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MARION COUN'FY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street ~NE * Room 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8~00-4;80 - Phorle~~(503) 588-5147 * 24-HR Inspection L ne: (503) 588-7904 <br /> <br /> HRHUFA~T~I~D~#ELLZNG APPLICATION <br /> D~T¢/TTHF : 11/B?/9S 14~ : ACTIVITY MO = 9§-174~6 <br /> <br />· TO EXPIRE <br /> .. . . :.. ,: i:. ~ PAgE <br /> <br />..............oR~ -~Esc ........ ~. .............................. MP~ .OHE - SP ~7 - e~H~M~R~'~ZA~O.S ......................................... <br /> SITS A~DRIF9S ~ CIT¥~ ~UMSVILLE <br /> '706 ~TAFFORD ~T ~E AM <br /> <br /> CROSS STRFFT c MTll, CREEK <br /> <br /> P~RCEL NIJ~ER <br /> PARCEL S~ZE : 5500.~ SF <br /> <br />OWNER NAME : SANTIAM HOMES <br />'APPLICANT <br />NAME <br />AD~RES8 <br /> <br /> PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br /> PHONE <br />UNiT ~ Ff' <br /> <br />SAflT~AM HOME~ <br />11373 MILL CREEK RD SE <br />AUMSVTLLE~ OR <br /> <br />769-7744 <br /> <br />CARVER ENTERPRISES LI,C <br />~AflTIAH HONES <br />7~-7744 <br /> <br />: 117~ <br /> <br /> MaDu~ac'~ured O~ellzng ~ee <br /> S~a~e s~trcharqe <br /> ~ta~e administrative fee <br /> <br />PAYEE: SANTIAM HOMES <br /> <br />OCCB: 98~40 <br /> <br />ju~t~e~ts ~ <br />fees : 277.25 <br />payMeD~s~ .0~ <br />La~ce due : 277,25 <br /> <br />THIS IS NOTA PERMIT. ~rHISAPPLIC~TION ~UST GO THROUGHA SIMULTANEOUS REVIE~ <br />PROCESS.~HERE,ZOM~NG. SEPTIC.(IFAPPLICABLE) AND SITEPLAfl IS CHECKED PRIOR TO <br />THE:iSSU~HCEOF A PERMIT. ~TIS THERESPO~SIBILITY OF THE APPLICANT TO ASSURE <br />THATALLNECESSARY IflFORMATiON:iSiPROVIDE~, AS SOON AS ALL REQUIREHEWTS OF THE <br />RFVIE~ H~VE BEEHHET~ YOU ~ILL BE. HGTIF~ED~TH~T YOUR PERHIT H~S SEEN ISSUED, <br />SI~N~TIJRE OF ~PPLIC~NT~ ' <br />******************************************************************************* <br /> <br />PI,AN REVIEW~=~ .............. ~ . : ,,,.~~ .... DATE: <br /> <br /> <br />