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DATE/TIME <br />TYPE <br />OCCUPANCY <br />UGB <br />SITE <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />03/11/99 10:31 ACTIVITY NO <br />New Manufactured Dwelling STATUS <br />R-3 APPLIED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-01744 <br />APPLIED <br />03/11/1999 <br />09/07/1999 <br />1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />RES MANF REPLACEMENT <br /> <br /> 12737 DONALD LOOP RD NE AR <br /> <br />LOCATOR: 041W22B 01000 <br /> CITY: MARION COUNTY <br /> <br />MHP (Y/N) : N <br />MHP /MH SUBDIV: <br /> <br />LOT: <br /> <br />TAX ACCOUNT : 40929-000 MAP: 5 ZONE: EFU LAND USE: <br />PARCEL SIZE : .36 AC <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />LOPEZ,JOE A & CYNTHIA K <br />LOPEZ,JOE & CYNTHIA <br />12727 DONALD LP RD <br />AUROP~A OR <br />97002 <br />503 678-5190 <br /> <br />LOPEZ,aOE & CYNTHIA <br /> <br /> OCCB: <br />MDI LICENSE: <br /> <br />UNIT SQ FT HEIGHT: <br /> <br /> Units Description Fee <br /> 1 Manufactured dwelling fee 305.00 <br /> 1 State surcharge 15.25 <br /> 1 State administrative fee 30.00 <br /> 1 Zone surcharge 30,00 <br /> <br /> Assessed fees 280.25 <br /> Adjustments ,00 <br /> Total fees 280.25 <br />PAYEE: LOPEZ.JOE & CYNTHIA Total payments: 280.25 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW <br />PROCESS WHERE ZONING. SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br />THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE <br />REVIEW MAVE BEEN MET, YOU WILL BE NOTIFIED~THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGNATURE OFAPPLICANT: (~m~.__ ~ <br /> <br /> CALL BEFORE YOU DIG...IT'S THE LAW! Oregon law requires <br />you to follow the rules adopted by the Oregon Utility Notification. <br />Center. (502-222-1987) <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr, N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:00 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />