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Marion County <br /> 5155 Silverton Rd NE <br /> ,Tanbn. - <br /> Septic Authorization Approval Salem, OR 97305 <br /> County 503-588-5147 <br /> 555-19-000647-AUTH Building@co.marion.or.us <br /> G O N Website:co.marion.or.us <br /> Commercial Authorization <br /> Date issued 3126/19 Date Expiring 3/25/20 Y <br /> Work Description- At1TH CHANG 4F USE,FROIV CHIROPRACTIC CLINIC TOr AFE 3 EMPLOYEES, 10 CUSTOMERS <br /> Applicant: FENCL,ANGELA Primary Contractor: SEE PROPERTY OWNER <br /> Address: 51094 GATES BRIDGE E INFORMATION <br /> GATES OR 97346 Owner(Property): OWNER <br /> Phone: 503-302-6722 <br /> Owner: BURLISON,DENNIS L Property Address: 11247 Grove St SE, Stayton, OR 97383 <br /> Address: 51094 GATES BRIDGE E <br /> GATES OR 97346 <br /> Parcel: 092E18BB01600-Primary <br /> Authorization Notice for: Other <br /> System is Failing? No Date Septic Tank Last Pumped: 12/03/2018 <br /> Lot Size: .54 Water Supply: Community Water Supply <br /> Category of Construction: Commercial <br /> Use of Structure: CHIROPRACTIC CLINIC CAFE <br /> Number of Employees: N/A 3 <br /> Number of Seating: N/A 10 <br /> System Specifications: <br /> Max Peak Design Flow: 300 gpd Proposed Gallons per Day: N/A <br /> CALL BEFORE YOU DIG...ITS THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain copies <br /> of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 3/26/19:1:35:38PM Page 1 of 2 ONS_OnsiteAuthorizationpr <br />