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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY OEVELOPMENT CENTER <br /> <br /> 285 Church street NE · Room 132 · Salem, Oregon 97301-3670 <br /> Office Hours: 8:00-4:30 · Ph,one: (503) 588-5147 · 24-HR inspection Line: (503) 588-7904 <br /> <br /> MANUFACTURED DWELLINg ApPLI'CAT[ON <br />DATC/T[~[ : e7/26/~5 14:5~ STATUS : APPLIE9 <br /> <br />TYPE : New Manufactured Dwelling <br />CLASS : TO EXPIRE ; ~1/1~/19~6 <br /> <br /> '~]~ CTTY'' H~RION COUNTY <br /> SITE AI)DRE.,~,~ : ..... <br /> 11~15 DALY RD I,]E AR <br /> <br />CROSS S]I~I:.E1 : ARI,IDT RD NE <br />PARCEL NUHBER : <br /> FARE, EL SIZE : 1.4 AC <br /> <br />OWNER'NAHE : BUREESS,DON R E KATHLEEN M <br /> <br /> APF L.[CAN1 <br /> I,IAHE ~- : BURGESS,, DOll R & KATHLEEN[M <br /> ADI)RE,~S ' ~5881 SOHUI...rZ RD NE <br /> PORTLAIqI), <br /> : <br /> <br /> : BURL;ESS,DON R & KATI4[,,EEN ~H OCCB: <br /> : HbI LIC: <br /> <br /> U~d. ts gesc Lil~j:ion : ......... F'ee <br /> <br /> i State ad~,v,i, nis~'rative fee ~,, <br /> <br /> Tota 1 fees <br /> <br /> DONALD E,, WO[II)LEY~ KARIOI4 COUNTY BUII~D:14~ OFFICIAL / BY HBUL, L <br /> <br /> ........................... FOR OFF']:CE USE ONLY. THIS l.~S IS NOT A ~ER~lf <br /> <br /> f-"HONE <br /> <br />.CONTRACTOR <br />PHONE <br /> <br /> INS'f ALt. ER <br /> F'HONf-" <br /> <br /> UI'IIT SQ F'f <br /> <br /> <br />