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Zoning Validation/-~. ~ _ <br />pete ¢.¢_ ...... <br /> BUILDING [~'"~OBILE HOME <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg,, NO,, 225 <br />220 High Streat NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-~147 <br /> Code-A-Phone 4;30 EM - 8:00 A,M, <br /> <br /> SEPTIC [] <br /> <br />r city setback Requirements <br /> <br />I Left .,~ ~' I Right <br />Side Side <br /> <br />PERMIT APPLICATION <br /> <br />LProperty Owner.,. <br /> <br /> Job Addrees:: <br /> <br />Phone <br /> <br /> Preperty Tax lot No <br /> <br />Let <br /> /¢ <br /> <br />2~g. Address:: <br /> Cross Street <br /> <br /> Fleet S/C ~'one <br /> <br /> Mobile Home Park <br /> <br />~¢t~-n t Tow I, Range <br />Lot Width:: LOt Depth:: Acres <br /> <br />Sp ,¢' <br /> <br />Total ~'~ Spaces <br /> <br />Zone <br /> '~$ <br /> <br />Irreg Lot <br /> <br />/,tracto,,t~, Business Name and No <br /> <br />Type of Permit T New;: <br /> <br />Height of I~uilding:: <br /> y,7 x <br /> <br />--~o~))e Home <br />Width <br /> <br />Addition U Demo ~ Tach <br />Relocation ~J Ccc Chg I~ Review <br /> <br />No Stories <br /> ! <br /> <br />Sq Ft Main ~loo~ ~'~ <br /> / <br /># Sedroome,.~ [Occupancy <br /> <br />Use of Building <br /> <br /> Other <br /> <br />Sq Ft Garage <br /> <br />Proposed Septic Inetsllation <br />Previoue Site Evaluation # <br />Typ_e of System:: <br /> <br />Test Holes Ready_:; <br />Will call when holes ready_ <br /> <br />Existing Septic System:: <br />Existin~l Tank Size;: <br /> <br />Proposed Bedroome:: <br /> <br />~.Fxieting Drainfield Length <br /> <br />Type of System <br /> <br />Mobi)e Home <br />Length <br /> <br />Occupant Load <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT,: PLUMBING, MECHANICAL, ELECTRICAl <br />MC ~$-6 <br />Rev 12/87 <br /> <br />ValuatiOn <br /> <br />Bldg Fee:: <br /> <br />Mobile Home ~ee:: <br />Fleet Surcharge:: <br />Zoning Surcharge <br />State Surcharge <br />Plans Check Fee <br />Site Evaluation Fee <br />Septic Permit Fee <br />DEQ Surcharge <br />Teohnica Rev e.w Fee <br />Reinspeceon Fee:: <br />Investigation Fee:: <br />City Fee <br /> <br />TOTAL FEE <br />RECEIPT NO <br /> <br />RES ~ <br />COM LJ <br /> <br />Wat~ppl¥ <br /> <br />lO. 55 <br /> <br /> <br />