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DATE/TIME <br />TYPE <br /> <br />UGB: SITE: <br /> <br />: 09/07/99 14:41 <br />: SP <br /> <br />ON-SITE APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> SE/SP APPLIED <br /> ISSUED <br /> TO EXPIRE <br /> <br />99-07369 <br />APPLIED <br />09/07/1999 <br />00/00/0000 <br />03/05/2000 <br /> <br />WORK DESC <br /> <br />EXIST BEDROOMS: <br />EXIST EMPLOYEE: <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 /> LUCAIOR: D~lWS1AAU14UD <br />: REPLACE MANF HM W/NEW MANF HM 3 BEDR AND MAJOR RP CI~: MARION COUN~ <br /> <br />3 PROPOSED BEDROOMS : 3 ZONE: AR <br /> PROPOSED EMPLOYEES: MAP: 48R <br /> LAND USE: MP 79-37 <br /> <br /> 10259 MILL CREEK RD SE AM <br /> <br /> LOT: <br />56283-000 PARCEL: <br /> <br />EARTHWORKS INC <br />PO BOX 12269 <br /> <br />SALEM, OR 97309 <br />290-8588 <br /> <br />LYONS, OPAL <br />PO BOX 192 <br />SUBLIMITY. OREGON <br /> <br />97309 <br /> <br /> BL: <br />1.20 AC <br /> <br />DEQ INSTALLER: K & K CUSTOM LAND DEVELOPMENT <br /> PHONE: 922-4175 <br /> <br />DEQ LICENSE: 37961 <br /> <br />PHONE 749-1436 <br /> <br /> Units Description Fee <br /> 1 Major Repair ,00 <br /> I Authorization w/Field Visit 250,00 <br /> 1 DEQ Surcharge 30,00 <br /> <br />Assessed fees : 280.00 <br /> <br /> Adjustments : ,00 <br /> Total fees : 280.00 <br /> PAYEE: EARTHWORKS INC Total payments: 280,00 <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 RESPONSIBILII~{ OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED, AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br /> HAVE BEENMET, YOOWILL~IFIED. <br /> <br /> DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY BJENSEN <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 />