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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: ~88-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a ~{~tere0 buH~er OR ( the euthor~ed representable ~I~NATURE O~ ~PL~CAN <br /> <br />i'6WN~TE: 02/0't/9'] .... T",~"t,' '~'~:~'1"1'.'~ .......... :' TXX'Lbf: ~fE~ORY; <br />J~ITUS AOORfiSS: CONSTRUCTION' ~¢~E: ' .......... ~'O~d~X~C¢'. <br /> <br /> : ............................ co.~c~ c~ ~ "~r ...................... ~ ~cu~.~ [o~ <br /> 5336 ~E~ RD SE : ' <br /> AU~V[ LLE OR $73~5 ~ ~ <br /> <br /> ~E: '169-220~ : 811'E NU~ER: '~80'~' 2- <br /> .................... . ................... V~A[ i~.~ ....... <br />"LOT;:, ~[ ~k~ ~ ~CTI~N; ' ~WNSHIP; i RANGE: ~ ZONE= : MAP: <br /> <br /> I ............ ~ ..................... ~ ,, ,, .,,; ................ .,.. ', .......... . <br /> ~IDTW: ':DEPTH: ' ; AREA: ; UNITS: ~ : iRREG, LOT; ' t~"""~h'N~R'~ "-"E~"--J ........ ~5' <br /> <br /> ............... :, .................. ~_...._ L .................. ~ . ~ ............. ND_..I ......... ~__. <br /> <br />TYPE: 0N-E,I't~' :SP,3~A~E <br />PERMIT OR APPLI~I'I~ NO: 9030238 <br /> <br />[~TgTOR, NO. <br />~RE~T, D~ER <br /> <br />~E: 769-2204 ~ <br /> <br /> Sr~o,oo <br /> <br /> $50. O0 <br /> $0_00 <br /> $50, OO <br /> <br /> $0.00 <br />31957 <br /> <br /> CHECK <br /> ?84 <br />~E~ A'r'I'ACHE0 DOCUME3qT FOR R~ZR~TS <br /> <br />~ TH[S iS NOT A ~IT. ,THiS,~PLICATI~.~T ~ ,~ A R~I~ P~ ~ERE THE <br /> <br />R~RKS: H~P ~'I'R 2 ~D~ ~ UNiT ~4955 <br /> <br />~o~ ~ ~c ~.~ R~V. 4~ OFFICE COPY <br /> <br /> <br />