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ON-SITE APPLICATION <br />~ATE/TIME : 07/28/99 11:48 ACTIVITY NO <br />TYPE : SP STATUS <br /> SE/SP APPLIED <br />UGB: SITE: ISSUED <br /> TO EXPIRE <br /> <br /> LUCAIDR: D92W13DAU2000 <br />WORK DESC : ALTERATION: RELOCATE DF FOR FUTURE PL OF MFG UNIT CITY: MARION COUNTY <br /> <br />EXIST BEDROOMS: 3 PROPOSED BEDROOMS : 3 ZONE: AR <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: MAP: 62R <br /> LAND USE: <br />SITE ADDRESS : <br /> <br />11597 MCCLELLAN LN SE Arq <br /> <br />SUBDIVISION : LOT: BL: <br />TAX ACCOUNT : 75440-020 PARCEL: .00 AC <br /> <br />APPLICANT : ANDERSON, THOMAS & DEBRA DEQ INSTALLER: <br /> ADDRESS : 11597 MCCLELLAN LN SE PHONE: <br /> AUMSVILLE, OREGON 97325 <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />769-3822 <br /> <br />DEQ LICENSE: <br /> <br />99-06139 <br />APPLIED <br />07/28/1999 <br />00/00/0000 <br />01/24/2000 <br /> <br />ANDERSON. THOMAS & DEBRA <br />11597 MCCLELLAN LN SE <br />AUMSVILLE, OREGON 97325 <br /> <br />PHONE 769-3823 <br /> <br /> Units Description Fee <br /> 1 Alteration 400.00 <br /> i DEQ Surcharge 30.00 <br /> <br />Assessed fees : 430.00 <br /> <br /> Adjustments : .00 <br /> Total fees : 430.00 <br />PAYEE: ANDERSON. THOMAS & DEBRA Total payments: 430.00 <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 tS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE BEEN MET. YOU WILL BE/NOTIFiED. <br />SIGNATURE OF APPLICANT: ~/~:2~..~/~//~ <br />DONALD E. WOODLEY, 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 Li~: (503)373-4427 <br /> <br /> <br />