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Appl. Re~ <br /> <br />Plans by; <br /> Map Page <br /> <br />Use of Bldg.: <br /> <br />Lot No; . <br /> <br />c,.,.,.,,,-~, ~-,,~. ....... Phone: <br />Zone Zone hg. Par . Con , Use <br /> <br />Water Supply; <br /> <br /> Site <br /> Evah <br /> No. <br /> Stories' <br /> <br /> Roof <br />__ Type: <br /> <br />Sewage <br />Disposal; <br /> <br />Area of Bldg; <br /> <br />Basement: <br /> <br />Heating <br />System: <br /> <br />BTU: <br /> <br />Permit No. _.-..~'-~7 <br />By; <br /> <br />.... Tax Lot No: __ <br /> <br /> See. 'Z.¢" Twnshp. <br /> <br /> // // <br />Phone: Address: <br /> <br /> Address; <br />  ce " Fire Zone Occupancy Type of Const. <br /> <br /> ~q. ,r,t ~ ~ Rear <br /> / .... <br /> <br /> ~~~ Lot Size ..... <br /> Valuation: ~ <br /> Permit F*~' <br /> <br /> State Surcharge: · ~ / <br /> <br />Corner? <br /> <br />Plans Chk. Fee: <br /> <br />Septic P.ermlt Fee: <br />Total Fees: ~ ~'- ~ <br /> <br />I agree to build according to the submitted plans and ~p. eciflcatlons, the law~ of the State of Oregon and the Ordinances of Marion <br />SIGNATURE OF APPLICANT: (-.-~-"~--"~-~/~/-~-- ~ ~~ ~- <br /> <br />ZONING SEPTIC TANK PLANS <br />.~yj .... By: .... By: <br />O~te: Date: Date: .... <br />RE~ARKS <br /> <br />PLEASE NOTE; Driveway and sidewalk inspections are required by Public Works: 588,5036 <br />Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />