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Zoning Validation: _~ ~,.~ .. <br /> <br />cate, <br /> <br /> BUILDING [] <br /> <br />Property Owner: <br /> <br />Job Addres¢; <br /> <br />SubdMslon; <br /> <br />Mobile Home Park: <br /> <br />Section: <br /> <br />Lot Width: <br /> <br />Township: Range: <br />Lot Bept,~ Acres: <br /> <br />MARION COUNTV BUILDING INSPECTION ~t'~,"S~;i~,~-~-;q-u~re~m-ents: ..... <br /> <br /> 220 High Stm~ NE Front: Re~r: <br /> Phone S8~147 Side: I Side: <br /> MOBILE HOME ~ SEPTIC ~ PERMIT APPLICATION <br /> <br />Property Tax Lot No.: <br /> <br />Lot; <br /> / <br /> <br />Sp, #: <br /> <br />Cross Street'. <br /> <br />Fleet S/C Zone: <br /> <br />Block: <br /> <br />Total # Spaces: <br /> <br />tZone; Map: <br /> <br />Contractor Business Name and No,; Phone; <br />Architect/Engineer; Phone: <br /> <br />'~ddmss: <br /> <br /> Address'. <br /> <br />Type of Permit: <br /> <br />Height of Building; <br /> <br />Mobile Home <br />, Width: <br /> <br />New: <br /> <br />Alter: <br /> <br />[~ ~- Addition; []Demo: [] <br />~'/ Relocation; [iJ Oeo, Chg.: [] <br />-I No, Stories; Sq. Pt. Main Floor: <br /> <br />/ <br /> Mobile Rome # Bedrooms: <br /> Length: <br /> <br />Tach, <br /> <br />Review; <br /> <br />Sq, Ft, 2nd Floor: <br /> <br />Occupancy: <br /> <br />Proposed Septic Installation: <br />Previous Site Evaluation #: <br />Type of System; <br />Test Holes Ready: <br />Wilt cell when holes ready: Proposed Bedrooms: <br />Existing Septic System: <br />__~xisting Tank Size; <br /> <br />Existin~.,Drainfield Length; <br />T)~l~,e of System: <br />Date Tank Pumped: Exletlng Bedrooms; <br /> <br /> Other <br /> <br />~HER PERMITS REQUIRER BY THIS DEP[: P~MBING, MECHANICAL, ELECTRICAL <br /> <br />Use of Building: <br /> <br />Sq, Ft, Garage: Other: <br />Occupant Load; Water Supply: <br /> <br />RES .~ <br />COM <br /> <br />Valuation; $ <br /> <br />Bldg. Fee: $__ <br />Mobile Home Fee: <br />Fleet Surche, rge'. <br />Zoning Surcharge;' <br />State Surcharge: <br />Plans Check Fee; <br />Site Evaluation Fee: <br />Septic Permit Fee; <br />BEQ Surcharge; <br />Technical Review Fee: <br />Reinspecgon Fee; <br />Investigation Fee: <br />city Faa: <br />TOTAL FEE: <br />RECEIPT NO,; <br /> <br /> <br />