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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 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATE/T]"E = "2/85/?~HA"UFtt=58ACTUR[~ ~"£LL~NG APPC~CATIOACTiViTYH HO= <br />T E He~ Manufactured Dwel]ing STATUS : APPLIED <br />o uPA.C <br /> ·R3- APPLIED : 62/~5/1796 <br /> TO EXPIRE : <br /> PA~E <br /> <br />SITE AODRESS : CZTY: MARION COUNTY <br /> 9!43 W STAYTON RD SI AM <br /> <br />CROSS STREET : PI)RTER RD <br /> <br /> PAR!:r:L SIZE : ~0 AC <br />OWWEiR NAHF <br /> <br />APPLICANT <br />NAME : SELNES,, EVELYN <br />AO~)RE~S : 9!43 W STAYTr)N RD SE <br /> A~t~iV):LL E OREGON <br /> HI)SP MFG <br /> : 749-258~ <br /> <br />F'HONE <br /> <br />:~ St:'LNES, WiLLIAH F' & NANCY A <br /> <br />F'HONE : <br /> <br />"" '? FT <br />,.:iq_~ . .SQ <br /> <br />97 ~'.-'5 <br /> <br />LICENSE: <br /> <br />12.25 <br />20.00 <br />2~.00 <br /> <br /> Assess~:,d fees : 297.25 <br /> Ad j ust~,mnts : .00 <br /> Total 'Fees : 297.25 <br /> Total payments: 297, 25 <br /> PAYEE: SCI.idES~, . EVELYN, Balance due <br /> ******************************************************************************************* <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATIOH HUST ~0 THROUGH A SIMULTANEOUS REVIEW <br /> PROCESS WHERE ZOHIH~. SEPTIC (IF APPLICA~E) AHB SITE PLAN IS CHECKEB PRIOR TO <br /> THE ISSUANCE OF A PERMIT. IT IS THE RES~HSIBILITY OF THE APPLICAHT TO ABSURE <br /> THAT AEL HECESSARY INFOR~ATIO~ IS PROVIDE~. AS SOON,AS ALL REOUIRENEHTS OF THE <br /> <br /> S!qNATIJR~:: OF APP~...ICANI': ~ ............................................................................. <br /> <br /> I)ONAL9 E WOOD!_EY.? MARION COIJNTY [diII.D[NJ] OFFIC.I:AL / BY CL. YI, ICH <br />.................................................................. FOR OFFICE USE. OI,ILY ....................................................... <br /> <br /> ~,iAP: 6t?R ZONE: EFti PROPERTY L.OCATOR: 892W'z)iB <br /> <br /> REq!') c, T~ ......... ' .... ' ...... ~"09~ [-'.~ ....... :999 <br /> .....· .~ ~ m~.~ ~ r ~ ol~: ]. ef'[:~ 9VV ,,'~:~) ~ <br /> <br /> PL~%N REVJlEW ?, DATE: ZON[WG REVIEW: DATE: <br /> <br /> <br />