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PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR the authorized representative <br /> <br />'the work will be performed by 8 registered builder, <br />Other <br /> <br /> DATE: 07/02/92 TIME: 14:41."02 <br /> BARRELL, R[CNARO <br /> <br />SITUS Al)DRESS; <br /> <br /> 11762 WARBLER LANE NE <br />AURORA OR 97002 <br /> <br />us~ OF BU,LDI~:NUFACTURED STRUCTURE <br /> <br />-AX LOT'' <br />CONSTRUCTION TYPE OCCUPANCY' <br />~9~1~ ¢¢~UNTY ' u~: i OCCUPANT LOAe. <br /> <br />16341 SO. STOLTZ <br />OREGON CITY OREBO~I~ 97~4~ <br />PHONE: 36~-206~ <br /> <br />SITE NUMBER: 92-02453 <br />VALUATION: <br /> <br /> 'DEFOeH <br />49 ~9 <br /> <br /> RANGE ZONE. MAP' <br /> 1W AR 1 <br />AREA ~,3'1 ~" "N¢~ ......... R~G. LOT: , <br /> <br />PERHZT OR APPLiCCTION NO: 9041017 <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR, NO. <br />BARRELL. RICHARD <br />16~41 80. STOLTZ <br />OREGON CITY OREGON 97045 <br />PHONE: 363-206~ <br /> <br />ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTUREO STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $&82.00 <br /> $20_00 <br /> $9.10 <br /> $15.00 <br /> <br />$226.[0 <br />$226~10 <br /> $0.00 <br /> <br /> ., , ¢-,,, BALANCE DUE $0.00 <br />PAYEE." "~' ' RECEIPT <br />RECEIVED BY" DH _ ~. ~¢ TYP~' CHECK #' 0 <br /> <br />* THIS 11 NOT A PERHIT. THI8 APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOW1NG HUST BE COMPLETED; IT ]STHE RESPONS~B/L[TY OF THE APPLICANT TO ~SSUEE <br />THAT ALL NECESSARY [NFORRRT[ON HR~ BEEN PEOVIOED; <br /> <br />PLANNING ACTION: _ <br />PLAN REVIEW: ~Y ~_'~__ DATE_~- 7~'Z.-. <br /> <br /> CITY JURISOICTION: BY OATE <br /> REMARKS: MOBILE HOME <br /> <br />SETBACKS: <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />