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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 /> H~UFACTURE) DWELLIHG APPLICATIOH <br />~TE/TIHE 69/17/96 68:67 ACTIVITY NO = 96-S7311 <br />TYPE Mew Hanufactured Dwelling STATUS : APPLIED <br />OCCUPAHCY R-3 AJ~PLIED : ~9/17/1996 <br /> TO EXPIRE : ~3/16/1777 <br /> PAGE 1 <br /> <br />WORK DESC : MFG HOME - SP t84 - WINDEMERE MEADOWS <br /> <br />SITE ADDRESS : CITY: AUMSVILLE 987 YORK ST SE AM <br /> <br />CROSS STREET : WINDEMERE <br /> <br />PARCEl NUMBER : <br /> PARCEL $~ZE : 5500~0S~ <br /> <br />OWNER NAME : CENTRAL HOMES <br /> <br />~PPLICANT <br />NAME : ROENM JOHN A <br />ADDRESS : 17277 S FERNWOOD <br /> <br /> MOLALLA~ OR <br /> PHONE : 829-4871 <br /> <br />CONTRACFOR/ : ROEHM JOHN A <br />AGENT : ROEHM JOHN A <br />PHONE ~ 829-4871 <br /> <br />INSTALLER <br /> PHONE : <br /> <br />UNIT SO FT : <br /> <br />97038 <br /> <br />LAN~) USE: <br /> <br /> OCCB: 0696335 <br />MD LICENSE: <br /> <br />U;lits Descriptio~ Fee <br />' =[ M~nufactured dwelling fee ~"~l~ <br />I State surcharge '~ ~ <br />I St,~te ~d~nis~ratiw fee 28.88 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .80 <br /> Total fees : 277.25 <br /> PAYEE: ROEHM ,JOHN A Total paychex,ts: <br /> Balance due : 277.25 <br /> <br /> THIS IS HOT A PERMIT. THIS APPLICATION HUST GO THROUGH A SIHULTAMEOUS REVIEW <br /> PROCESS WHERE ZOHIMG, SEPTIC (IF APPLICABLE) AND SITE PI.AH IS CHECKED PRIOR TO <br /> THE ISSUAHCE OF A PERHIT. IT ZS THE RESPOHSIDILITY OF THE APPLZCAHT TO ASSURE <br /> THAT ALL HECESSARY IHFORHATI(IH IS PROVIDED. AS S~]ON AS ALL ~QUIREMEHTS OF THE <br /> REVIEW HAVE 9EEH MET~ YOU WILL ~E HOT~FIED THAT YOUR PERHIT I,b~S DEEH ISSUED. <br /> <br /> SIGNA]URE OF' APPLICANT: <br /> <br /> DONALD E WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY PMUNRO <br /> <br />.................................... FOR OFFICE USE ONLY ........................... <br /> SITE / UGB: AM FD <br /> MAP: 51 ZONE: I PROPERTY LOCATQR: 081W30 02300 <br /> <br /> REQD SETRACKS:Front: 10 Left: 15 Right: 15 Rear: 15 Special: <br /> <br /> PI.AN RFVTFW ~ DATE: ZONING REVIEW: DATE: <br /> <br /> <br />