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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 888-8147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE; <br /> <br />OWN~D~'[E: 05/15/91 'rt~E: 10:20=15 <br /> <br /> HAK, MYRON & GENEVIEVE <br />SITUS ADDRESS: <br /> <br />TAX LOT; <br /> <br />CONSTRUCTION TYPE <br /> <br />75301-020 <br /> <br /> CATEGORY: <br /> <br />'0Ccu~^~cY: <br /> <br />R ES ! DEN '1' 1 AL <br /> <br /> 8325 RE~O DR <br />AUI~SVi LLE <br /> <br />9?325 <br /> <br />SE <br /> <br />i~ARiON or~JN'rY ' <br /> <br />NO <br /> <br />OCCUPANT LOAD; <br /> <br />SUBDIVISION <br /> <br />4. <br /> <br />~¢4'I'HOtXIY CANNIZZO - BROTHER <br /> 8RO'THER~'3?8-167'0 <br />PHONE: 818-845~5'164 <br /> <br />LOT BLOCK SECT[ON <br /> <br /> 14 <br /> <br />5.18 <br /> <br />TOWNSH P <br /> <br />JNITS <br /> <br /> SiTE Nur4BER: <br /> VALUA'r I ON: <br /> RAN ~E ZONE <br /> <br /> ~REG LOT 'CORNER: <br />AC NO ' YES <br /> <br />9620 <br /> <br /> MAp: <br /> <br />49 <br /> <br />TYPE: ON-Si'T'E SE~tAGE <br />PER¢4II' OR APPLICATION NO: 9032222 <br /> <br />coN'r~c'roR, NO. ~. 3¢0~c~ <br />~'TH~Y C~NJZZO - B~'fH~R <br /> 8~'f'HE~3?8-1 <br />~E: 818-845-5764 <br /> <br />HATER ~JPPLY: <br />T~'~'r HOLE.,% READY: <br />SiTE EYALUATION NU~ER: <br />EX!$T!NG T~K SIZE: <br />~JSTING D~iN <br />SEP'f~C 'r~K ~MPED: <br />PR~I~S NO+ BEDR~: <br /> <br /> f 'r~J~ QUANT l TY AI~3UN'r <br /> STANDARD ON-SITE SYST <br /> <br /> 'tOTAL <br /> PREvi~s RECEZPTS $0. O0 <br /> 'rH ~S R~gt.T $~ es. OO <br /> <br /> PAYEE: HAK, ~ & G~E~[E~E' N~ REOE~P'r NO: 34009 <br /> RECEIVED BY: ~2 ).~ TYPE' OK CHECK ~: 2 <br /> <br /> SEE A'~ITACHED ~UMENT FOR RE~IR~'fS OF ~'SiT/ 3E~E SYST~. <br /> <br />* THIS iS NOT A ~IT+ THIS ~iDTZ~ ~T ~ TH~ A ~IB P~ ~EE THE <br />~L~[~ ~T BE ~P~T~. 1T :[S: ~E ~IBJLITY OF THE APPL[~T 1'0 ~ THAT <br />ALL N~ <br /> <br />PLAN REVIEW: BY.........~" ............. DATE_.._,~-'...~._~?...%¢~.( ........ <br />RE. N1ARKS,: NEN O~NER~ - NEN PERmafiT RAt?'595 <br /> <br />CiTY JUR[SD.[C'f'ION: BY DATE <br /> <br />OFFICE COPY <br /> <br /> <br />