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i.';'~Cio,s of Building ~' <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> Marion Count7 <br /> <br />R,H. WITHROW, BLDG. ADMINISTRATOR <br />588-5147, Courthou~ <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Repair <br /> <br />Relocate Building <br /> o <br />Demohsh Structure <br /> <br /> Valuation $ <br /> Permit Fee $ <br /> Surcharge. <br /> Septic Tank <br /> Total Fee $ <br /> <br />This permit covers <br /> <br />10,,25 <br /> <br />Address ilL. I j I¢Ox ]P3t .",umsvi!]e__ <br /> <br />Block <br /> <br />-- Addition -- <br /> <br />S~ze oF Bldg, 2 bedroom <br /> <br />Number of Storios <br /> <br />Height in feel <br /> <br />Mobil o: home <br /> <br />Water Supply Well ,31r_'e~dy o~). propcm'~;y <br /> <br />. :l~jli, Ow,l c T 5L._-= Address <br />~ Uaughtez7 ~.t-~ Nob[.le home - ,:;ar:ice OOC:U~ en <br /> <br /> Builder & No.. Address -- <br /> <br />p h o, o 'TC>l?:_riTL9 ]. <br /> <br />Ardfitect Address Phon~ <br /> <br />DESCRIPTION OF WORK <br /> <br />I';XC¢. rio': w<:s dpp]_"o~¢-d Sepb. 25, '72~ <br /> <br />Conditional Use ....... Partitioning __ Variance Case No ...... Zone Chcmge N,.,. <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT <br /> <br />I cji foe to budd (l¢COfdhqq k) (~bovo description, plans o~:d spec. i{kations arqd the Building Code of ~arion <br /> <br /> APPLICAT ON RECEIVED ~ SEPTIC TANK ~ E~MINER PERMIT ~UED <br /> /C%~o¢~INo~ ppp,ovod A~p,'~¢~o~ Approved j . I <br /> <br />L_:.. %%:' %.._..' .... %~ ' ' ~ ."'7:. / L ....... <br /> <br /> <br />