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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 Houre: 8:00-4:30 · Phone: (503)588-5147 · 24-HR Inspection Line: (503)373-4427 <br /> <br /> DWELLING APPLICATION <br />DATE/TiME ". 08/14/96 15:01 ACTIVITY NO : 96-8624B <br />TYPE : New Single Fa~il7 Dwelling STATUS : APPLIED <br />CLASS : 1-Family Dwelling, detached APPLIED : 88/14/1996 <br />OCCUPANCY : M TO EXPIRE : 82/18/1997 <br />CllNSTRtlCTTON : V-H PAGE 1 <br /> <br />~'("J~L A~'~))~"~{ ~ CITY: MARION COUNTY <br /> ~/~5 HAYS t_H SE ~ <br /> <br />PARCEL NUHSER <br />PARCEL <br /> <br />qWNER NAME <br /> <br />Ai"Pi_!CANI <br /> NAME <br /> <br />FA M_R GRO.~S :ONSTRUCTT 1N ~r~0 <br />F'[~ BOX 50,:¥5 <br /> <br />5ALE. M, OR 97:~04 <br /> <br />N-RAC'F[)R/ <br /> A[J MT <br />PHI)HE <br /> <br /> OCCB: 0053447 <br />HEIGHT: 24 <br /> <br />F'i;a,~ review fee <br />Res i d ~-,nt :i a :( p l, ~ml:~ :i ~m fe, <br /> <br />476.64 <br />278.04 <br />87.38 <br />27~,?~. 10 <br />68.52 <br />20.00 <br /> <br /> Assessed fees 1,955.58 <br /> Ad j u'.:~'h,~e nts .00 <br /> Tota I fees <br />F:'AYI~i: :'AIH)i'R F:)k'OS~4 [, NolfU(.~IOlq ..0 l'otat payments: <br /> Balance due : <br /> <br />THIS IS NOT A PEE~IT. THIS APPLICATION ~UST GO THROUGH A SIMULTANEOUS REVIEW PROCES~ <br />WHERE ZONING, SEPTIC (IF APPLICABLE) ANO CONSTEUCTIOW PLANS ARE OHEOEED PRIOR TO THE <br />ISSUANCE OF A PER,IT. iT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORHATION IS PROVIQEB. ' AS SO0~AS ALL EEQ~EE~E~TB' OF THE ~EVIEW HAVE <br />BEEN ~ET, YOU WILL BE NO~IFIE~;NAT YQ~E PE~T HAS BEEN IS~E~ J __ <br /> . <br /> ,. <br /> <br />.................................................................... E;~R r)FF'O~E USE ONLY <br /> <br />;APt,, 4FiR ~i)FF: Ai:~ PRG?ERTY i~!CATOR~ D81Wl'?C <br />:?FQI~ ~d'~k4CiO,.~ F?,:m ~ lc'it 9~:? ~::~h'~',: 999 Rear: 99S <br />F AN ;FV[~J ;; OA~E: ZOH-N;:, REV!:EW: !)AT'E: <br /> <br /> <br />