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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE - Room 132 - Salem, Oregon 97301-$$70 <br />Office Hours: 8;00-4:30 - P'none: (503) ~:~88-5t47 * 24~HR inspection Lira3; (505) 586-7904 <br /> <br /> ON-SITE APPLICATION <br />DATE/TIHE : 1~5/22/9'5 11:52 STATUS : APPLIED <br />TYPEPERMIT HO <br /> <br />SU)DIVISIOH : LOT: ~LOCK.' <br /> <br />CROSS ~TREET = GOLF CLUB <br /> <br />PARCEL NUHBER <br /> PARCEL SIZE : 6.~ AC <br /> <br />0~NER <br />H~ME = STAYTOH FORD <br />ADDRESS ; P 0 9OX 377 <br /> NZLL CITY, 0~ <br />PHONE ; 769-6666 <br /> <br />APPLiCAIfF <br />HAME : ~CALL LEI.AND <br />nDDREGS = PO ~OX l~ <br /> <br /> ST&YTOH~ OR <br />PHONE : <br /> <br />CONTRACTOR <br />Pl.,tOME <br /> <br />WORK DF_SC <br /> <br /> : ~CCALL LELAND OCC~: ~773;4 <br /> <br />Descdetzon , <br /> ~utherzzatl~n #~'eld visit <br /> DEG ~urcharge <br /> <br /> A~sed fees <br /> ~ust~ents <br /> al fees <br /> Tohl pa~ents~ <br /> <br />............. ~alanc~,,due <br /> <br />2~2.9e <br /> <br />252. <br /> <br />252.~ <br /> <br />ZONE <br /> <br /> <br />