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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97901 <br /> <br /> PHONE:: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other. <br /> <br />OWNER LANKFORO, 8OB R. <br /> <br />SITUS ADDRESS <br /> <br /> 11689 WARBLER LANE <br /> AURORA <br /> <br />OR 97002 <br /> <br />NE <br /> <br /> MOBILE HOME <br /> <br />PO BOX 6859'7 OAK GROVE, ORE 9'7268 <br />PHONEt ~78~316T <br /> <br />BLOCK SECTION TOWNSHIP <br /> 19 33 <br /> <br />'~0 DEPTH ~ 07 AREA UNITS <br /> <br />SIGNATURE OF APPLICANT <br /> <br />DATE <br /> <br />TAX LOT <br /> <br />CATEGORY RESi DEN f i AL <br /> <br /> CONTRACT CITY <br />MARION COUN [Y <br /> <br />UGB <br /> NO <br /> <br />OCCUPANCY <br /> <br />C~¥URY MEADOWS PHASE 4 <br /> <br />35 <br /> <br />5F <br /> <br />Si]E NUMBER: 7869 <br />VALUAI ION; <br /> <br />RANGE ZONE MAP <br /> AR ! <br /> <br />LOT YES CORNEF~o <br /> <br />tYPE: MOBILE HOME <br />CONIRACTOR, NO.. 3'74 <br /> <br />AL 5CHMiDHAMER - AGEN] <br /> <br />~HONB: 678-1161 <br /> <br />MO~ILE HOME BASE <br />MO81LE HOME ~TAIE FEE <br />MO~IL~ HOME ZONING ~URCHARGE <br />MOBILE HOME U]AYE SURCHARGE <br /> <br />PERMi¥ OR APPLICAtiON NO: <br /> 654-417 <br /> <br />3329? <br /> <br />'f'O'IAL A,SSESSED FEES <br />PREVIOUS RECEIPt5 <br />'THZS RECEiPt <br /> <br />QUAN]I]Y <br /> <br />AMOUNT <br /> $892~ <br /> <br /> ~5,25 <br /> <br />$115.50 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEEt R~CEiP[ <br /> <br /> RECEIVED BY: OM2 YYPE: CHgCK ~: <br /> <br />* THiS IS A VALID PERi, iT * THIS PER~IT EXPIRE~ 180 DAY~ FRO~ ITS I~E DATE+ iF <br />~5T~CTI~ C~ ~R A PERIOD OF 180 ~,OR IF ~ST~CTi~ FAI~ TO MEET ALL <br />~IR~TS OF STATE ~ ~O ~Ri~ ~NTY BUILDING ~O Z~IN60RDiN~C~, THIS <br />~ALL 8~E NULL ~D ~lD. <br /> <br />RgMARKS: RELOCA'FE MR F~ '' <br /> LoT 10 &'-11 TOBE'-TOT'L~_Y,ON LOt 10/ (~ Rn 3762 <br /> <br />PLANNING ACIION: <br />DONALD E_ WOODLEY, MARION COUNiY BUILDING OFFiCiAL / 8Y <br /> <br /> f <br /> <br />OFFICE COPY <br /> <br /> <br />