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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />°Wl~/E: 12/13/90 T.[f~E; 13:08:05 <br /> <br />'fAX LOT CATEGORY <br />CONSTF~UCTION TYPb OCCURANC¥ <br /> <br /> 235 EVERGRgEN DR <br />AUI~,~V,[ LLg QR 9'13;'5 <br /> <br /> CONTRACT CiTY ~GB OCCUPANT LC~A~¢~ <br />AUf'4~VI LLE NO ~¢ o~- ~Ut~O~TS <br /> <br />RE$IOEN'f ,[AL. ACCE~RY SfRUCTURES <br /> <br /> P,O. 8OX <br /> AU~oVILLg, OR <br /> <br />LOT BLOCK <br /> <br />[YPE: ~UILDING PERNif OR APPLiCATiON NO: <br /> <br />C~.,)N [RAL',] OF,', NO. '38239 <br />SANf IAIVl ~L)~iLE HC"ffl~ <br /> ~'~3t3 ~iLLCREEK RD SE <br />AU~VILLE OR 97325 <br /> <br />BUiLDiNG FEE <br />PLAN REViE~ <br />FLEE~ ~RCHARG~ -ZONE 3 <br />BUiLDiNG SfAIE 5URCHA~]E <br /> <br />PAYEE: SAN TIA~ ~fJE[LE HO~E~ <br />RECg,[VED MY: PR <br /> <br /> 9029283 <br />A~;HIfEC?/gNGINEER, NO, <br /> <br />PHONE: <br /> <br />10'TAL A~S~ED FEES <br />fHIS RECE~P1 <br /> <br />Ar,,'DU N f <br /> ~bu.5o <br /> $32,83 <br /> <br /> $2.53 <br /> <br />$89. '?0 <br /> <br />$89_ ~o <br /> <br />BALANCE OUE $0.00 <br /> <br /> 30948 <br />fYPE: IN CHECK ~: 0 <br /> <br /> ~ fHi5 ]5 NOr A P~Rt~I[. FHZS APPLICATION DtUST GO <br />t';OLLOWiNG ~JSf ~ CO~4PLE'?ED. ~r [' ~5 7HE ~-.~P'ONSiB~L1]Y OF file APPLICAN[ IO ~URE <br />ALL NECJE~5.~,RY INPORf'4AfION HA.,5 86~N PROViDP..-D. <br /> <br />5EPT[C; ~Y ........ <br /> <br />ZONiNg: BY <br />REHARK~: C~RPO~¥' <br /> <br />H&iGHI: 12 <br /> <br /> CiIY JURiSDICflON; BY DA~t <br /> <br /> 0A'IE .......... <br /> OAf~ SETBACKS; PR t0 LS R5 R/R 10 5P <br /> <br />10~AL ,~ 788 Sf'ORiES: 1 PLAN.ACIION: <br /> <br />OF FICE COPY <br /> <br /> <br />