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MARION COUNTY BUILDING INSPECTION <br /> <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M. <br /> <br />I have agree to the terms stated on the reverse side of <br /> <br />SIGNATURE OF ~PPLICANT <br /> <br /> DATE <br /> <br />°~TE: 10/18/89 TIME; !0:28:27a <br />suus*o~gEsCAKER~ ROBERT & CHRISTINE ~.~ <br /> <br /> 9263 PORTER RD .~~SE <br />us~.J~LE OR 97825 <br /> <br /> TAX LOT <br /> CONSTRUCTION T¥1~E <br /> CONTRACT CITY UGB <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br />OccvrANc¥ COMNIERC I ~ L <br /> <br />MAILING ADDRESS <br /> <br />SUBDIVISION <br /> <br /> PJ4ONE: 749-'-2566 <br />LOT BLOCK <br /> <br />WIDTH DEPTH <br /> <br />SECTION TOWNSHIP <br />1 <br /> <br />9S <br /> <br /> SITE NUMBER.- <br />RcNGrFALUAT I ON: ZONE <br /> <br />IRREG LOT CORNER <br /> 2~ <br /> <br />EFU <br /> <br />NO NO <br /> <br />MAP <br /> <br /> 51 <br /> <br />TYPE: MOBILE HOME PERNtT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />EAKER, RE)BERT & CHRISTINE <br /> <br />9019685 <br /> <br />PHONEr ?49-2556 <br /> <br /> I TEIvl <br />MOBILE HO~E ADOTL. SURCH~.RGES <br />FLEET SURCHARGE -ZONE 3 <br /> <br />TOTAC ASSESSED ~EES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />,%MOUNT <br /> $25.oe <br /> $3 8~ <br /> <br /> $28.84 <br /> $o,oo <br /> $2'~ $4 <br /> <br /> ~,,~NCE DUE $0_ 00 <br />PAYEE: BAKER, ROBERT & CHR~ST~'NE \'~. \ RECE;[P~ NO: 20895 <br /> <br />~ ~IS IS NOT A PB~IT. ~IS APPLICATI~ ~ST ~ ~ A R~I~ P~ ~ERE THE <br />~OLL~IN6 ~ST BE ~PL~EB. IT IS THE RB~SIBILI~ OF THE APPLI~T TO ~RE THAT <br />ALL N~RY INFO~TI~ H~ 8E~ P~VIDED. <br /> <br />$EPTICt BY DATE ............... C:~ JURISDICTION; 8Y ......... OATE ......... <br /> <br /> SETBACKS: <br />ZONING:: <br /> <br />R~ARKS: STOOGE -- ~QSZLE OFFZCE <br />PL~NN ING ACTION: <br /> <br /> <br />