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Received ~y; ~ <br />zOOming ~alidation ;~7)/'~ <br /> <br />MARION COUNTY BUILDING INSPECTION ~.~y Setback R~¢ulrements; <br /> 220 High Street NE <br /> <br /> Phone S8~5147 [Side; Side: <br /> Cod~Phone 4:30 RM. - 8:00 A.M. <br /> <br />Property Owner: <br /> <br />Job Address: <br /> <br />[Phone: ,:~...,¢,~.../~/.~[ Mailing Address: <br /> <br />BUILDING [] MOBILE HOME [] SEPTIC,~ PERMIT APPLICATION <br /> all <br /> <br /> Fleet S/C Zone; <br /> <br />Subdivision; Lot: Block: <br />Mobile Home Park: Bp. #: <br />Section: Township; Range; Zone: <br /> <br />Map; <br /> <br />Lot Width: <br /> <br />Lot Depth; <br /> <br />Irreg. Lot: Corner; <br /> <br />Contractor Business Name and No.: Phone; Address: <br /> <br />Address: <br /> <br />Architect/Engineer; <br /> <br />Total ¢ Spaces: <br /> <br /> IVlARION COUNTY <br /> BUILDING INSPECTION <br />New: [] Addition: [] Demo: [] Teoh, Use of Building: <br /> <br />Alter: ,~ Relocation: [] Ccc. Chg.: [] Review: <br /> <br /> No. Stories: Sq. Ft, Main Floor: Sq, Ft, 2nd Floor: Sq, Ft, Garage; Other: <br /> <br />Type of Permit: <br /> <br />Height of Building'. <br /> <br />Mobile Home Mobile Home # Bedrooma: Occupancy; Occupant Load: <br />Width; ~;) ! Length; ~. <br /> <br /> Type of System: me Fee: <br /> <br /> Will call when holes read~/: Propo,sod Bedrooms:' <br /> <br /> Existing Septic S~tem; . ~ .-- ~ ~ ~ ~ ~dmg Sure a ge: <br /> Existing Tank Size', ;¢~¢~/, gA ~ff¢ L ¢ ~ ~ .... <br /> Existing Dralnfleld Length: ~ ~ ' State Surcharge:. <br /> Type of System: <br /> Date Tank Pumped: ~-~/~ Exl8tin~ Bedrooms: <br /> <br /> ~ have read this application in its entir~y and certify that the stated inform~ion <br /> ~ I am performing work on ~ property I ~n or o~upy, <br /> ) I am a registered builder OR ( ) the authorized represent~i~ of a registered <br /> builder, <br /> <br />  ~TAL FEE: <br />MC 15-6 RECEIPT NO,; <br /> <br /> .~.~ans Check Fee; <br /> <br />~.0~''' DEQ Surcharge: <br /> Technical Review Fee; <br /> <br /> <br />