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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER. <br /> <br /> 285 Chumh 8triit NE · Room 132 · 8clem, Oregon 97~01~1670 <br />OfflQe Houri: 8:00-4:~0 · Phone: (603) 588-5147 · 24-HR Inlpe~tlon Line: (603) 373-4427 <br /> <br />DATE/TIME <br />TYPE <br />OCCUPAHCY <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />04/24/96 14:26 ACTIVITY NO : 96-02806 <br />New Manufactured Dwelling STATUS : APPLIED <br />R-3 APPLIED : 04/24/1776 <br /> TO EXPIRE : 10/21/1996 <br /> PAGE <br /> <br />WORK DESC <br /> <br />: NMFG - ~ BEDRMS <br /> <br />SITE ADDRESS : <br /> <br />CITY: MARION COUNTY <br /> <br />897S SHAW SQUARE SE AM <br /> <br />CRrlRs S~R,,~,T : SILVER FAI.[,.S HY <br />PARCEL. NUMBER : 75300-361 <br /> <br /> PARCEL SIZE : 1.4AC <br /> <br />OWNER NAME : AMSBERRY~¥ELONI B <br /> <br />APPLICANT <br />NAME : CA CONSTRUCTION <br />ADQRESS : 518 VALLEYWOOD T)R SE <br /> SALEM, OR <br /> <br /> PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />]:NSTALLER <br />PHONE <br /> <br />UNIT SQ FT <br /> Units <br /> <br /> 1 <br /> ! <br /> 1 <br /> <br />: 363-1711 <br /> <br />: CARVER ENTERPRISES LLC <br />: RICK QOMES <br />: 769-7744 <br /> <br />: !60~ <br />Descriotion <br /> <br />97S06 <br /> <br />State surcharge <br />State ad~inis~Tative fee <br />Zone surcharge <br /> <br />O~CB: 0098940 <br /> <br />MD L~.CENSE: <br /> <br />Fee <br /> <br />12.25 <br />20.00 <br />20.00 <br /> <br /> A .... es,ed fees : <br /> Ad ~ustments : .00 <br /> Tota! fees : 297.25 <br />FA(EE. CA CONSTR~ICTION Total payments: 297.25 <br /> <br />************************************************************************* <br /> <br />THIS IS HOT A PERMIT. THIS APPLICATION HUST GO THROUGH A S[HUETAHEQUS REVIEW <br />PROCESS WHERE ZONING, SEPTIC (IF APPLICABLE) A~D SITE PLAH IS CHECKED PRIDR TO <br />THE ISSUANCE DF A PERHIT. IT IS THE RESPONSIBILITY DF THE APPLICAHT TD ASSURE <br />THAT ALL NECESSARY IHFORHATIO~ IS PROVIDED. AS ~OH AS ALL REQUIREHEHTS OF THE <br />REVIEW HAVE BEEH MET, YOU W~~TIFI~ THAT YOUR PERMIT HAS BEEN ISSUED. <br />SIGNATURE OF AF'PLICANT: ._~~~~~ ................................... <br />****************************************************************************** <br /> <br />HAP: 5I ZONE: AR PROPERTY LOCATOR: 882W1~C 85481 <br /> ~.-,~ SETBACKS:Fvont:~Left: ~ ~ORight:~ ~0 Rear~~pecio1:999 <br /> <br /> : DATE: ZON!',IC. REVIEW: ~ ~A'fE: <br />PL. AN <br /> RFVIEW <br /> <br /> <br />