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MARION COUNTY BUILDING iNSPECTION <br />SENATOR 8LDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 586-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 58~-7904 <br /> <br />SIGNATURE OF ~PPLICANI' <br /> <br /> o?/03/91 <br /> <br />^ne,~s~IACF'- IHOM~b <br /> <br /> 1038~. W/Eg,,~T STAYFOIN RD <br />AUt~VI LLE QR <br /> <br />~R i'/.IN 'OOUN 1 Y NO <br /> <br />SECTION <br /> <br />, ,10_ , AC <br /> <br /> LOT ~ · CORNER <br /> <br />.... ~ , <br /> <br />~NUAL <br /> <br /> C,,~J~N [ [ Y Y ADIOUN T <br /> <br /> ~ ~A~CE ~E $0.JO <br /> P~YEE~ ~OK, NO~ RSOEiPT NO: 8~2~4 <br /> R~OEiV~D BY: CL TYPEz CK O~CK ~ 3439 <br /> <br />~[~ ~T 8E ~T~. IT 1~ THE R~ZBILITY OF THE APPLI~I 1'O ~RE THAT <br /> <br />CITY JURiSDICTiOn; ~Y -. DAT~, ........ <br /> <br />OFFICE COPY <br /> <br /> <br />