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MARION COUNTY BUILDING INSPECTION <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 AM <br /> <br />SIGNATURE OF APPLICANT -- <br /> <br />ct~NTcE: 03/05/90 <br /> OLSON, ROGER <br /> <br />TIME: 15:54:19 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />REBi DENTIAL <br /> <br /> 660 MICHAEL WAY <br />AU~C~3~VI LLE <br /> <br />OR 97325 <br /> <br /> CONTRACT CiTY <br /> <br />AUfV~VI LLE <br /> <br />UGB <br /> <br />NO <br /> <br />M^ILINGADDRESS RESIDENTIAL ACCESSORY STRUCTURES <br /> <br /> PARCEL ~3 <br /> 4833 JUNIPER CT N <br /> KEIZER OR 9?303 <br /> PHC)NEt 749-1911 SITE NUr4BER: 7930 <br />LOT R~CK SECTION ~WNSHIP RANV~LUATION: ZONE <br /> <br />WIDTH DEPTH AREA 25 UNITS 8S I~REG LOT <br /> 75 190 14250. SF NO NO <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />OLSON, ROGER <br />4833 JUNIPER CT N <br />KEIZER OR 9?303 <br />PHONE: 749-1911 <br /> <br />PERMIT OR APPLICATION NOt 9022268 <br /> <br /> ARCHITECT/ENGINEER, NO. <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE --ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSE'SSED FEES <br />PREVIOLIS RECEIPTS <br />THIS RECEIPT <br /> <br />BALe, NCR DUE <br /> <br />AMOUNT <br /> $56.50 <br /> $36.?3 <br /> $3.84 <br /> <br />$99.90 <br /> <br />$99.90 <br /> <br />$0.00 <br /> <br />DATE <br /> <br /> SETBACKS: FR 20 LS 5 RS,5 RR 5 SP <br /> <br /> SiTORTES: <br />OFFICE COPY <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />PLAN.ACTION: <br /> <br />SEPTIC: BY <br />ZONING: BY DATE <br /> <br />REfVlARKS: 3-CAR GARAGE <br />HEIGHT: TOTAL SQ <br /> <br /> PAYEE: OLSON ROG~¢7 ,i ,:: ,, 236~4 <br /> RECEIVED BY: PR '~,! b~--;..i; , ,:._:jJ:i),:.;;~:,:'~ .:_4__~..~ .................. TYPE:,:,TN: CHECK ¢;: 0 <br />* THIS IS NOT A PERMIT. TH~S;:~'APPEIC~.T~'ON fCUST GO THROUGH L~:'REV][EW PROCESS WHERE THE <br />FOLLOWING NUST BE COMPLETED.) ~% :I:$; THE~ RESPONSIBILITY OF THE:APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BE~EN: PRO~/iDED; <br /> <br /> REvi , .;,,,/.,/ ./CC.__ <br /> <br /> <br />