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ACTIVITY <br /> <br />PLEASF FILL OUT THE FOLLOWING INFOFU~4ATION AND YOU WILL I~E DIRECTED TO THE NEXT <br /> <br />TYPE OF APPLICAYIO~N <br /> ~ ~ AG EXEMAq' BUILDING <br /> ~ BUILDING <br /> ~ DWELLING ~ BUILDING DEMOLI~ON <br /> I ; DW~iNG ~B~ [ J S~ P~N REVI~ <br /> ~ MANUFA~RED DWELLING ~ $~ ~ALUA~ON <br /> <br /> ~ .,J M~UFAC~ STOOGE ; ,J S~ ~ALUATiON~EPTIC <br /> ~ J PRE-FAa SEP~C <br /> <br />ELi=CTRiCAL <br /> <br />DRIVEWAY <br /> <br />WORK D,ESCRtPT!ON :, <br /> <br />( ) <br /> <br />( ) <br /> <br />I am performing the work on property J own or occupy. <br /> <br />I am a resistered builder or the authorized representative of a registered builder. <br />State of Oregon Construction Contractor's Board RegistratiDn # ~ <br />FAX# ........... <br /> <br />I am the authorized representative of the property owner or contractor, <br /> <br />I will be hiring a general contractor registered with the Construction Contractors §oard. <br /> <br />This application may go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to a~sure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT'. <br /> <br />5/16/95 <br /> <br /> <br />