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[FOR CI,TY VALIDATION <br />ilZoning Validatiorc t ~/~/fffl, <br />IDate: ~-'.~ ?-q<. ~ <br /> <br />IFOR CITY USE'ONLY <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Chtwch St¢.~.[i - Room 132 <br /> <br /> BUILDING. PE~I~LICA~O~ <br /> <br />1. JOB DESCRIPTION <br /> <br />2. LOCATION OF INSTALLATION &0od ~trd, tYr~. q 1~ 7/ <br /> <br />3. CONTRACTOR iNFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />4. FEE SCIIEDULE <br /> <br />??/-3/5'/ <br /> <br /> square footage of proj,ct.) <br /> <br />(2) 5% State Surch~g~ (.05 x Al) <br /> <br />(3) Structural Plan RevMw (.65% x Al) <br /> <br />(5) ~nin8 Surch~ge. ie applicable (.05% <br /> <br />=$ <br /> <br />Nameof^pplicant(pl~aSePrlnt): ~/q~e-~/'~/~2, /~'~'__ .~".d/~>~,q/__ <br />$1gnamr¢ of Appllml~~?~~'~~ .... __Date: <br /> <br />3/9'/ <br /> <br /> <br />