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IFOI~IT~ALIDATION I MARION COUNTY BUILDING INSPECTION FOR CITY USE ONLY <br />['~'~ .&~.~ ~. ~ ~ _1[ COMMUNITYDEVELOPMI~TCENTER <br />[Received By: ~[ 2~Chu~hSt. NE - Room132 <br /> <br />IZoning Validation: ' ~ I S.'~un4:~lm~ l~one <br /> BUILDING PERMIT~, ^,-._APPLICATIO~. <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 ~ <br /> <br />( ~tion ( ) Relocation ( ) Addition ( ) New <br />( ) Alteration ( ) Other ( ) Alteralion ( ) Sign <br />( )Accesso~ ( )Ch~ngeofOeeupancy ( )Other <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATR WHO I$ DOING THE WORK <br /> <br />4. FEE SCHI~DULI~ <br /> <br />Ae <br /> <br />I. q3 <br /> <br />I hereby certify that the above information is ce~rect.; ~ <br />Pe~ts are non-transferrable and e~pire if work is not started within 180 days of issuance or if wol~ is sus~4~d for 180 days. <br /> <br />SignatureofApplicant: ~ "*-'~ ~"¥~ ~ <br /> <br /> <br />