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MARION COUNI ' BUILDING INSPECTION <br />COMMUNll f DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · ~lem, 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/TINE = ~9/13/96 12=55 ACTIVITY NO : 96-67245 <br />TYPE : New Manufactured Dwelling STATUS : APPLIED <br />OCCUPANCY = R-3 ~J~PLIED : S9/13/1996 <br /> TO EXPIRE : ~3/12/1977 <br /> PAGE 1 <br /> <br />WORK DES{] : HFG HOME - SP t?l - WtNDENERE MEADOWS <br /> <br />SITE ADDRESS : CITY: AUMSVILLE 906 YORK ST SE AM <br /> <br />CROSS STREET : MILL CREEK <br /> <br />F'ARCEL NUMBER : 56299-089 <br /> PARCEL SIZE : 550~.0SF <br /> <br />OWNER HAME : SANTIAM HOMES <br /> <br />APPLICANT <br /> NAME : <br /> A DRESS : <br /> <br />PHONE : <br /> <br />CONTRACI'OR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER : <br /> PHONE : <br /> <br />UNIT S~ F1r <br /> <br />GOMES,R!CK <br />CAPITOL AWNING <br />518 VALLEYWOOD DR SE <br />SALEM, OR <br />363-1711 <br /> <br />CARVER ENTERPRISES IJ.C <br />GOMES~RICK <br />76~-7744 <br /> <br />97~06 <br /> <br />LAND USE: <br /> <br /> OCCB: 0098Y40 <br />MI) LICENSE: <br /> <br />Units Description Fee <br /> <br /> 1 State surcharge 12.25 <br /> 1 State administrative fee 20.80 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .89 <br /> Total fees : 277.25 <br /> FAYI:E. I;OHES,RICI( Total payments: .90 <br /> Balance due : 277.25 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW <br /> PROCESS WHERE ZONINg, SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br /> THE ISSUANCE OF A PERMIT. IT IS THE RESPOHSIDILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REOUIREI~ENTS OF THE <br /> REVIEW HAVE BEEN NET~ YOU MILL BE HOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> SIGNATURE OF APPLICANT~ <br /> <br /> DONALD E WOODLEY~ HAR]ON COUNTY BUILDING OFFICIAL / BY PMUNRO <br /> <br />................................................ FOR OFFICE USE ONLY ...................................... <br /> S~TE I UGB: AH KD <br /> ~AP: 5t ZO~IE: I PROPERTY LOCATOR: 08JW~0 02300 <br /> <br /> R!?(ID S~:'!BACKSi~Froiit: 10 Left: ~5 Rigq,'b~ !5 Rea~': 15 Spec:La]= <br /> <br /> PLA!~ Ri!:ViE~ ~ DAIE: ZON~HG REVIEW: DATE: <br /> <br /> <br />