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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 58¢-5147 <br />CODE-A-PHONE 4:;30 P,M, - 8:00 A.M, <br /> <br />I anq performin9 work on a property I own or o¢oupy, <br />t am a re~istere(I builder OR ( ) the authorized represent~live <br />of a registe(ed builder. <br />The work will be Performed by a registered builder. <br />Other ......... <br />I have read arid agree to the terms sta~ed on the reverse side of <br />this document. <br /> <br />DATE: <br /> <br />OWNER. 'tAX LOT <br /> <br /> %'i';..RDiVAN", 5-EV':~ & <br /> <br /> ',..'"?¢: L.'..Z OR 9 7325 <br /> <br />MAILING ADDRESS' .:./+ ~(: _~. ."T-A~!_Y ~'¢,.~, ...... %~;~ <br /> <br />SUBD VISION <br /> <br /> ..... 6 .... SITE NUIvlBER: 1939 <br /> VALUAT 7 'P4 - <br />LOf BLOCK: SEOT~QN. TOWNSHIP RANGE: ZOnE <br /> <br /> 35 ~'~'" ~ :- <br />WIDTH DEPTM' AR~A. UNIT~ RREG. LOT CORNER' <br /> ~ 9. z,¢C,,. AC <br /> <br />CATEGORY <br /> <br />5,'3.,3 <br /> <br />TYPE: ~UZLOZNG PERMIT OR A,~PLR3&TZON NO: <br /> <br /> 3284 <br /> <br />....... NC,': .... E. <br /> <br /> FOR ,L~ P~RIOD OF ~88 DAYS <br /> <br />>.had <br /> <br />SETBACKS: FR~20 LS-10 RS-20 <br /> <br /> 87-881 R~27 ~ 8 <br />!080 <br /> <br />R,F.~,IARKL: FATqN_Y R~ ADD TO HSE <br /> · .,-, ~ ~, ,% ? :": <br />, ",':::. 7 , ':'. .... .,,_. SO <br /> <br />LX./I%]&.3 E ,~r(r:' i <~'"' 'qAR:O¥, -,.,A,~:. 8',,;!LO:NG Qr. ~,.,~/~,_, / <br /> <br />~<~*~. ,, MC., o: ~: s/8: OFFICE COPY <br /> <br /> <br />