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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/TIME <br />TYPE <br />OCCUPAHCY <br /> <br /> MAHUFACTURED DWELLIH£ APPLICATIOH <br />84/19/96 11:48 ACTIVITY NO = 96-~2664 <br />Ne. Manufactured DNelling STATUS = APPLIED <br />R-3 APPLIED : 84/19/1996 <br /> TO EXPIRE : 18/16/1996 <br /> PAGE I <br /> <br />WORK DESC : NEW MD <br /> <br />SITE ADDRESS ~: <br /> 8948 DARLEY RD SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER : 61597-000 <br /> PARCEL. SIZE : .0AC <br /> <br />OWNER NAME : BALKEMA, JAMES L & TONI L <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />UNIT SQ FT <br /> <br /> Units <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> <br />: W STAYTON RD AND MARION RD <br /> <br />: GOMES, RICK <br />: 1J. 373 HILL. CREEK RD SE <br /> AUMSVILLE OR <br /> <br />: 7&9-7744 <br /> <br />97~25 <br /> <br />: WILSON VICTOR FRANK <br />[ GOMES, RICK <br />· 7&9-44~0 <br /> <br />: 2648 <br /> <br />Description <br /> M~.mm.~fmctur,ed dWell'~'."ng' fee <br /> s~a~e surcnarge <br /> state ad~inis~rative fee <br /> Zone surcharge <br /> <br />OCCB: 00457~0 <br /> <br />MD LICENSE: <br /> <br />Fee <br /> <br />245';'00 <br /> 12.25 <br /> 28.80 <br /> 20.00 <br /> <br />Assessed fees : 297.25 <br />Adjustments : .00 <br />Total fees : 297.25 <br />PAYEE: GOMES,RICK Total payments: 297.25 <br />Balance due : .00 <br /> <br />THIS IS HOT A PERMIT. THIS APPLICATIOH MUST GO THROUGH A SIMULTAHEOUS REVIEW <br />PROCESS WHERE ZOHIHG. SEPTIC (IF APPLICABLE) AHD SITE PLAH IS CHECKED PRIOR TO <br />THE ISSUAHCE OF A PERHIT. IT IS THE'RESPDHSIBILITY OF THE APPLICAHT TO ASSURE <br />THAT ALL HECESSARY IHFORMATIOH IS PROVIDED. AS SOOH AS ALL REGUIREHEHTS OF THE <br /> <br />SIGNATURE OF APPLICANT. _ .... _.~_._ <br /> <br />DONALD E WOODLEY, MARION COUNTY BUll. DING OFFICIAL / BY DFREILIN <br /> FOR OFFICE USE ONLY <br /> <br />MAP: 62 ZONE: EFU , PROPERTY LOCATOR: 092W1~ 00900 <br />REQD SETBACKS:Front: ~ L. eft: ~' Right: ~' Rear: ~' <br />PLAN RE¥IEW : DATE: ZONING REVIEW: ~ <br /> <br />Special: 999 <br /> <br /> DATE:~-~-~ <br /> <br /> <br />