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.r~D~ N cit~ Setback Requirements <br />MARION COUNTY BUlL I]~1~C-,~¢O~ <br /> 220 High Stre~ N~ <br /> <br />Zor~ing Valida:~ic¢: ~ *~ ' <br /> <br /> Cod~A-Phone 4,30 ~,M,, - 8:~ <br /> <br /> Job X~ress ~ t~' Site NOT:: m ~ Cross'St~ ~ <br /> Pr~erty Tax Lot No <br /> Subdivisio~ ~4~~ Lot & Block ~ <br /> ~bile Home ~rk Total ¢ Spaces:: <br /> <br />Section <br /> <br />Lot <br /> <br />Township ( j RangP. I 0 , <br /> ...... 5' <br />Lot Depth /' J Acres:: [ hreg Lot <br /> <br />Map:: <br /> <br />Corner <br /> <br />Contractor Business Name and NO / <br /> ~,% /~.,,,_ <br /> <br />Architect/Engineer <br /> <br />Phone:: <br /> <br />Address:: <br /> <br />Address <br /> <br /> Type of Permit New T--] Addition:: [] Demo:: [] Tach <br />~l¢-V~"'[cCc~b-iO~¢~'-, Alter;: [~ Relocation [] O¢~, Chg [] Review <br /> Height of~_'l,~,ng::--I No Stories:: j Sq Ft M~aig Flopr:: [ Sq Ft 2n~_d Floor::~ Bedrooms <br /> MW~db)lhe Home I' /¢ / LMe~It~ Home <br /> <br />Usa of Building:; <br /> <br />Sq Ft Garage <br /> <br />Occupant Load <br /> Valuation <br /> <br />Proposed Septic Installation <br />Previous Site EvaLuation #:: <br /> <br />Type of System <br />Test Roles Ready:: <br /> <br />call when holes ready <br /> <br />Proposed Bedrooms <br /> <br />Existing Septic Syslem <br />Existing T~mk Size <br />Existing Drainfield Length <br />Type of System:: <br />Date Tank Pumped Existing Bedrooms <br /> <br />( ~' I agree to bufld according to the submit[ed plans and specifio&tions~ the laws of <br /> <br />OTHER PERMITS REQUIRED BY THIS DE (,1 r~vMBIN6, M , <br /> <br />Bldg Fee <br /> <br />Mobile Home Fee <br />Fleet Sumhargo <br />Zoning Sumharge <br />State Surcharge <br />Plans Check Fee:; <br />Site Evaluation Fee <br />Septic Permit Fee <br />OEQ Surcharge <br />Technical Review Fee <br />Reinspaction Fee:: <br />Investigation Fee <br />City Fee <br /> <br />TOTAL FEE <br />RECEIPT NO <br /> <br />RES ~ <br /> <br />COM '~ <br /> <br />Water Supply <br /> <br /> <br />