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M MANUFACTURED STRUCTURE <br /> WENT OF TRANSPORTATION <br /> NOTORVEIA S5E11Ysi RANQ1 TRIP PERMIT MH <br /> J NU IA AVENUE NEE OR <br /> SAIEY OI197111 319254 `Y <br /> 55 <br /> I trip permit DOES NOT authorize operation of loads that exceed legal highway limits.Any movement over the highway of a manufactured structure that exceeds <br /> 1 highway limits(including all structures over 8 1/2 feet wide or 14 feet high)must be covered by a Transportation Permit.For information on Transportation <br /> nits call 945-7903. <br /> NEW Manufactured Structure [USED Manufactured Structure ❑ REPLACEMENT Permit FEE: $5.00 <br /> 1 AT(City) DATE ISSUED DATE EXPIRED DEALER OR MOVER DEALER/TRANSPORTER NUMBER <br /> ro0DBLAPr/ -(,- 97 g-/5-97 I3ARR6Tr -#j 7 <br /> E NUMBER YEAR MAKE * VEHICLE IDENTIFICATION NUMBER(VIN) • <br /> l98 5/'TUNE Zyy S RECEIVED <br /> )F PREVIOUS OWNER TITLE NUMBER AUG 2 9 199T <br /> .1I6Nw A/ 7RA I L C 1Z 5A c es MARION COUNTY <br /> )US OWNER'S RESIDENCE ADDRESS PREVIOUS LOCATION(Street Address or Map and Tax Lot Numbers) ASSESSOR <br /> 1'/SG 0 Pof2-fcA»L7 2D '/-E 5AmF f)s pREUroul owr 6R. <br /> COUNTY STATE <br /> 5/96Enn MARILW O2 <br /> )F NEW OWNER(LAST,FIRST,MIDDLE INITIAL) q-t (j UILDING/LAND USE PERMIT NUMBER <br /> y9& ,1 C./Pi D A a1a9 1 7 7- oe/zo/ '72 610 3-70 <br /> WNER'S RESIDENCE ADDRESS NEW LOCATION(Street Address or Map and Tax Lot Numbers) <br /> 30 9 5 `" ° �- 57 � �' 54 P^ C iy s "tie w /9 o v 2 E s i_. <br /> 0 COUNTY STATE SIGNATURE OF ISSUER <br /> 8/zool5 4/19Rlar( O X <br /> ii,„...a, , <br /> Proof of taxes paid must be attached to the copies forwarded to DMV *Vehicle Identification Number( N)MUST be complete number. <br /> ie manufactured structure is moved. Proof may be a copy of Department If previously titled in Oregon,MUST be number from Oregon title. <br /> !nue form 113 or a signed statement from the County Assessor AND <br /> Tax Collector. <br /> gin EliZEMIZI <br /> DMV COPY • COPIES 1 THROUGH 3-DELIVER OR MAIL TO DMV. • COPY 4-RETAIN FOR YOUR RECORDS • COPY 5-ATTACH TO REAR OF MANUFACTURED STRUCTURE <br /> \ ..- --5q1130 <br /> .4 <br /> .crorrN m S <br />