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Rec:~Ived ~y;; <br /> <br />C~ty <br />Zoning ValidatIOfl~ <br /> <br />BUILDING [] <br /> <br />MARION COUNTY I~UILDiNG INSPECTION <br /> <br /> ~om~ ,OUE ~ SE~ ~ <br /> <br />City Sofba0k Requirements; <br /> <br />side, Side' <br /> <br />P~per~y Owner; <br /> <br />Job Address' <br /> <br />SubdivN~lOn: <br /> <br />IVlOblle Home Park! <br /> <br /> PERMIT APPLICATION <br /> <br />I~ ~-~,.. ~? .L_ ~.~-~", ~" ~ <br /> ,Sae No.: <br /> <br />Property Tax Lot No.! <br /> <br />Lot: <br /> <br />Cross Street: <br /> <br />Fleet S/C Zone~ <br />Block;; <br /> <br />Total # Spaces; <br /> <br />Lot Width;: Lot Del3~ <br />~.o,-/ '., ~"~ <br /> <br />,, Z~e; Map:: <br /> Irreg. Lot: Oe~ner: <br /> <br />Phone; <br /> <br />,., ExJstir~g Bedrooms: <br /> <br />Use of Building:: <br /> <br />Sq, Ft Garage; <br />Occupant Load' <br /> <br /> Valuation; <br /> <br />OTHER PERMITS REQUIRED BY TI'tiS DEPT.: PLUMBING, MECHANICAl. ELEC'I'~ICAL <br />MC 154 <br />Rev 12/87 <br /> <br />RES {~ <br />CaM ~ <br />C~het:: <br /> <br />Water Supply <br /> <br />Bidg Fee; <br /> <br />Mobile Home Fe¢~ <br />Fleet Succ. harge; <br />Zoning Surcharge:: <br />State Surcharge: <br />Plans Check Fee; <br />Site Evaluation Fee;; <br />Sel31id P~mit Fee" <br />DEO Surcharge <br />Technical Review Fee <br />Reinspection Fee: <br />Investigation lee;; <br />City Fee <br /> <br />TOTAL FEIK: <br />RECEIPT NO,- <br /> <br /> <br />