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Rbceived B <br /> <br />City ~ <br />Zoning Validation'~"*¢ ~ ! <br /> <br />Date .,.AU~USI- 26; lqql <br /> <br />BUILDING [] <br /> <br />Job Address / <br /> 14843 Bob's Avenue <br /> Aurora, OR 97002 <br /> <br />Mobile Home Park <br /> <br />....LOt Width/' Lot Dep/th <br /> <br />Acres <br /> <br />MARION OOU~Z~Yor~BUd~,b~[~ ~,~[=~ml~T,~)~ f~i~'~,-~ltback Requirements 1 <br /> 220 High Str~ <br /> <br /> HO E SE.Tm <br /> <br /> Site No:: ~ C(oss Street:: <br /> j .~way .,99E <br /> l Flget 8/C Zone <br /> ~45¥7- 44d / Block:: <br /> <br />Property Tax Lot No <br /> <br />Lot <br /> <br />Sp # <br /> <br />Irreg Lot <br /> <br />t~Total # Spaces:: <br /> <br />Map:: <br /> <br />f~-ontractor Business Name and No <br /> <br />Phone:: <br /> <br />Phoee <br /> <br />Address <br /> <br />Address <br /> <br />"'iypeoi-~it ] New:: L~ Addition [] Demo [] Teeh <br /> <br /> Height ct Building No Stories Sq Ft__Main Floor:: <br /> <br /> Mobile Rome Mobile Home # Bedrooms <br /> Width:: Length <br /> <br />Sq Ft grid Floor <br />Occupancy <br /> <br /> Use of Building <br /> <br />rq <br /> <br /> -~-¥ Dt-Garage <br /> <br /> Occupant Load <br /> <br /> Proposed Septic Installation <br /> Precious Site Evaluation # <br /> <br />_ _T~(~e of System <br /> <br />Test Holes Ready;: ..... <br />Will call when holes ready Proposed Bedrooms <br /> <br />Existing Septic System <br />Existing Tank Size . .... ~_00-600 gRis. <br /> Existing Drainfield Length:: <br /> Type of System:: <br /> Date Tank Pumped 2/15/88 Exi~st.?...q, ~ecirecms <br /> <br /> ) Other ....... <br /> <br />SIGNATURE Of APPLIC/~/' ~//~.-w~.z~-- ~/~ ~ ~ ...... <br />OTHER PERMITS REQUIRED DY THIS DEl=T,: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Valuation <br /> <br />Bldg Fee <br /> <br />Mobile Home Fee <br />Fleet Surcharge <br />Zoning Surcharge:: <br />State Surcharge:: <br />Plans Check Fee <br />Site Evalualion Fee <br />Septic Permtt Fee <br />DEQ Surcharge <br />Technical Review Fee:: <br />Reinspection Fee:: <br />Investigation Fee:: <br />City Fee <br /> <br />TOTAL FEE <br />RECEIPT NO <br /> <br />RES <br /> <br />CCH <br /> <br />...... ! DO, ¢,o <br /> <br /> <br />