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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE" 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a registered builder,, <br />The ~OCK will bo 0erforMod b~ a ~e~stered builder <br />Other. <br /> <br />Ow~,~'rg: ~39/24/90 liME: 16:48:2 <br /> <br />SITUS AODRE~AGASSg. ROSE ~x <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY UGB <br /> <br />~AR2DN COUN fY NO <br /> <br />/16.~'? PALCrON Cf <br /> <br />MAILING ADGBbSS <br /> <br />SUBDIVISION <br /> <br />CEN1dRY ME!ADO;¢~ <br /> <br />OC('tIPANC¥ R~-$I t]~N T iA!. <br /> <br />LOf BLOCK <br /> <br />SECTION TOWNSHIP <br />ARE* 33 UNITS <br /> <br />Si'rD NUMIC~.R; ~073! <br />RAN~C,~LUA'T i 01'4: ZONe <br /> <br />,,,4~ IHREG LOT 1W CORNER <br /> <br />bio NO <br /> <br />MAP <br /> <br />/YP'E: MOBIL~ RO~ PP.,RMi f OR APPLiCAfION NO: <br /> <br />(.;rJNIRAGiOR. NL). 5498 I <br />PRESflGE MO~ILE HOME 5ERV!CE <br />8880 5N CHEROKEE ~1 <br />FUALA¥iN, OREGON 9'/052 <br /> <br />MrJ~iLg H~,,~4g BA~E <br /> <br />MOBILE HOME ZONING SURCHARGE <br />~LEEf SURCHARGE ~ZONE <br />MOBILE HOME 5fArE <br /> <br />25?99 <br /> <br />PR~VIOU5 RECEIPt5 <br />IHIS R[~EiPT <br /> <br />4~OUNI <br /> <br /> $5_25 <br /> <br />$123.q8 <br /> <br /> Si. 0{; <br /> <br />BALANCE CUE $0.00 <br /> <br />PAY~: REGEtPf <br />RgCEtVEI3 ~Y' GL '~'YPB: CH~CK ~: 0 <br /> <br />* ~Hi$ 25 A VALID PERMIT * THIS PERMi~ EXPiRF..S 180 DAYS FROM lis iSSUE DATE. iF <br />CONSiRUCfiON CP..ASES FOR A PER~OD OF 180 BAYS,OR ~F CON~FRUCTION FAILS [0 MEET ALL <br />RgrjUiR~MENr5 8P 5FARE LAWS AND MARION COUNIY BUiLDiNG AND ZONING OROINANCG~, ftflI5 PgNMif <br />,SHALL BECOME NULL AND VOID. <br /> <br />bt- T ~AOKS: FR L.5 R~ RR 5o <br />"'4LNIARKS- MOt:¢tLE HOME PLACEIv'..'EN I' R:~22~4. <br /> <br />PLANNING A.CT iON: <br />)¢,)N~,~LO b,.. W~JOOLI::,Y. MARION COUN fY RUiLDiNG C)Ft-iCiAL. / UY <br /> <br /> OPFICE COPY <br />FORM # MC 15-58 REV <br /> <br /> <br />