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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> 811Dn Salem,OR 97305 <br /> County Authorization <br /> Authorization NA FAX: 503-588-7948 <br /> O:R.E G: O N <br /> 555-22-006716-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: BRIDGMON, LLOYD <br /> 9803 FRIENDLY ACRES RD <br /> AUMSVILLE, OR 97325 <br /> �, v � ."�'i �"�" g <br /> s �^ : 1e, A -T m rS't✓e�y s �?lE�(•VA ,.. ��- _ .. � - ' 'fit 3'I'_,;,- .� ;, _. <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Manufactured Dwelling $0.00 <br /> Description of Work: HARDSHIP RENEWAL: 2 BDRM HARDSHIP,3 BDRM MAIN <br /> �Nf:DRMA'I'It'3Ne <br /> Property Address: Parcel: Owner: PHARES, MARSHALL L& <br /> 9801 Friendly Acres Rd Se,Aumsville,OR 081W19B 00800-Primary PHARES, KAREN S - <br /> 97325 Address: PO BOX 289 <br /> AUMSVILLE OR 97325 <br /> O�EpNAt;,INFORMATION <br /> Business Name License Address Phone <br /> f� 'mom <br /> s 4 C�R :i" 1�F,. ''r_ <br /> Fee Description Quantity Amount <br /> Hardship authorization for temporary dwelling -renewal- 1.00 Ea $150.00 <br /> no field visit <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $250.00 <br /> Note:This may not include all the fees required for this project. <br /> This application will expire if application acceptance cannot be achieved within 180 days. <br /> All provisions of laws and ordinances governing this type of work will be complied with I <br /> whether specified herein or not. <br /> All persons or entities performing work under this application are required to be licensed <br /> unless exempted by ORS 701:010. <br /> Printed on:07/28/2022 1 std_BuildingApplication pr <br />