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DATE/TIME <br />TYPE <br /> <br />UGB: <br /> <br />WORK DESC <br /> <br /> : 10/04/99 09:33 <br />SITE: SP~~~. <br /> : SS:ALTER/AUTH FOR REPLACE MD W/DWELL <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> <br /> 9906481 <br /> APPLIED <br /> 08/09/1999 <br /> 00/00/0000 <br />TO EXPIRE 02/05/2000 <br /> <br />LOCAIDR: lObLO1DC4300 <br />CITY: DETROIT <br /> <br />EXIST BEDROOMS: 1 PROPOSED BEDROOMS : 1 <br />EXIST EMPLOYEE: PROPOSED EMPLOYEES: <br /> <br />SITE ADDRESS : <br /> <br />250 GUYMOORE DR DT <br /> <br /> ZONE: RS <br /> MAP: 105 <br />LAND USE: <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />MACKEY CREEK LOT: 6 BL: 1 <br />R98385 PARCEL: 9675,00.SF <br /> <br />BAARSTAD STEVE DEQ INSTALLER: <br />PO BOX 1250 PHONE: <br />CLACKAMAS OR 97015 <br /> <br />PHONE 503-653-2514 <br /> <br />DEQ LICENSE: <br /> <br />OWNER <br /> ADDRESS <br /> <br />B~RSTAD STEVE <br />PO BOX 1250 <br />CLACKAMAS OR 97015 <br /> <br /> PHONE 503-653-2514 <br />*********************************************************************************************Units11 DescriptiOnXuthoriAUthori zatiZati on/Al°n w/teratiFi el d onVi si t Fee 250.150. 0000 <br /> I DEQ Surcharge 30. O0 <br /> <br />Assessed fees : 430.00 <br /> <br /> Adjustments : ,00 <br /> Total fees : 430,00 <br /> PAYEE: BAARSTAD STEVE Total payments: <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 ZS 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 DSTONE <br /> <br /> Marion County Buildin9 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-~27 <br /> <br /> <br />