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MARION COUNTY BUILDING ~NSPECTiON <br />SENATOR BLDG NO 225 <br />220 NiGH 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 />sl~us ~orms~:EACH, NERREL <br /> <br />RESIDENTIAL <br /> <br />97325 <br /> <br />D4ARI ON COUNI Y NO <br /> <br /> HiLL HALL I BURION-REN f OR <br /> <br /> PHONE: 749-~ 11~ <br />LOT E~LOOK <br /> <br />SECTION TOWNSHIP <br /> <br />SITE NUtFEER: 10166 <br />RCNVALUAFiON: SON~ <br /> <br />]. AC NO NO <br /> <br />EFU 51 <br /> <br />\. TYPE: rqg~glLE HCTflE P~R?4iI OR APPLICAIiON NO: 9024092 <br /> <br />coNrRAcroR, NO. <br />B~,ACH, ~ERREL <br />BiLL HALLIHURrON-RENfOR <br /> <br />PHONE= 7~9-1112 <br /> <br />IvKDBILE HONE ADOTL. 3URCHARGF~ <br /> SURCHARGE =ZONE <br />IvIO81LE HCt4E 5fORAGE <br /> <br />QUANIiIY AF,1OUNf <br /> $T.25 <br /> $3.84 <br /> 1 $25.00 <br /> <br />TOTAL ~ESSED FEES <br />PRECIOUS RECEIPTS <br />THi~ RECEIPT <br /> <br />$30.09 <br /> $0_00 <br />$30.09 <br /> <br />BALANCE OOE $0_00 <br /> <br />PAYEE: HALLiEUffiFON RECEIPT 2546'1 <br />RECEIVED DY: CL IYPE: CA C~gCK ~: 0 <br /> <br /> THIS ,tS NOT A PERtfl,tT. THIS APPt. lCAT,tON ~UST GO THI:~I.IEi'-I A REVIEW PROCEE~ Ve'IERE THE <br />FOLLO~II~3 FI]S~ BE CORPLETED. ZT iS THE RE~P~IBILiTY OF THE APPLICANT TO ASSURE THAT <br /> <br /> 56PfiC: BY DATE C[IY JURiSO[C'fl~: BY 0AlE <br /> <br /> Z~iN6: BY g~ OA'rE EJI~/~ SET~ACKS: ER ZO ~ I0 ~ L~ RR ~O <br /> RE~R~: STORAGE"~LY, NOT--TO"BE-ATIACHED TO P~PERTY .......................... <br /> <br /> P~NING AC7 <br /> <br /> <br />