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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 2,I-HR Inspection Line: (503) 58~7904 <br /> <br />DATE/TTME <br />TYPE <br />OCCUPANCY <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />= 81/88/76 11-.33 ACTIVITY MO : 96-~148 <br />-- New Manufactured Dwelling STATUS : APPLIED <br />: R-3 AJ>PLIED : ~1/~8/1996 <br /> TO EXPIRE : B?/B6/199& <br /> P~E I <br /> <br />WORK I)FSC : NMF[;-,'{ BI)RS (CFNTLIRY HEAI)OWS PHASE 3) ' ~~ <br /> <br />SITE ADDRESS : <br /> <br />CII'Y: MARION COUNTY <br /> <br />].1648 KINGFISHER LN NE AR <br /> <br />CROSS STREET : MEAl)OW DR NE <br /> <br />PARCEL NI/MBER : 78558-248 <br /> PARCEL SIZE : '7658.8 SF <br /> <br />OWNER NAMF :CHAPMAN, I)ORAN L <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR/ <br /> A~ENT <br /> PHONE <br /> <br />: BARBETTE CHAPMAN <br />: 11648 KINGFISHER LN NE <br />AURORA,OR <br /> 97882 <br />: HM;678-5884 <br /> <br />: BARBETTE CHAPMAN <br /> <br />INSTALLER : MD LICENSE: <br />PHONE : <br /> <br />ilNIT SR FT : <br /> <br />Fee <br /> <br />Units Oe.~.cr ip,tion __ <br />T Ma nLi fa C ~[if~--~e 1 ] ing: fe~ 245.00' <br />1 State surcharge 12.25 <br />], State administrative fee 28.88 <br />1 Zone surcharge 28. ~)8 <br /> <br /> Assessed fees : 297.25 <br /> Adjustments : .00 <br /> Total fees : 297.25 <br /> Total paxments: 297.25 <br />PAYEF: BAR. BETTE CHAPMAN Balance due : .00 <br /> <br />~IS IS NOT A PE~IT. THIS APPLI~TION MUST ~ ~ROUGH A SIHULTAHEOUS REVIEW <br />PROCESS #HERE ZOHI~. ~PTIC (IF APPLICABLE) ~D SITE PLAN IS CHE~E~ PRIOR TO <br />THE ISSUN~E OF A E~IT. IT IS THE RESPONSIBILITY OF THE N~PLICANT TO ASSURE <br />THaT ~L ~CESSARY IHFOR~TION IS PROVI~D. ~ ~ AS ALL REQUIREHENTS OF THE <br />REVIEW HAVE ~EN NET, YOU ~ILL ~ NOTIFIED THAT YOUR PERHIT HAS ~EH ISSUED. <br /> <br /> DONAI.I) E WOODLEY, MARION COUNTY BIJILDING OFFICIAL / BY DSI'ONE <br /> <br /> *FOR OFFICE USE ONLY <br /> <br />MAP: IR ZONE: AR PROPERTY LOCATOR: 031WJ3C807600 <br /> <br />RFQD SF, TBACKS: Front: Left: 999 Right: 997 Rear: YgY Special:9?9 <br /> <br />PLAN REVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />