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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 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OATE: 10/18/91 T.[ME: 11:20:45 <br /> <br /> L.ANKFORD, 8OW R. <br /> <br /> 11(588 WARIBLER LANE NE <br />,~U FORA OR 9?'002 <br /> <br />USE OF BUILDING <br /> <br />MC~ i LE HONE <br /> <br />MAILING ADDRESS <br /> <br />AL ~HI'41g1HA~ER - AGENf' 654-4179 <br />PO BOX 6859'7 OAK GROVE, ORE 9?2(58 <br />PHONE: 6'18-1181 <br /> <br />LOT BLOCK <br /> 10 19 <br />WIDTH DEPTH <br /> <br />fYPE: MOi~ [ LE <br /> <br /> SECTION TOWNSHIP <br /> 33 35 <br /> AREA UNITS <br /> SF <br /> <br />PER,I'4i f OR APPLJ, CAflON NO: <br /> <br />F~RJ ON COUN IY <br /> <br />UGB <br /> <br />CATEGORY <br /> <br />NO <br /> <br />RES 1 DEN I f AL. <br /> <br />OCCUPANCY <br /> <br /> R-3 <br /> <br /> 3 <br /> <br />CENYURY MEADO~ PHASE 4 <br /> <br /> S,(IE NUMB~'R: <br /> VALUAi ION: <br /> <br />RANGE <br /> 1N <br />IRREG LOF <br /> <br /> f069 <br /> <br /> AR 1 <br /> CORNER <br />YES NO <br /> <br />903329? <br /> <br />CONIRACiOR, NO. 374 <br />AL ~f'4IBHAMI:R - AGrF.:.Nf (554-417 <br />~HONE: 678~-1161 <br /> <br /> i f <br />I~lr~iLE HOf4E bIA~E FEE <br />MO81LE HOME ~/~A~ FE~. <br />MO,~ILE Hf,~E ZONING <br />IVlOt31LE HOME 51ATE 5URCHA~F <br /> <br />f'OfAL A~E~ED FEES <br />PREV i C~S RECEIPTS <br />fMi5 RECE:IP r <br /> <br />QUAN I I ~ Y <br /> <br />AIv~OUN f <br /> ~89.25 <br /> 15 -75 <br /> ~5-25 <br /> 5.2b <br /> <br /> 15.50 <br /> $o.oo <br />$115.50 <br /> <br /> I ~ BALANCE DUE $0-00 <br /> <br /> PA,Y, EE: ALFRAN, iNC.' '~,.I RECEIPf' <br />_ __R~CBi_vBD BY: DM2 ...................... ~ ]YPE; CK OHECK :~*- 9222 <br /> <br /> ~-OLLO~ING ~T BE ~PLETED. IT IS THE R~SlSILiTY OF THE APPLiC~T TO ~RE THAT <br /> ALL N~ INFO~TI~ H~ 8E~ P~IDED. <br /> <br />OFFICE COPY <br /> <br /> <br />