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Ap~l,R~vd <br />Date:: <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Downtown Senator Building <br /> 220 High St,, N,E. 2nd Floor <br /> Salem, Oregon 97301 <br />R_~I. WITRROW, BLDG. ADMINISTRATOR <br /> 588-5147 - 588-5149 ~ <br /> <br />Map Page Zone Zone Chg Part, Cond, U~ Variance <br />LOt NO: /- ~ .BIN No:; <br /> <br />Water Supply; ....... ~ /~' ~ <br />Sewage Feas <br />Disposal:: ~'~6 _ ./~'/~-~J~. Study: <br /> <br />Area of Bldg: ~ ~OO NO. <br /> Stories. <br /> <br />Sub dy i ~ ~ <br /> <br />Basement ~ .... <br /> <br />Heatmg <br />System;; ...... ,~ ~g~,~, ~-~,,f ~.. <br /> <br />BTU:; __. <br /> <br />Roof <br />Type: <br /> <br />M in Req, Front gldos Rear <br />Setbacks <br /> <br /> Permit Fee:: .... ,~ ~, ~iii ~ <br /> <br />State.Surcharge: <br />~k ,Fee:: <br />Septic Permit Fee;; ~~ <br /> <br />Total Fees;; <br /> <br />RCpt,, No:: <br /> <br />I agree to bo/Id aecordmg to the auhrnitted plans and speciflIcat/on$, fho laws of <br />County, Parltlit expike~ if work not comrnenced w~hin 120 days, <br /> <br />SIGNATUR~ OF APPLICANT: <br /> <br />VALIDATIONS;: <br />ZONING <br /> <br />SEPTIC TANK <br /> <br />Date <br /> <br />REMARKS <br /> <br />Ordinances of Marion <br /> <br />Date:: / ~ '- <br /> <br /> <br />