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Appl. Revd: ~ue~0,a~ ~' <br /> <br />Oate: 9/~9Z28 <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION' <br />Downtown Senator Building <br />220 High St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.i4. WITHROW, BLDG. ADMINISTRATOR <br />B88-5147 - 588-5148 <br /> <br />Type of Permit: Mobile Home & Septic Tez~: <br /> <br />Address: 8053 Mill Creek Roadt S. ,~.. Aumsville <br /> Br~an .Boock - Property ~ <br />Owner: Forrest %~neetcr- Mobile Homephone:L~'rT~-u <br /> <br />Bldr. & No ' Phone: ,,, <br />Plans by: Phone: <br /> <br /> Map Page ;'one I Zone Chg. p.rt. Cond. Use Variance 1 <br /> 5:k m~ <br /> I <br />Use of Bide,: Min Req. <br /> SeTbacks: <br /> ~ibbSle Home . 2 bedroom <br /> <br /> Tax Lot No: <br /> <br /> S 26 Tw-shp. 8 R~e 2W <br /> ~ _~6~--~.d ~'o E. Turn~' ~ ............... <br /> <br /> '~ ....... ~E ........... '~ ...................... <br />Address: <br /> <br />Address: <br /> <br /> Front Sides Rear <br /> ~o/ ~ ' ~/¢ <br /> <br />Lot No; 1 ,BIk. No: 2 <br /> <br />Subdv. Terrance Subdivision <br /> <br />Lot Size 117 X 30~OCorner? yes__ <br /> <br />Water Supply: wel% Valuation: _ $ <br /> <br />Sewage ,q~ I tic Feas, <br />Disposal: ' ' Study: - -~ . ~ Permit Fee; <br /> <br /> NO. .60 <br />Area of Sldg; t O ~ 50 Stories: State Surcharge: <br /> <br /> Roof <br />Basement: Type: Plans Chk. Fee: <br /> <br />Heating <br />System: Electric Septic Permit Fee: ..... ~7~0 <br /> <br />BTU: .... Total Fees: <br /> <br />R cpt. No; ~'~-- ~/~ <br /> <br />I agree to build according to the ~ubmltted plans and sp~ciflcations, the law~ of the State of Oregon and the Ordinances of Marion <br />County. Permit expires if work n~ilm~nced ~/~th~n <br />SIGNATURE OF APPLICANT: ?-'~' <br /> <br />VALIDATIONS; <br />ZON,N 9 <br /> <br />N/ h _ PLANS <br /> REMARKS <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits required by this dept: Plumbing [] Electrlcal E] <br /> <br /> <br />