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MARION COUNTY BUILDING INSPECTION <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />SIGNATURE OF APPLICANT; <br /> DATE: <br /> <br />COOKMAN. gSCO'T 'f <br /> <br /> /032:3 5CNULER RD <br /> .AU RORA <br />USE Ok BUILDING: <br /> <br />~IARION L:UUN f"Y <br /> <br />JUTO0 <br /> <br />MAILING ADDRFSS' 5iNGLE f-Ar~T.L.y ONELLING5 <br /> <br />SAP~E <br /> <br />F~FIONf-:, 518'" 18,:." ,i,I <br /> <br />SECTION TOWNSHIP <br /> b, 14. AC <br /> <br /> ~LT'E NU~MER <br /> VALUA'I'JON: <br />RANGE <br /> <br /> NO <br /> <br />CATEGORY' <br /> <br />OCCUPANCY: <br /> <br /> "t.]5( <br /> :~c~u ..... 00 <br />ZONE MAP' <br /> <br /> t-,F,. <br /> <br />r'ypg: 0KiEi_L 1NG <br /> <br />CC)OK?lAN, <br /> <br /> 844-8304 <br />PHON~: 678-1822 <br /> <br />i.>F..;R]'¢ L [ (DR APPL., ~. fSA [' l ON NO: <br /> <br />/3~ELLiNG BUILDING FEE <br />f-';~ E L L, [,1"4G PLUIVIB j NG <br />O~ELL,t NG ~ECHAN 1CAL <br />0W(sLL lNG EL~C FRiCAL <br />DNELL]NG ~'fA1E: SURCHARGE <br />',,)~LL_iNG Pl..AN REVIEU <br />[)~L. LiN(~ ZONING SURCHARGE <br /> <br /> 3255? 0P <br /> <br />ARCH,f TEC,/ENGiNeER, NO, <br /> <br />PHONE'" <br /> <br />'TOTAL .4~E~ED FEES <br />PREV I OLJS RBCEi P'fS <br />TPtZS RECE ~ P'I' <br /> <br />QUAN ~ ~, TY <br /> <br />A]vIOUN f' <br /> $55~. <br /> $208. [)8 <br /> <br /> $'~"¢3,40 <br /> $48_55 <br /> <br /> $]5,00 <br /> <br />$ '!, 2 '19_ 59 <br />$1,219. b!~ <br /> <br />BALANCe- DUE $C). 00 <br /> <br /> RECEIVED ~Y:, PB ........................................................................................................... TYPE: CHgCK ~: 0 <br /> <br />~': THIS IS A VAL/D PER~iT ~ TH~5 PER, il' EXPIRES 180 DAYS P'RON iT'5 L~LJE DA~E:. N;' <br />(.;ONSTRUC] iON CEASE~ F'OR A PER~O0 OF ~80 OAY~, OR IF' O~N~'rRuc'rZON PAZLS TO f~;P: f ALL <br />REC~IRE~EN ~ DF 5'I'AI'E L,A~ AND MARION C~N'TY ~UiLDING AND Z~iNG ORDINANCE%, !HI5 f>ER~}ll <br />SHALL BECOMe; NULL AND VOJ. O, <br /> <br /> 5EI~ALtKc~ I;'R 20 ti5 '}0 RS 18 RR 20 <br /> R~!IV!ARK!5:[.I,'~¢~'f.]1 iNG REPL.AC.~ENT R~B450 APPROVED FC)R REPLA.E~EN[ OF;' PRIMARY RE'S!DENC~: <br /> <br /> FffEIGHi '. 35 IOTAL SO FT: 3488 5'~GR.~E5: 2 DLAN_AC~ION~ <br /> <br /> DONALD E. WOODL~Y, ~ARJ. ON COLIN}Y 8ULLDZNG DFFICJ. AL / BT . .................................. ~ ............................ <br />FORM ~ MO 15-56 R~. 4/90 OFFICE COPY <br /> <br /> <br />