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MARION COUNTY BUILDING INSPECTION <br />SENATOR E~LDG, NO. 225 <br />226, HIGH'STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> this document <br /> <br /> DARE: 0?/20/90 ;f; .Uvt. E..~ ~1 <br />OWNER: <br /> ~HUEN iNG, iVAN <br /> <br />~ITU$ ADDgESS; <br /> <br />of a registered builder, <br />The work will be pertormed by a registered builder, <br />Other <br /> <br />I have resd and agree to the terms stated on the reverse side of <br /> <br /> 2035? HIGHWAY 99E <br />AURORA OR <br /> <br />USE OF SUILglNO; <br /> <br />MAiLTNG ADDRESS: <br /> <br />.SA~E <br /> <br />PHONE; 6'78-2'109 <br /> <br />LOT: BLOCK; <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />NO : <br /> <br />RESiDENTiAL <br /> <br />WIDTN: <br /> <br />f'YPE: IViOBILE HOIVlE PERMI'f' OR APPLiCATiON NOs <br /> <br />COhN'fRAC'FOR, NO. 14922 <br />CENfRAL OREGON MOBILE <br />285:50.PACiFIC HiGhWAY <br />WOODBURN. OREGON 97071 <br />PHONE: 981-~141 <br /> <br /> II'EM <br />MOBILE HONE SASE FEE <br />NIOSILE HOME ~'T'A'I'E FEE <br />tvlC.~LE HOME ZONING SURCHARGE <br />FLEET SURCHARGE -ZC~E 6 <br />IvIOBILE HOg4E STATE SURCHAA~'GE <br /> <br />240? 1 <br /> <br />TOTAL <br />PRE¥~(AJS RECEiPl'$ <br />THi~ R~CEiRT <br /> <br /> 3821 <br /> <br /> : ZONE: MAP; <br /> <br />N EFU 5 <br /> OORN~: <br />YES: NO <br /> <br />~UAN'f'iT'Y AMOUN1 <br /> $89.25 <br /> $15.'75 <br /> <br /> $5.25 <br /> <br />123_18 <br />$o.o0 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: RECEIPT <br /> RECEIVED BY: PR .................................................................... TYPE: CHECK ~: 0 <br /> <br /> *THiS IS A VALID PEI~VllT * THISPER~4IT EXPIRt~5 180 DAY~FRO~I iTS I,SSUE <br />CONSTRUCTION CEASE~ FOR A :PERIOD OF 180 DAYS,OR IECONSTRUCTiON FAILS TO MEET ALL <br />RE(~UiRE~4ENTS OF STATE LAW~ AND r4ARION COUNTY BUILDING ~D ZONING ORDIN~NCE,S. THIS PE~41T <br />E~dALL BECC~E NULL AND VOID. <br /> <br />SE1BACI'~3: F;'R 62CL LS 10 RS 10 RR 30 SP ~//~ ~'"-~ <br />RgMARK~: MOBILE HOME PLACEL~4EN'I R~2029 ............ <br /> <br />PLANNING AC'~ON; CU90-28 <br /> )N,.LD g. ~3ODLEY, MARION COUNTY BUILDING OP'P'iCIAL / <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-~,6 REV, 4/90 <br /> <br /> <br />