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City <br />Zoning Validation'~'~'~ <br /> <br />,MAI-lION NTY BUILDING INSPECTION <br /> ~J~/Senator Elldg, NO, 225 <br /> : ;:; 22(] High Street NE <br /> · Salem= Oregon 97301 <br /> <br />Date <br /> <br /> Phone .588-5147 <br />Code~A-PaOne 4::30 EM. - 8;00 A..M. <br /> <br />City Sett,~ck Requirements:: <br /> <br />Front ~.0 Rear <br /> <br />Left Right <br />Side ~- Side. <br /> <br />PERMIT APPLICATION <br /> <br />Property Owner <br /> <br />Job Address:: <br /> 15083 and 15093 <br /> Aurora OR 97002 <br /> <br />Subdivision <br /> <br />Mobile Home Park <br /> <br />Section:: ~wnship <br />1R 4 ~outh <br />LOtWldth ~tDepfh:: <br />92.1~ 162.81 <br /> <br />Ottaway Rd. <br /> <br />Range:: <br /> <br />1 West <br />Acres <br /> <br />Phone <br />678-5305 <br /> <br /> Mailing Address 97002 <br /> <br /> 15080 Park ..Ave, NE~ Au..rora <br />Site No Cross Street <br /> Ot~awav Rd. <br />Properly Tax LOt NO :: / Fleet S/C Zone <br /> <br />Lot' ' Block:: <br />Sp # Total # Spaces <br /> <br /> Corner:: <br /> <br />Irreg Lot <br /> <br /> 2 lots same width and <br />Contr~tor Business Name and No I Phone <br />__. none yet <br />Architect/Engineer:: Phone;; <br /> <br /> David L. TraoD L Assoc___ 981-3181 <br /> <br /> Address <br /> <br /> Address:: <br />IP,0 Bo× 561, ~ood.b]~r~ 97071 <br /> <br />Type of Permit <br /> <br />New:: [] Addition E3 Demo;: <br />Alter [] Relocation:; (~ Ccc Chg:: <br /> <br />Tach <br /> <br />Review;: <br /> <br />Height of Building No Stories Sq Ft Main Floor / Sq. Ft ~nd Floor:: <br /> <br />Mobile Home Mobile Home # Bedrooms:: i Occupancy <br />Width Length <br /> <br /> to divide property <br /> <br />need septic app~,q,.ve! <br /> Proposed Septic Installation:: <br /> Previous Site Evaluation <br /> <br />Type of System:: <br /> <br />Test Holes Ready:: <br />Will call when ho{es ready:: <br /> <br />Proposed BedroOms;: <br /> <br />Existing Septic System:: <br />Existing Tank Size <br />Exlstin~Dratnfleld Length <br />Type of System;; <br />Date Tank Pumped:; Existieg BedroOms <br /> <br />( ~ I have read this application in tts ontkety and ce,lily that the stated information is <br />{ I am a registered builder OR ( ) the authorized representative of a registered <br /> <br />Use of Building <br /> <br />COM __ <br /> <br />Sq Ft Garage Othor:: <br />Occupant Load Water Supply <br /> <br />Valuation <br /> <br />Bldg,, Fee <br /> <br />Mobile Home Fee:: <br /> <br />Fleet Surcharge:; <br /> <br />Zoning Surcharge;: <br /> <br />State Surcharge:: <br /> <br />Plans Check Fee <br /> <br />Site Evaluation Fee:: <br /> <br />DEQ Surcharge:: L,.4- __ <br />RECEIPT NO:: <br /> <br />..% Z o, co <br /> <br /> <br />