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Appl. Revd; ~"~'/ d"~'~"~ ' <br />By: ~ <br /> <br />By: <br /> <br /> MARION COUNTY <br />DEPT. OF BUILDING INSPECTION <br />Senator Building ~ 225 <br />220 High St., N,E. 2nd Floor <br /> Salem, Oregon 97301 <br />R.H, WITRROW, BLDG. ADMINISTRATOR <br /> <br /> 588-5147 - 888-5148 <br /> Date: ?- .... <br /> <br /> . /-- <br /> <br /> .572 No. llth Streets City of Aumsville <br />, Phone: <br /> <br /> Plans by: Phone: Address: <br /> Map Page l'- Zone Zone Chg, Part. '" ~ Cond. U~ Variance Fire Zone Occupancv Type of Const. <br /> <br /> Use of ~ldg.: orN°occ.BdrmS'Ld; Setbacks:Bin ~eQ, Front Sides Rear <br /> <br />Lot NO: BIk. No: Sub dv. Lot Size L Corner? <br /> <br />Water Supply: Valuation; <br />Sewage Site <br />Disposal: ....... Evah Permit Fee: <br /> No. <br />Area of Bldg: Stories; State Surcharge; <br /> Roof ~ ~ <br />Basement; Type; Plans Chk. Fee; <br />Heating <br />System: Septic Permit Fee; <br /> <br />BTU'. Total Fees: <br /> <br />Rcpt. No; <br /> <br />I agree to build according to the submitted plans and .speoification$, the laws of the State of Oregon and the Ordinances of Marion <br /> <br />SIGNATURE OF APPLICANT: v~~ <br />VALIDATIONS; <br />ZONING SEPTIC TANK <br />By', ....... <br />Date: Date: <br />REMARKS <br /> <br />PLANS <br /> <br />By: <br /> <br />PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br />Other permits reqLdred by this dept; Plumbing [] Electrical E~ <br /> <br /> <br />