Laserfiche WebLink
! ~/ MARION COUNTY BUIL~G;~E_C'~OJ~I , .I c. it~ Setback Requirements:: <br /> <br />Zoning Vatidation ~ <br /> % ~ Phone ~8~147 ' .... ;:;J [ Side j Side:: <br /> /, <br /> BUILDING ~ MOBILE HOME ~ SE~ ~ ~ ~PPLICATION <br />-~;ope~y Owner:: Phone;: " Uaili~ 'A~rB~¢~ -- ~ <br /> <br /> Job Address Site ~o:: ' ~'~s Street <br /> Prope~y Tax LCt No Fleet S/C Zone:: <br /> <br />Subdivision <br /> <br />Mobile Home Park <br /> <br />Zone;; · <br /> <br />Section I Town <br />Lot W~dth:: Lot Depth <br /> <br />Lot:: <br /> <br /> Map, <br /> <br />Block <br /> <br />TCt~I ¢~ Spaces <br /> <br />Coj3tractor Besiness Name and. No ::r ~.¢ Phone ..~ Addre~,s <br />] Architeot;~'n~eer L Phone:: <br /> <br />Type of Permit:: <br /> <br />Height of Building <br /> <br />Mobile Homo <br />Width :: <br /> <br />New:: [] Addition [] Demo Tach <br />Alter [] Relocation [] Ccc Chg [] Review <br /> <br />Sq Ft Main Floor:: <br /> <br />Bedrooms:; <br /> <br />No Stories <br /> <br />Mobile Home <br />Length :: <br /> <br />Proposed Septic Installation <br />Previous Site Evaluation # <br /> Type of System:: <br /> Test Holes Ready <br /> <br />Will call when holes rea~x: , <br /> <br />Proposed Bedrooms:: <br /> <br />Existing Septic System:: <br />_,_Ex!s_t!n.g. Tank Size:; <br /> <br />Existing Drainfield Length <br />,~y~ of System <br /> <br />Existin(I Bedrooms <br /> <br />Sq, Ft,, 2nd Floor:: <br />Occupancy <br /> <br />Date Tank Pumped <br /> <br />Use of Building . RES <br />Sq Ft Garage Other <br /> <br /> Valuation $ <br /> <br /> Bldg Fee $_ <br /> <br /> Mobile Home Fee:: <br /> Fleet Surcharge ___.. _.'~.-.-. <br /> Zoning Surcharge <br /> State Surcharge <br /> Plans Check Fee <br /> Site Evaluation Fee <br /> Septic Permit Fee _ <br /> DEQ Surcharge <br /> Technical Review Fee <br /> Reinspection Fee <br /> investigation Fee <br /> City' Fee <br /> TOTAL FEE <br /> RECEIPT NO <br /> <br />( .v~'} I have read this application in its enteety and certify that the .stated Informallon is true end oorreot to the be~t of my knowledge <br /> <br />( ) Other ............... <br /> <br />OT~ER PERMITS REQUIRED BY THIS DEP'E: PLUMBING, MECHANICAL, ELECTRIDAL <br />MO ~5-6 <br /> <br />LJ <br /> <br /> <br />