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MARION COUNTY BUILDING INSPECTION <br />SENATOR- BLDG,'NO. 225 <br />220 HiGH STf~EET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30.P.M. -.8:00 A.M <br /> <br /> Other <br /> <br />DATE; 06/22/8? TIME: 9-' 14 ;48a <br /> <br /> SELNES, ARNOLD & EVELYN <br /> <br /> 9143 N. STAYTON RD SE <br />AUMSVILLE OR 97a28 <br /> <br />USE Of 8U}LOING: <br /> <br />DATE: <br /> <br />MAILING ADDRESS: <br /> <br />TAX LOT: CATEGORY: <br /> 61374-000 R <br /> <br /> PHONE t <br /> <br />LOT: BLOCK: SECTION: TOWN~HIP; <br /> <br />Wl0'¢h: 0EPTH: AREA: ? . ~m~UN~TS;UUUU <br /> <br /> SITE NUMSER: 1713 <br /> VALUAT I ON: <br /> <br />9S 2'.~ ~FU <br />AC N N <br /> <br />MAP: <br /> <br /> S2 <br /> <br />TYPE'; MOBILE FIOME PERNIIT OR APPLICATION NO; <br /> <br />CONTRACTOR, NO_ <br /> N~S, ARNOLD & EVELYN <br /> <br />9002?85 <br /> <br />PPiON E '- <br /> <br /> ITeM <br />MOBILE HOME FIRST WIDTH <br />,MOBILE HC)C4E ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 3 <br />~}8;LE HOME STATE SURCHA~E <br /> <br />-FOi'AL ~EO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />0UANTI~Y <br /> <br />AMCUNT <br /> $35.00 <br /> <br /> $41.99 <br /> $8..00 <br /> $41.99 <br /> <br /> $0,00 <br /> <br /> PAYEE= SEL.NES, ARNOLD & EVELYJ~,-, ~ ,,'/ I?VOICE NO: 330~ <br /> RECEIVE0 BY: .j~ ~ ~.X__.~_ TYPE: OK CHECK ~; 4653 <br />.......................... ~%%---%'%%%~.7.~ -%%.~%% ........................................ <br /> · THIS IS NOT A PERNIT~ THIS APPLICATI'O~ NUST GO']HROJGH A REVIEW ~ROCESS hHERE THE <br /> FOLLOWING t, IUST BE COt4~LETED. IT IS THE RES~SIBIL'I~Y OF THE APPLICANT TO ASSURE <br /> ALL NECESSARY INFOI;~4ATICN HAS bEEN PROVIDED_ <br /> PL,AN R,EVtE~: ~¥~__~ DATE <br /> <br /> , LANNtNG ACTION: C~ ~7- 51 ~ 0~' <br /> <br />OFFICE COPY <br /> <br /> <br />