT: ~~_ ~/'L.~"'~ ~ ' <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 />