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DEPT, OF BUILDING INSPECTION <br /> Marion County <br /> <br />R.H. WITHROW, BLDG. ADMINISTRATOR <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />AppJfcotic~n is made to <br /> <br /> Relocate Buiiding <br />Alter a <br /> Demolish Structure <br />Repair <br /> <br /> Permit No. <br /> Valuation $ <br /> Permit Fee $ <br /> Surcharge <br /> Septic Tank <br /> <br /> Total Fee $ <br />This permit covers <br /> <br />$500.00 <br /> <br /> 5°00 <br /> <br /> °25 <br /> <br /> 5,25 <br /> <br />Excavation ~ O <br /> <br />Address <br /> <br />Rt 2! ~ox 519 - M, Aum~ville <br /> <br />Let Block Addition <br /> <br />Lot Size ~> ~ acr'~$ <br /> Size of Bldcj. <br /> <br />12 X 24 <br /> <br />Number ot Stories <br /> <br />C)ccupcJnCy or use <br /> <br />Height in {Del <br /> <br />Wafer Supply <br /> <br /> Ronald Bohnskedt: same as above <br />Builder & No. Address <br /> <br />Phone <br /> <br />581-8844 <br /> <br />Arshifed -- Address Phone __ <br /> <br />DESCRIPTION OF WORK <br /> <br />Conditional Use Partitioning Variance Case No, <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br /> By <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPARTMENT: <br /> <br />f agree to build ac¢ordlng to above description, plans and specificr4tions and thc'~'[~ildi.r.~ Code of Marion County. . <br /> <br /> APPLICATION R~CEIV~D SEPTIC 7AN~ ~N INER j ~RMIT ISSUED <br /> <br /> By ~~.~ ] <br /> <br /> <br />