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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />Other ............... <br /> <br />thi~ documet~t, <br /> <br />SIGNATURE OF APP~.JCANT: <br /> DATE: <br /> <br />owrc~!f'E: 08/10/90 TIME; 10:08~24- <br />si'lBS ADDRESS.u'[Z; FELIX <br /> <br /> TAX LOT: <br /> <br />': GONSTRCGT~ON TYPE: <br /> <br />CATEGORY: <br /> <br />OOGBPANCY; RESI DEN'T 1AL <br /> <br />12748 OONALD LOOP R0 NE <br />AURORA 9Z002 <br />uSE OF SU~LB~RG; NARfON COUNTY NO <br /> <br />' SUBDIVISION: <br /> <br /> PHONE: B?8-1304 <br />LOT BLOBK: <br /> <br />SE~ION: ~OwN~HIP: <br /> <br />SITE NUMBER: 10198 <br />RAN~LUA'f ION: i ZONE: <br /> <br />MAP: <br /> <br />AREA; ~ UNITS; '~S IRREG. LOT: lW :CORNER: EPU <br /> 1 · 5 AC NO YES <br /> <br />'I'YP~: MOBILE HOME <br /> <br />CONTRACT'OR, NO. 490? <br />K.[LF~OYS MOBILE HOME <br />2230 NO PACiFiC HWY <br />~,~¢OOLY~ur~,,~ OREGON 97071 <br />PHONE: 3 ~'1-6820 <br /> <br />PER-'f'flI'T' OR APPLiCATiON NO: 25929 <br /> <br /> tIfD~ <br />MO~ILE HOME 8ABE FEE <br />MOBILE HOME S'f'Af'E FEE <br />MOBILE HOME ZONING SURCHAF~GE <br />FLEE1 SURCHARGE -ZONE <br />MOBILE HOME Sf'ATE 5U~ARGE <br /> <br />PAYEE; <br /> <br />TOTALASSE~£B <br />CRE¥IOUS RECeiPTS <br /> :f'HJS RECEIPT <br /> <br />0UANI'iI'Y <br /> <br />AMOUN { <br /> <br /> 15. ~5 <br /> <br /> 1.68 <br /> $5.25 <br /> <br />$123_18 <br />$123,18 <br /> $o.oo <br /> <br />BALANCE DUE $0_00 <br /> <br />RECEIPT <br /> <br /> RECEIVSD BY: X>C,< TYPE: CHECK ~: <br /> <br />~ THI~ iS A VALID PER~IT ~ THiS PER~IT ~(PIRES 180 IDAY~ Fl~0~4 l"~ i~E ~TE. IF <br />~T~CTi~ C~ FOR A PBi~OF 180 ~,OR IF~TBCTI~"FAI~ TO ~EE'T' ALL <br />~IR~T~ OF ~TATE ~ ~O ~RI~ ~NTY BUILDING ~O Z~iNG ORDIN~C~, THiS PE~IT <br />~ALL B~E NULL <br /> <br />~E'I'BACKS: P'R 40 LS 20 ~ 100, R,,R, 100 SP <br />REMARKS: MOB1-LE HOME PLAC~]~ CANCELED BUtED~G PERMIT <br /> PROPERTY_ RF:PLACBME~,TTT OF PRIMARY RES <br />PLANN lNG ACTION: , <br />bX3NALD E. WOODLEY, MARJ, ON COUNTY BUILDING OFIFIC,[AL <br /> <br /> OFFICF COPY <br /> <br /> <br />