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Zoning Validation <br /> <br />Date: <br /> <br /> BUILDING [] <br /> <br />A~nette B ~asel <br /> <br />11923 Airport Road NE <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> MOBILE HOME [] SEPTIC [] PERMIT APPLICATION <br /> <br />Mailing Address: <br />21823 Airport Road NE ~t~'%-~.~ <br />Aurora 97002 <br /> <br />678-1444 <br /> <br />Tax Lot: <br /> <br />Site No.: <br /> <br />Contract City,, <br /> <br />Use of Building: Construction Type: <br /> residence <br /> Subdivision: <br /> <br />Min. Reqd, Front: <br />Setbacks; <br /> <br />Let: SIc~: Section: Tow~ip: Range; <br /> %/ 12 4 1W <br />Width: Depth: A~a: Ac~s: Ir~g, bt: <br />114 120 sf y <br /> <br />Type of Permit New; [] Addition: [] Demo: [] Tach, <br />Septic <br />Site Alter: [] Relocation: [] Occ, Chg,: [] Review: [] <br /> <br /> Phone: <br /> <br /> Ehlen Rd <br />UGB: <br /> <br />Occupancy: O~upant~: <br /> <br />Left Right Rear: <br />Side; Side: <br /> <br />Zone~._~.~/.~ Map; ~.~ <br /> <br />Corner: Fleet SIC Zone'. <br /> <br /> No <br /> <br />Use of Building; <br /> <br />Address: <br /> <br />RES [] <br />COS [] <br /> <br />Home Builder% Registration No.: <br /> <br />Architect/Engineer: Phone: <br /> <br />Height of Building; <br /> <br />NO. Stodes: <br /> <br />Mobile Home; Width: <br /> <br />Main Floor: <br /> <br />Length: <br /> <br />Sq, Pt, 2nd Floor: <br /> <br />Water Supply: <br /> <br />Address; <br /> <br />Sq, Ft, Garage: <br /> <br />well <br /> <br />Proposed Septic Installation: <br /> Previous Site Evaluation ~; <br /> <br />Type of System: <br />Test Holes Ready: yes <br /> <br /> Will call when holes ready: <br /> <br />Existing Septic System: <br /> Existing Tank Size; <br /> Existing Dralntield Length: <br /> Type of System: <br /> Date Tank Pumped; <br /> <br />Proposed 3 bedroom house <br /> <br />Valuatien; <br /> <br />$ <br /> <br /> [ have read this application in its entirety and certify that the stated Information <br /> is true and correct tO the beat of my knowledge, <br /> I am perforrni~lg work on a property I own or occupy. <br /> I am a registered builder OR ( ) the autSodzed rePresentmiYe of <br /> <br /> The work will be performed by a registered bullde~ <br /> Other <br /> <br /> Husband <br />OTHER PERMITS REQUIRED BY THIS DEP'[.: PLUMBING, MECHANICAL, ELECTRICAL'~ <br /> <br />Bldg, Fee; <br /> <br />Mobile Nome Fee; <br />Fleet Surcharge'. <br />Zoning Surcharge; <br />State Surcharge; <br />Plar~a Check Fee: <br />Site Evaluation Fee: <br />Septic Permit Fee; <br />DEQ Sumharge: <br />Technical Review Fee: <br />Reinspection Fee'. <br />tnvestigation Fee; <br />City Fee~ <br /> <br />TOTAL FEE; <br />RECEIPT NO,; <br /> <br />15__0.0~RRXR~ <br />15.00 <br /> <br />165. O0 <br /> <br /> <br />