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608417
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608417
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Last modified
9/16/2023 10:00:04 PM
Creation date
9/15/2023 11:12:25 AM
Metadata
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Template:
Assessor
Account Number
608417
Assessor Doc Type
Building Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
9/15/2023
MTL
072W08DD00600
Assessor Section
Manufactured Structures
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54 51 Lardon kd <br /> kik:- . Sci/ Lr)1. . - : <br /> IONs1::::;::::: '?: =>'. ";;�i,'.:;; `<;; :„ ,;i .: : , <br /> .:.. :...........:.:.. ..•: ;::,::::,:..:,.�..: :::�.;:::::;::::::;::::::;;:,::;;:......,..NATURE;OF;'FILING•:(theckallthat'a I ):„:, ,: ..:::,;:;:`:: .„::..::•:•.:::' :::::.. :.... <br /> .. . . <br /> X New home to MHODS /3 i o�ner a_ile tsge:_� <br /> Eld a s LP6berted to storage <br /> `ISIJOuritRiteneftitinBe tus X Trip Permit <br /> e OLSItirkplewe): <br /> °SECTION12:a:::, :;of,.;:.;::.:>.::;;:;;::,:.,,:.::::.::..::::d .. • :.:...:.:... , .•.. <br /> • ••• � � PP.LIGANT:INFORMAi'I(MARlea5e!.0frit <br /> .' _ - . Dealer/Seller 0 Lender 0 Escrow/Title Agent ❑Owner/Buyer 0 Legal Representative:' - -- . . - <br /> Name: <br /> . -Ursr,middle,Iasi) Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980-3990 <br /> Address: 2555 Progress Way , .._ .. . - _ <br /> City Woodburn state:OR. - 72: 97071 - - - <br /> •Email:moconnell@factoryexpohomes.com <br /> ...HCtIUIE IN RMAYIt1.....fdtin.tio t liihold is re••ilired <br /> Home ID#: k V OR No Home ID: XNew Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer: Fleetwood ( d 91 Z 7 <br /> Model: . Honeydew 14441A Year: 2024 <br /> • Serial Number(s) HUD Label Number(s)*Required if new home <br /> FLE210OR23-23512A <br /> ----#ofSectionsi. 1 . - Sq.footage: 601 Bedrooms:" 1 Bathrooms: 1.. .`I . _-. <br /> ,..:., <br /> ....Rbo6n- ..:_Arch Comp. Siding ,. <br /> g p g types Vert. Cement Heating type: Electric CoolIn e•. <br /> • gam. None• • <br /> Date of sale: - - --._, <br /> (Ifappticabtej 05/03/2023 Sale price: 68,422.00 Includes land: ❑Yes XNo <br /> . .. .:.:: ...........:::...:.:.;:,,::::::,.:•.. : . R..INF.,ORMATION leave:b)anklf:nti•:`dealer•;::':::::;::.:::.:;:::::::::•::.. ::::•....:..:.•:.. <br /> Name: Alta Cima Corp. ba: FactoryExpo Homes License#: <br /> (first,middle,last) p p MSD 448.- .. <br /> . - Address: 2555 Progress Way <br /> - City:Woodburn State: OR. ZIP: 97071 - . -. • <br /> - Email: moconnell@factoryexpohomes.com Phone: <br /> 503-980-3990 <br /> I hereby declare this manufactured structure is free and clear of all mortgages,deeds of trust,security interests,and liens.I have the <br /> legal right to sell this manufactured structure or my interest in it. The information listed is true to the best of my knowledge and <br /> belief,and I understand it can be used as evidence in court and is subject to a penalty of perjury. <br /> Signature: <br /> S `� D f<�h� ,:. Da e: 09/06/2023 <br /> ECTION:S :: :. :: : :::•; ; :;,::. ..:<. . ::H OME 1OATON .:::: : .:_�::...&: ; ; : : .... .• , <br /> Current Address:2555 Progress Way <br /> City: Woodburn County: Marion State: OR Zip: 97071 <br /> Park Name:(if applicable) X This is a dealer lot or storage facility <br /> This home is being moved to a new location Complete the section below <br /> New Address: 5451 Lardon Rd. NE <br /> City: Salem County: Marion State: OR Zip: 97305 <br /> Park Name:(if applicable) . • 0 This is a dealer lot or storage facility <br /> Transporter Name: Blue Haul Transport Phone: 818-434-5501 . , . <br /> Address:38681 Garden Dr. City: Scio State: OR <br /> Email: <br /> Page 2 <br />
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