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MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> MarionSalem,OR 97305 <br /> County Authorization NA503-588-5147 <br /> FAX: 503-588-7948 <br /> ORE G: ON <br /> 555-22-009140-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: DOERFLER FARMS INC <br /> 12333 SILVER FALLS HY SE <br /> AUMSVILLE, OR 97325 <br /> � � ?r, '. �. t' -�g�� % ,�,r% ' Fi .�,�� '� Tie - ,. ,� E` '' elt <br /> ' -. <br /> „ ,,.-�"� �F,-�.,� � .����;� ��,,.��' �.��a3"�`� a,....z��_aui�c,. �Aa,�s� 3_rµ_�,,.� „«�,.,.. z� < .. � M -���' `�'"� K'` <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified Manufactured Dwelling $0.00 <br /> Description of Work: AUTH W/FLD REPL 3 BDRM WITH MANF HM 2 BDRM *SAME FOOTPRINT <br /> ;; �O SITE 1ENFORMATI0;, da t ? i a�' are ff a: ..; ,�5 ;.rr <br /> Property Address: Parcel: Owner: DOERFLER FARMS INC <br /> 5486 Anderson Rd Se,Aumsville,OR 97325 081W16 00100-Primary <br /> Address: 12333 SILVER FALLS HY SE <br /> AUMSVILLE OR 97325 <br /> tf,--L4:00.11,AMOtt. <br /> Business Name License Address Phone <br /> A <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $605.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $705.00 <br /> Note:This may not include all the fees required for this project. <br /> This application will expire if application acceptance cannotie achieved within 180 days. <br /> All provisions of laws and ordinances governing this type of work will be complied with <br /> whether specified herein or not. <br /> All persons or entities performing work under this application are required to be licensed <br /> unless exempted by ORS 701.010. <br /> Printed on:10/05/2022 i std_BuildingApplication pr <br />