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Marton County <br /> OREGON <br /> 11.1 PUBLIC WORKS <br /> (503)588-S036 <br /> BOARD OF MARION COUNTY BUILDING INSPECTION <br /> COMMISSIONERS WILDFIRE FEE WAIVER <br /> Kevin Cameron,Chair <br /> Danielle Bethel! <br /> Colm Willis <br /> DIRECTOR Address: 2 .e")6 ',Lc( tAyaks Or (77338 <br /> Brian Nicholas,P.E. <br /> Conventional FrameYIT Manufactured Home: Y IN <br /> ADMINISi KATION <br /> Square footage of existing/previous conventional frame dwelling: j 100c7 (€ ,,P"c"44) <br /> BUILDING <br /> INSPECTION Spine footage of existing/previous covered patio and/or entry: <br /> ENIERGENCY MANAGEMENT 7/Z2, <br /> # of existing Bedrooms: ,2 #of existing Bathrooms. <br /> 1 <br /> AA.4 44. <br /> ENGINEERING Square footage of existing/previous attached garage: ! 6 00 ( pp ) <br /> ENVIRONMENTAL <br /> SERVICES <br /> OPERATIONS Name: Ne 0 -Be (I <br /> PARKS <br /> Phone Number: _303 q -6103 <br /> PLANNING <br /> Email Address: ilent\-ktt, Trica ( . COTT‘, <br /> SURVEY <br /> BI(F)Wildfire/Forms/DwelliWildfireFeewaiver <br /> 5155 Silverton Road NE•Salem,OR 97305-3802• www.co.marion.or.us/PW <br /> Printed on recycled paper• Reduce—Reuse—Recycle-Recover <br />