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FOR,' OFfiCe,US? ~, .N..L.YI <br /> Reeewed by:~' <br />I Zoning Validatiofi'-~-~fLt~.~ I <br /> <br />MARION COUNTY BUII~D, ING lt~. SRFai2~filO~ ~ <br /> 2~H~h$~ ~ ~ ]] ~] I~ ]~R OFFICE USE ONLY <br /> S~em, ORal [~s~ Reqdr~ts: <br /> <br /> MANUFACTURED STRUCTURIff~fI~~¥ <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 PERMIT APPLIC~I~ IN~RPECTION <br />1. Job Description r~ <br /> <br />3, Contractor In£ormation <br />Pro~.yOwr~r.dg~vL~[' ~ ~MaillngAddress ................... IPhoneNo. <br /> <br />( ) I un~d ~at I ~ust ~s~r as a ~ztmcfi~ e~ ~ ~ s~ is ~old or ~e~d for s~e befo~ or u~ c~ple~. <br /> <br />ff I ~mg, my mind ~d ~0 Mm a g~r~ ~nmtor. I'~ ~ wi~ ~ e~acmr who ~* ~st*~ ~ ~e Cons~e~n'coniracto[s Board, <d wffi <br /> <br /> : Phone. <br /> <br />4. :Fee Schedule, ,, <br />A, (1) Manufa~ure4 Home · :: <br />~M~arU~t~acmm~C~e~on ~ $182,~~ C, Addi~al~sp~m ~ $60,~ <br />O) S=t, Fed :: <br /> <br />B, (I) Mfg/d $t~tu~ Storage Fee ~ 40.~ ~r hour ¢ hour mi~mm) <br /> <br />I hereby certify that the above information is correct and that I have.read and undemand the Information Notice to Proper~y Ownev~ about Construct[on Responsibilities <br /> <br /> <br />