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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> �laiion�l` '' Salem,OR 97305 <br /> county oun 503-588-5147 <br /> Site Evaluation NA FAX: 503-588-7948 <br /> OREGON <br /> 555-21-009085-EVAL <br /> www.co.marfon,or.us building@co.marion.or.us <br /> Applicant: NOBLE BUILT HOMES LLC <br /> PO BOX 571 <br /> SILVERTON, OR 97381 <br /> */y " ra -O = A <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Single Family Dwelling $0.00 <br /> Description of Work: SE: FUTURE 4 BDRM SFD(LOT 2 OF 3, P 21-22) <br /> a -.. I -:1 V8v,.''' M"+r.<-". '`„r,,,, ' *'k rC®�.:.ww .F o , 'c3:,1:1.# <,cs y, . i` ��y..:,-4,. <br /> Property Address: Parcel: Owner: CMP ROTH FARMS LLC <br /> 2664 Sunnyview Rd Ne,Salem,OR 97305 TEMP MC-Primary <br /> Address: 1493 HOWELL PRAIRIE RD <br /> NE <br /> SALEM OR 97317 <br /> : ._, I? QFSNAT .... Eil1N sr = <br /> Business Name License Address Phone <br /> OER IT'FEES e <br /> Fee Description Quantity Amount <br /> Site evaluation-additional lots 1.00 Ea $575.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $675.00 <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 <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:09/10/2021 1 std_BuildingApplicaIion.pr <br />