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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 205 Church Street NE * Room 132 * Selem, Oregon 97301-3670 <br /> Office Hour~: 8:00-4:30 · Phone: (503) 588-5147 · 24~HR Inepectlon Line: (50~) 373-4427 <br /> RLIT! DTNF. APPI TCATTOH <br />DATE/TIME : 11/~7/9& 15:1.7 ACTIVITY NO : 96-68836 <br />TYPF : New NohJ)e Ho~e Park STATUS -' APPLIED <br />O.AS.~ : Hob~te Home Park APPLIED -' 11/~7/1996 <br />OCCUPANCY : TO EXPIRE : <br />CONSTRUCTION : PAGE 1 <br /> .............................................................................. <br /> <br />VAI.IIATION : $9~ 98;!. 00 <br /> <br />WORK PFS~ ,'. ADD ? SPAC. FS TO HH PARK - fl)Ii CRF'EK FSmFATES <br /> <br />.SITE AI)ORE,~.~ = CITY: AUMSVILLE <br /> 966,~ MIl~ CREEK RD SF AM <br /> <br />f,ROHS STREET <br /> <br />PARCEl NtlNF{F'R : 5&2R:I-000 <br /> PARCEl. SI'~E : t257~.00 .~F <br /> <br />[IWNFR NAMF -. DIME(1 & (;ORD[IN FNTFRPRTSFS <br /> <br />APPt.lf;ANT <br /> NAMF <br /> AI)I)RESS <br /> <br />F'HDNF <br /> <br />MARTINAK, RI[I <br />EMERY & SI]NS <br />PO BI1X <br />STAYTON, OR <br />769-775~ <br /> <br />97~83 <br /> <br />CONTRACTOR/ <br /> AGFNT <br /> PHONE <br /> <br />~ EMFRY& ~ONS CONSTRIJCTTON <br />: MART?NAK~RIII <br />: 7~9-77~ <br /> <br />I:NC OCCB: 0000312 <br /> <br />BIllt)IING S() FT: <br /> <br />R 1 R. <br />. T( RIF,. ~ HEIGHT: <br /> <br />Units l)e~cr*EF)t.'ion Fee <br />· '],~ Bu~]d~ng Fee 117.00 <br />1,0 Plan Review F~e 76.05 <br />] Stat~ surcharge 4.68 <br /> <br /> A~ses~d fees : 197.73 <br /> Adjust'ments : <br /> Total fees : 197.73 <br />PAYEF: HARTINAK~BIll l'ota] p~yments: <br /> Balance due : 197.73 <br /> <br />THIS IS NOT A PER)IT, THIS APPLICATION HUST GO THROUGH A SINULTAMEOUS REVIEW PROCESS <br />iIHFRF )ONING, gEPTIC (IF APPLI~ADLE) AMD COMSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />HFCESSARY INFORNAT[ON IS PROVIDED, AS SOOM ~S ALL REOUIREMENTS OF THE REVIEN HAVE <br />BEEN NET, YOIJ WILL BE NOTIFIED THAT YOUR PERMIT HAS SEEN ISSUED. <br /> <br />ST~NATIIRF OF APPITCANT: ...................................... <br /> <br />DDNAI9 F. W(iDDLEY~ MARION COLINTY BIII[D)NG OFF'ICIAI_ / BY PMUNRO <br /> <br />................................. FOR OFFICE USE ONLY ...................... <br />SITF/ UGR: AN <br />MAP : 51 ~ONE: RN PROPERTY I,OCATOR: 081W30C 01200 <br /> <br />RFOD RFT~ACKS: Fronf: Left: R~ght: Rear: Special: <br /> <br />Pr,AN REVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />