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DATE/TIME <br />TYPE <br />OCCUPANCY <br />UGB <br />SITE <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />04/13/99 14~42 ACTIVITY NO <br />New Manufactured Dwelling STATUS <br />R-3 APPLIED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-02668 <br />APPLIED <br />04/13/1999 <br />10/10/1999 <br />1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />REPL: DWELLING W/ MFG DWELLING <br /> 7781 BISHOP RD SE AM <br /> <br />LOCATOR: 081W20C 02000 <br /> CITY: MARION COUNTY <br /> <br />MHP (Y/N) : N <br /> <br />MHP /MH SUBDIV: LOT: <br />TAX ACCOUNT 56284-000 r~qP: 48R ZONE,'~-&I~- <br />PARCEL SIZE 1.14 AC <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PALMER ARCHIE W <br />PALMER ARCHIE W <br />7781 BISHOP RD SE <br />AUMSVILLE OR 97325 <br /> <br />PHONE 749-2524 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />PALMER ARCHIE W <br /> <br />LAND USE:CU 99-013 <br /> <br />OCCB: <br /> <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 /> i State administrative fee 30.00 <br /> i Zone surcharge 30.00 <br /> <br /> Assessed fees 280.25 <br /> Adjustments ,00 <br /> Total fees 280,25 <br />PAYEE~PA~MER ARC~LIJ~ N Total payments: 280.25 <br />C"'~Y.~ ~'j~_~uO. fa-x~/~/~-. 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 HAVE BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <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. (503-232-1987) <br /> <br /> <br />