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Zoning Vehdation _(~ '~ <br /> <br />BUILDING [] <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> MOB,'E.OME [] S PT,C I <br /> <br /> City Setback Require_m_e[~!~ <br /> Front ~.~L, Rear <br /> --4 <br /> E~- - - Right -- <br /> <br />PERMIT APPLICATION <br /> <br /> Property Owner Phone:: Mailing Address ~ .............. ~-~"J O i. <br /> <br />Job Address::' Site No:: Cross Street <br /> Fleet S/C Zone <br />Subdmvision Lot Block <br />'-'~oBile Home ~ark Sp ~ Total ~ S~aces .... <br />Section Tow*ship ~ Range .......... ~ ~: .... Map <br /> <br /> Lot Width Lot D~pth ~ ~ :: Corner <br /> <br />Contractor Business Name and No <br /> <br />Phone <br /> <br />Phone:: <br /> <br />Type o¢ Permit '/ New <br /> <br />Height of Building:: <br /> <br />Mob;l~ Home <br />Width <br /> <br />~ Addition:: ~J Demo <br />~J Relocation:: [] Ccc Chg [] <br /> <br /> N~ Stories Sq Ft Main Floor <br /> <br /> Mobile Home # Bedrooms <br /> Length ~ ~o ~ <br /> <br />Tach <br /> <br />Review [] <br /> <br />Use of Building~ <br /> <br />Sq Ft 2nd Floor <br /> <br />Sq Ft Garage:: Other <br /> Wa;[ef~ Supply <br /> <br />Occ~.~ancy Occupant Load <br /> <br />RES ~ <br /> <br />Proposed Septic Installation <br />Previous Site Evalu~ztion # <br /> <br />Type of System <br />Test Holes Ready <br />Will call when holes ready <br /> <br />Existing Septic System <br />Existing Tank Size <br /> <br />Exisgn~_ Drainfield Length <br />Type of System <br /> <br />Date Tank Pumped <br /> <br />_P_(~?e_e.d' Bedrooms <br /> <br />Existing Bedrooms <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Valuation $ <br /> <br />Bldg Fee $ <br />Mobile Home Fee <br />Fleet Surcharge <br />Zoning Surcharge <br />State Surcharge:: <br />Plans Check Fee <br />Site Evaluation Fee:: ....... <br />Septic PermJt Fee <br />DEQ Surcharge <br />Technical Review Fee ...... <br />Reinspection Fee:: <br />Investigation Fee <br />City Fee:: <br />TOTAL FEE <br /> <br /> <br />