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DATE/TIME ~ 08/02/99 09:32 <br />TYPE ~ SP <br /> <br />UGB: DT SITE: <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-06251 <br />APPLIED <br />08/02/1999 <br />00/00/0000 <br />01/29/2000 <br /> <br />WORK DESC : ALTEP~TION: (NEEDS CITY VALIDATION) <br /> <br />EXIST BEDROOMS: PROPOSED BEDROOMS : <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <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 />210 DETROIT RD OT <br /> <br />HAMMOND ADDITION LOT: 4 BL: 6 <br />90220-570 PARCEL: 8250.00 SF <br /> <br />WARDEN,DONALD L & VALERIE M <br />PO BOX 474 <br />DETROIT. OR <br /> 97342 <br />503-854-3362 <br /> <br />LOCATOR: 105EO1CBO9400 <br /> CITY: DETROIT <br /> <br /> ZONE: RS <br /> MAP: <br />LAND USE: <br /> <br />OEQ INSTALLER: KEVIN'S BACKHOE SERVICE <br />PHONE: (503) 854-8797 <br /> <br />DEQ LICENSE: 26421 <br /> <br /> WARDEN.DONALD L & VALERIE M <br /> PO BOX 474 <br /> DETROIT, OR <br /> 97342 <br />PHONE 502-854-3262 <br /> <br /> Units Description Fee <br /> i 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: WARDEN.DONALD L & VALERIE M Total payments: .00 <br /> Balance due : 430.00 <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 tS 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 Building Inspection ~X <br /> 3150 Lancaster Dr. N.E.. Suite C Salem. Ore,on 97305-1398 <br />Office Hours: 8:00-4:30 Phome: (503)588-5147 24-hr Inspection Line: (503)373-442? <br /> <br /> <br />