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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 o Selem, Oregon 97301-3670 <br />Office Hour~: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373..4427 <br /> <br /> BUILDING APPLICATION <br />DATE/TIHE = ~6/34/96 13=58 ACTIVITY NO : 96-1~3918 <br />TYPE -' Resident. addition/alteration STATUS ~ APPLIED <br />CLA~ : O~ellt~ addttton/a]teratton APPLIE9 : e6/~4/~996 <br />~CUPANCY : R-3 TO EXPIRE ~ 12/~1/~996 <br />~STRUCTION ~ V-H <br /> . . I ~ P~E 1 <br /> <br />$~l'E A~PRESS : CITY: MARION COUNTY <br /> ~7~7 1ST ST NE AR <br /> <br />Ck(SS SIREEI : <br /> <br />PARCEL NUMBER : 74680-000 <br />PARCEL SITE : .0 <br /> <br />AC <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTilR/ <br /> AGENT <br /> PHONE <br /> <br />: BRANT,ROBERT V & ROBYN L <br /> <br />: BRANT,ROBERT V & ROBYN L <br />: <br /> 23727 1ST ST NE <br />AURORA, <br /> 97002 <br />: 678-56~.8 <br /> <br />: BRANT,BOBERT V & ROBYN L <br /> <br />BOB.DING SO FT: <br /> <br />OCCB: <br /> <br />Units Desc~ ip'~ on <br /> <br /> ],.0 PJan Review F'ee <br /> 1 State suTcharge <br /> ~ Zone surcharge <br /> <br />STORIES: 1 HEll;HI': <br /> <br />64.03 <br /> 4.93 <br /> 4.93 <br /> <br /> Assessed fees : 172.39 <br /> Ad just merits : .08 <br /> Total fees : I72.39 <br />PAYEE: BRAN],ROBERT V & ROBYN L Total paymm~ts: 172.39 <br /> Balance due <br /> <br />THIS IS NOT A PERNIT. THTS APPLICATION NUST ~D T~O~H A SJHULTAHEDUS REVIEW PROCESS <br />~ Z~IHG, SEPTIC (IF APPLI~BLE) AHB C~U~IOH PLAHS ARE CHECKED PRIOR TO THE <br /> UA~E DF A PERHIT. IT ~8 THE ~ONB[BILITY ~ THE APPLICANT TO ASSURE THAT AL~ <br />~CE~Y INFORHATION IS PR~I~D. AS S~ AS ~ RE~UIREHEHT8 OF THE REVIEW HAVE <br />BEEH ~, YOU WILL BE <br />SIGNATURE OF APPLICANT: ...... ~~_: ..... ~ ......... <br />O[1NALD E. WU(1DLEY,. MARION COUNTY BUILDING OFFICIAL. / BY DFRE1LIN <br />...................................... ~'}~ OFFECE U~E ONLY ........................... <br /> <br />MAP : ZONI~: AR F'R(1P~TY LOi~TOR: <br /> <br />RF]]D SETBACKS: F'ront: I_eft: Right: <br />PLAN RFVlEW : DATE: Z{NING REVIEW: DATE: <br /> <br /> <br />