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DATE/TIME : 07/29/99 12:29 <br />TYPE : SP <br /> <br />UGB: SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO : 99-06181 <br /> <br /> SE/SP APPLIED <br /> ISSUED 00/00/0000 <br /> TO EXPIRE 01/25/2000 <br /> <br />WORK DESC : RECORD REVIEW 99-06180 <br /> <br />EXIST BEDROOMS: 99 <br />EXIST EMPLOYEE: 999 <br /> <br />PROPOSED BEDROOMS : 99 <br />PROPOSED EMPLOYEES: 999 <br /> <br />SITE ADDRESS : <br /> 12175 WEST STAYTON RD SE ST <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: BL: <br />61276-000 PARCEL: 5.84 AC <br /> <br />PRINCE KELLY L <br />P 0 BOX 871 <br />AUMSVILLE OREGON 97225 <br /> <br /> PHONE <br /> <br />OWNER <br /> ADDRESS <br /> <br />503-767-2325 <br /> <br />PRINCE KELLY L <br />P 0 BOX 871 <br />AUMSVILLE OREGON 97325 <br /> <br />PHONE 503-767-2325 <br /> <br />LOCAIOR: 091W18C 01700 <br /> CITY: MARION COUNTY <br /> <br /> ZONE: EFU <br /> MAP: <br />LAND USE: <br /> <br />DEQ INSTALLER: <br /> PHONE: <br /> <br />DEQ LICENSE: <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: PRINCE KELLY L 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, 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 />SIGNATURE OF APPLICANT: <br /> <br />DONALD E, WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br /> <br /> Marion County Buildimg Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Nours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspectio, Line: (503)373-4J~27 <br /> <br /> <br />