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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) 373-4427 <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />DATE/TIFE = BB/3B/96 14=57 ACTIVITY NO : 96-B677B <br />TYPE : Re. Manufactured D.elling STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : BE/3B/19?& <br /> TO EXPIRE : B2/26/1997 <br /> PAGE 1 <br /> <br />WORK DESC : REPLACE EXII' MD W/NEWER MP - SANE F1 PRINT <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 2S731 MEADOW DR NE AR <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : <br />PARCEL SIZE : <br /> <br />OWNER NAME : <br /> <br />ARNDT RD NE <br /> <br />70540-000 <br /> .2AC <br /> <br />SIMMONS~DANIEL R & PHILA P <br /> <br />APPLICANT <br />NAME : FOX THOMAS J <br />ADDRESS : PO BOX 193 <br /> <br /> SILVERI'ON, OR 97381 <br />PHONE : 873-3690 <br /> <br />LAND USE: <br /> <br />CONTRAC'rOR/ : FOX THOMAS J OCCB: 0064561 <br />AGENT : FOX THOMAS ,J <br />PHONE : 87S-3690 <br /> <br />INSTALLER : MD LICENSE: <br />PHONE : <br /> <br />ONIT SQ FT : <br /> <br />Unit's Description <br /> <br /> 1 State surcharge <br /> I State administrative fee <br /> Zone surcharge <br /> <br />12.25 <br />20.00 <br />20.00 <br /> <br /> Assessed fees : 297.25 <br /> Adjustments : .00 <br /> Total fees : 297.25 <br /> PAYEE: FOX THOMAS J Total payments: 2~7.25 <br /> Balance due : .00 <br /> ******************************************************************************* <br /> <br /> THIS IS HOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW <br /> PROCESS WHERE ZONIHG, SEPTIC (IF APPLICABLE) AND SITE PLAH IS CHECKED PRIOR TO <br /> THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL HECESSARY INFORMATION IS PROVIDED. AS SOON A5 ALL REOUIREMENTS OF THE <br /> REVIEW HAVE BEEN NET, YOU WILL BE NOTIFIED THAT YOUR PERMIT NAS BEEN ISSUED. <br /> SIGNAT[RE OF APPLICANT: " ~_~ <br /> <br /> **************************************************************--************ <br /> DONALD E WOOD[EY~ MARION COUNTY BUILDING OFFICIAL / BY DSTONE~ <br /> <br />...................................... FOR OFFICE USE ONLY .......... ~-~ ........... <br /> SITE / <br /> MAP: 1 ZONE: AR PROPERTY LOCATOR: 031W33CC04800 <br /> REQD SETBACKS:Fro~'~t: 999 Left: 999 Right: 999 Rear: 999 Special: 999 <br /> <br /> PLAN REVIEW : DA~E: ZONING REVIEW: DATE: <br /> <br /> <br />