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MARION COUNTY BUILDING INSPECTION <br /> COMMUNIT~ DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3870 <br />Office Hours: 8:00.4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> HANUF~CTU~ED DWELLING APPEIC~TION <br />D~TE/TIHE -' t~/22/96 t5=57 ~TIVZ~ NO = 96-~84~9 <br />TY~ c ~w ,a~factur~ O~lling 9TAT~ ~ ~PLIED <br />OC~Y = R-3 ~L[E9 ~ <br /> TO EXPIRE ~ <br /> P~ 1 <br /> <br />W~RK DESC : NEW HFS-HARDSHIP <br /> <br />SITE ADORESS : CITY: MARION COUNTY <br /> ]~]J MIlL CREEK RD SE AH <br /> <br />CROSS STREET : BISHOP RD <br /> <br />PARCEL NUMBER : 56388-880 <br /> PARCEL, SIZE : 1.SAC <br /> <br />LAND USE: <br /> <br />OWNER NAME : SHIDLEY,NICHOLAS <br /> <br />APPLICANT <br />NAME <br /> <br />SHIBLEY,NICHOLAS <br />18313 MILL CREEK RD SE <br />AHMSVILLE,OR <br /> <br />PHONE : 749-1377 <br /> <br />CONTRACTOR/ <br /> Ai;ENT <br /> PHilHE <br /> <br />~ T <br />SHIBL FY, N. CHO[ AS <br /> <br />OCCB: <br /> <br />]NSIALLER : MD LICENSE: <br />PHONE : <br /> <br />UNIT SQ FT : <br /> <br />Units Oescription Fee <br />] Ma~u~c-'-f~u~ed dwelling fee ' 245,08 <br />1 State s~rcharqe ~.2.25 <br />] State administrative fee 28.88 <br />i Zone surcharge 28.88 <br /> <br /> Assessed fees : 297.25 <br /> Ad justments : .08 <br /> Total fees : 297.25 <br /> PAYEE: SHIBLEY, NICHOI.AS Total payments: 297.25 <br /> Ba]ance due : .80 <br /> <br /> THIS IS HOT A PERI,IT. THIS ~PPLZCATZOH ItUgT ~D ~H A 9I~T~S ~VZEg <br /> PR~S g~RE Z~Z~. S~TZC (IF ~LZCMLE) ~ 8[TE P~N ZS C~ ~[~ TO <br /> T~ Zg~E ~ ~ ~RflZT. ZT [S T~ RE~SZgZLZTY OF THE ~LZ~NT TO ~RE <br /> T~T ~L HECESS~Y Z~TZOH Z~ P~VZ~. ~ ~H ~g ~L P~GUZ~HTS OF THE <br /> ~VIE~ ~ ~N ~T, Y~ ~ILL ~ ~TIFIE~T~ PERflIT HAS BEEH ISSUED. <br /> <br /> *******************************--********************************** <br /> DONALD E WI'iODLEY~ MARION COONTY BI)It_DING OFFICIAl. / BY JSKYBERG <br /> <br />......................................... FOR OFFICE HSE ONLY ............................ <br /> SITE / UGS: <br /> 70NE: AR PROPERTY LOCATQR= 881W31AA81888 <br /> RE~D SEI'I~ACKS:F'ront: ~l.F~ft: ~ Right: ~ Rear:~~ Special: ?Y9 <br /> <br /> <br />