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khpy, <br /> „ MARION COUNTY <br /> °-Y Building Application 5155 Silverton Rd NE <br /> Salem,OR 97305 <br /> Marlon <br /> county <br /> 503-588-5147 <br /> Permit NA <br /> FAX: 503-588-7948 <br /> O.REGO.N. <br /> 555-21-007101-PRMT <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: Property Development Services, LLC <br /> P.O. Box 571 <br /> Eagle Creek, OR 97022 <br /> 0* 3 y,y 3 a £ E <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: MAJ REP for 4 BDRM SFD <br /> , r� £ � f ��OB SITIE INIFORMA'f�•+D � " �,�.�., h � s s ,� � <br /> Property Address: Parcel: Owner: M &H FARMS LLC <br /> 20627 Highway 99E Ne,Aurora, OR 97002 041W13C 00600 - Primary <br /> Address: PO BOX 311 <br /> AURORA OR 97002 <br /> CENSER ***ESS t' N4:410176:0;*iOti , _. _ .,': <br /> Business Name License Address Phone <br /> ���� � � ,„u,tea: � 5 �r`�',��•'y� r h a '� r3 3 n +'yr"�,�� '�, 't ^� ����'�" ;iu nn �s <br /> ,r. �,,.,, �Fi 1 f,* .m 1 3 tf 3 rt� d.2 Z, : s�I_ a u-0.we.,�a. Air <br /> Fee Description Quantity Amount <br /> Repair(major) -single family dwelling 1.00 Ea $600.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $700.00 <br /> Note:This may not include a//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 <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:07/15/2021 1 std BuildingApplication_pr <br />