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FQR CITY VALIDATi0NI MARION COUNTY BUILDING INSPECTION <br /> <br />Zoning Validation: <br />[Date: ,~ --,~.5-' '" ~;~ ~ <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />1. ,lOB DESCRIFrION <br /> <br />( n ( )Relocation ( )New <br /> <br />( )A~n ( )~ ( )Al~on .( )Sign <br /> <br />· LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO I~ DOING ~ WORK <br /> <br />() <br /> <br />4. FEE SCH~.DULE <br /> <br />I h~eby ce~ify that the above information is correct. <br />Permits am non-trandermble md ex~ i( work is not sta~ed within 180 days d/i~mmnce o~ if worlds suspendM foe l~ ~ <br /> <br />Name of Applicant <br /> <br />Signatme of Applicant: <br /> <br />MC 15-73 R~v 1/95 <br /> <br /> <br />