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/~_. ess of Bu ding -- ~'-- <br /> <br /> DEPT, OF BUILDING INSPECTION <br /> Marion County <br /> <br />R.H, WITHROW, BLDG. ADMINISTRATOR <br /> 588-B147, COucthouse <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br /> Relocote <br />ApplicaHon is mode to Alter <br /> Demolish <br /> <br /> 3 <br /> __i{t. 1~ iR>x ~ Amnsville <br />Address <br /> <br />Budding <br />Structure <br /> <br />This perrTfit Covers <br /> <br />Valuation $ <br /> <br />Permit Fee $ 10.2 <br /> <br />Surcharge <br /> <br />Septic Tanl<~ SD.hO <br /> <br />Total Fee S-- '' <br /> <br />Lot -- Block <br />Lot Siz~ -~.6 <br /> <br />Additlon -- <br /> <br />Size of Bidg. __ <br /> <br />24 x 56 nppr. 3 M"xkr' <br /> <br /> mobJ le hot'ne <br /> <br /> s ez: Lic we ]. 1 <br />Sewage f3isposol Water Supply <br /> <br />Builder & No, <br /> <br />Phone <br /> <br />Phone <br /> <br />3 20'-)R} 3 <br /> <br />A,chimct -- Addr ess Phone <br /> <br /> DESCRIPTION OF WORK <br />This gent]croon is on VA and Socii~l Security Pension because of medical disabiliqy. <br /> <br />The mobile home is to house fatal labor, to dssist wi[h thi~ project. TwO boys who will <br />wurk ~n f~=zm~ ,:~d g~ I.o ~%~,u,,d= High <br /> <br />Conditional Use ....... Parlition(ng <br /> <br />Zone Change No, <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br /> ~"~LA N EXAMINER <br /> %~'(pprove~d- Not Approved <br />By ---;d <br />Dote ~,'~1':7¢ <br /> <br />Heating Phm~bing <br /> <br /> <br />