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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 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />TAX LOT <br />CONSTRUCTION TYPE <br />CONTRACT CITY <br />¢¢~R,[ ON COUNI Y NO <br /> <br />°v~"~A rE: 05/11/90 <br />SITUS ADDRESS PR1DDY, SIEVE' <br /> <br />9z22:30 <br /> <br /> 10231 ~FIAFF RD <br />USEgy~:~&LLE OR 97325 <br /> <br />OCCUPANCY RE~ I OEN'I IAL <br /> <br />3 <br /> <br /> PHONE: ?,¢9-26z~8 Stl E NUMBER: 10137 <br />LOT BLOCK $CCTION T~WNSHIP RANGE VALUA r iON .[ONE MAP <br /> <br />OB 9S 1~ ~FU 80 <br /> NC) NC) <br /> <br />FYPE: MOBILE HOME <br /> <br />CON1RACl OR, NO. <br />PRIDDY, STEVE <br /> <br />PHONE: 749-2848 <br /> <br />PER~'4IF OR APPLICATION NO: <br /> <br />MO~iLE HOME AODFL. 5~JRCHARG~ <br />PLEE1 SURCHARGE -ZONE 3 <br />f~X]81LE HOME STORAGE FEE <br /> <br />TOTAL AS~ED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANIITY AMOUNT <br /> <br /> $3.84 <br /> $25.00 <br /> <br />$30.09 <br />$30.09 <br /> $o.oo <br /> <br />BALANCE 0UE $0~00 <br /> <br /> RECEIVED BY** P8 .............................................. rYPE.* CHECK ~: O <br /> <br />* THIS IS A VALID ~If :~ THIS PERt*lIT ~Pi~ 180 ~ F~ IT8 I~E ~TE. iF <br />~T~CT[~ C~ FOR A P~[~ OF 180 ~,OR iF ~T~CTI~ FAI~ TO ~T ALL <br />~I~ ~ STATE ~ ~D ~RI~ ~NTY BUILDING ~O Z~l~ ~DIN~. THIS ~iT' <br />~L B~E NULL ~O ~lO. <br /> <br />REMARKS: MOBILE HC~IE APPRO~TED FOR'"$TORAGE"'PO~PO~E5ONLY. NO1 10 BE OCCUPIED. PERfflANENI <br /> PLACE~ENF WILL RET~UiRE LAND USE APPROVAL <br />PLANNING ACTION: <br />DONALD E. DCOOOLEY, t,!ARiON COUNIY BUILDING OPFICIAL / BY <br /> <br />~OnM ~ MC ]~IIS~ "Er 1~4~ OFFICe: COPY <br /> <br /> <br />