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Received ~j::.~-~ ~ ..... MARION <br />Zoning Validation ,--- ~r . <br /> <br />Date <br /> <br /> BUILDING <br /> <br />~-r°v~ ~y,?Owner <br /> <br />Job Address <br /> <br />Subdivision <br /> <br />Mobile Home Park <br /> <br /> COUNTY I~U,~..D~ I~[C~C).N,. I oity Setback Requirements::' . '"~'~ <br /> salem Or.on 97301 '~- <br /> <br />MOBILE HOBE ~ 8EP~f~N~PLICATION __ <br /> Phone:: ' <br /> <br />Cross Stree6 <br /> <br />Fleet SIC Zone <br /> <br />Lot Block <br /> <br />Total # Spaces;: <br /> <br />Irreg Lot:: ~ C~nmer; <br /> <br /> tractor Business Ne~e and NO / Phone:: <br />~'~ermit ~New ~ Addition;: ~ Demo ~ Teoh <br /> <br />Height of Building <br /> <br />Mobtls Home <br />Width <br /> <br />NO Stories 'Se Ft Main Floor:: <br />Length::M°bil/H°me # Bedrooms::' <br /> <br />Sq Ft 2nd Floor:: <br /> <br />Occupancy:: <br /> <br />Proposed Septic Installation:: <br />¢Yevfou$ Site Evatuation #;: <br /> Type of System;: <br /> <br />Test Holes Ready:: <br />Will call when holes resdy:: <br /> <br />Proposed Bedrooms <br /> <br /> Existing Septic System <br /> ~Ex_i_sj!ng_ Tank Size:: <br /> Existing Brainfield Leng. th <br /> ....... Tyj~e of System <br /> __Date Tank Pumped Existing Bedrooms:; <br /> <br /> I have read this application <br /> true and correct to the best of my knowledge <br /> <br />,~(, Other <br /> SIGNATURE Of APPLIC~~~ <br /> OTHER PERMIT~ REQUIRED BY THIS DEPT.: PLUMBING~ MECHANICAL, ELECTRICAl <br /> MC <br /> <br />Address:: <br /> <br />Address <br /> <br />Us,~of Suilding RES <br /> <br />Sq Ft Garage J Other <br />Occupant Load <br /> <br />Valuation <br /> <br />BJdg Fee <br /> <br />Mobile Home Fee:: <br />Fleet Surcharge <br />Zoning Surcharge:: <br />State Surcharge <br />Plans Check Fee <br />Site Evaluation Fee' <br />Septic Permit Fee:: <br />DEQ Surcharge:: <br />Technical Review Fee:: <br />Reinspection Fee <br />Investigation Fee:: <br />City Fee:; <br /> <br />TOTAL FEE:: <br />RECEIPT NO:: <br /> <br />Supply <br /> <br /> <br />