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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem. Oregon 97303.1398 <br />Office Houm: 8:00-4:30 ° Phone: {503} 588;5147 · 24-HR Inepectlon Line: (603) 373-4427 <br /> <br /> NAHUFACTURED DWELLING APPLICATION <br />~ATE/TIHE : B1/B7/?R 1~:41 ~CTIVITY HO : 9S-~BlS5 <br />TYPE : Hem Manufactured Owelling STATUS : APPLIED <br />OCCUPANCY = R-3 APPLIED* : &1/87/1998 <br /> TO EXPIRE : BT/B&/1998 <br /> PAGE 1 <br /> <br />W~iRK DESC : R~PLACE WITH NMF~ HOMF LOCATOR: 092W13DAO1400 <br /> <br />SITE ADQRESS : CITY: MARION COUNTY <br /> 11495'MCCLELLAN LN SE AM <br /> <br />'TAX ACCOUNT : 75440-410 LAND USE: <br />PARCEL S)TE : 165~0.00 SF <br /> <br />9'7325 <br /> <br />r;n. NTRACTOR/ : OCCB: <br />A~ENT : POPIr[N~,~ L <br />PHONE : <br /> <br />) 14:~'i'ALI_ER : MDI LICENSE: <br />PHONE : <br /> <br />UN]'T SQ F1 : <br /> <br />Units Descr i .p. tion <br />'--~-- '-]~'~]T~c'~ree dweI"Iing fee <br />1 State sm'charge <br /> <br /> 1 Zone surcharge <br /> <br />Fee <br /> <br />12.25 <br />20.08 <br />20.00 <br /> <br /> A~essed fees : 297.25 <br /> Adjustments : ,00 <br /> Total fees : 297.25 <br /> PAYEE: POPLIN~J I Total payments: 297.25 <br /> Balance Bue : .00 <br /> THIS IS NOT A PERNIT. THIS APPLICATION HOST ~ THROUGH A SIHIJLTANEOUS REVIEW <br /> PROCESS WHERE ZONINg. SEPTIC (IF APPLICABLE) AND SITE PLAN IS CtIECKE9 PRIOR TO <br /> THE ISSUANCE OF A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~SURE <br /> THAT ALL NECESSARY INFORMATION IS PROt/I~EB. AS SOON ~S ALL REGUIRENENTS OF THE <br /> REVIEW HAVE BEEN HET, YOU WILL BE ~OT~,I~IEB THAT YOUR PERHIT ~S BEEN ISSUEO. <br /> <br /> DONAJ.D E WOODL. EY, MARION C~Y BUILDING O~FI~IAL ~ BY DSTONE ~% y <br />.......................................... F'OR OFFICE USE OllLY ......... ~-~ ........ <br /> SITE / Ut;B: , ~ <br /> MAP: 62R ZONE: AR PROPERTY LOCATOR: 692W13~A8148~ <br /> LAND USE C~E HO: <br /> <br /> <br />