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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />, ~..(~. ~lG H.¢TR E ET N E <br /> SALE-~f, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br /> ) Other <br /> <br />DATE: 01/02/90 TINE; 9."06 ;09 <br />OWNED: <br /> BIELENBERG. TIM <br /> <br />, TAX LOT; CATEGORY: <br /> 61964-000 <br />CONBTRUCTf0N ~PE: OCCUPANCY; <br /> <br />RES I DEN'f'];AL ~ <br /> <br /> 7925 HILTON LANE SE <br />TURNER OR 97392 <br /> <br />USE OF BUILDING; <br /> <br /> CONTRACT CITY UGS OCCUPANT LOAD <br /> <br />MARION COUNTY NO <br /> N0 0F BEDROOMS <br /> <br />11S14 MILL CK RD <br />AUMSVILLE, ORE 97325 <br />PHONE: 769-2090 <br /> <br />LOT' BLOCK. SECTION <br /> <br /> SITE NUMBER: 9138 <br /> VALUATION: <br /> <br />28 9S 2N EFL <br /> 60. AC NO YES <br /> <br />MAp: <br /> <br />TYPE: MOBILE HONE <br /> <br />CONTRACTOR, NO. 38238 <br />SANTIAN VALLEY HONES <br />11373 MILLCREEK RD SE <br />AUMSVILLB OR 97325 <br />PHONE: <br /> <br />PERMIT OR APPLICATION NO: 9021070 <br /> <br /> ITEM <br />MOBILE HOME BASE FEE <br />MOBILE HONE STATE FEE <br />MOBILE HONE ZONING SURCHARGE <br />FLEET SURCHARGE -ZONE 2 <br />NCBILE HOME STATE SURCHARGE <br /> <br /> TOTAL AE,SESSED FEES <br />PREVIOOS RECEIPTS <br /> THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AJ',4OUNT <br /> $89.25 <br /> $15.75 <br /> $5.25 <br /> 82_58 <br /> 5.25 <br /> <br />$'118.06 <br /> $0_00 <br />$116.06 <br /> <br />$0.00 <br /> <br /> PAYEE: BIELENBERG. TIN RECEIPT 22343 <br /> RECEIVED BY: c'1 TYPE** CK CHECK ~.-' 6289 <br /> * THIS IS NOT A PEf~IT. THIS APPLICATION MUST GO THRouGH A REVIE~ PROCESS kHERE THE <br />FOLLO~IN~ MUST 8E COMPU~I-ED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~RE THAT <br />ALL NECESE~RY INFOI;~ HAS SEEN PROV!DED. <br /> <br /> ,~EPTIC: 8Y___.~ ...... DATE_L_ [(,~.._.T_d~_? .... CITY JURISDICTION: BY ........ DATE <br /> FR_..~,;,;,;,;,;,;,;,;~¢- LS__~_ RG_~?.__ RR.~C_._ SP <br /> <br /> SETBACKS: <br /> <br />REMARKS: f,~ FOR 2ND FARM DWELLING <br />PLANNING ACTION: 89-84 <br /> <br />FORUM ,~ MC ~r,¢';. .~-V t~/.7 OFFICE COPY <br /> <br /> <br />