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Received By ~ <br /> <br />Zoning Validation - <br /> <br />MARION COUNTY BUILI~I'-'-N6'~If~P~ EC'ITiON ':;~ck Reguiremente <br /> *~0 High ,tr~ ~ ,r~/~ / Rear <br /> Salem~Phone 588-5147Omg°n 973~1~ z ~ ~ ~/Left Sider h~ <br /> <br /> -"-7-' <br />BUlLDINe [] MOBILE HOME L~' SEF'T~,.L~)! <br /> <br />Property Owner <br /> <br />Job Address <br /> <br />Phone:: Mailing Address <br />Site No <br /> <br />Property Tax Lot NO <br /> <br /> ~ X~ ...... <br />Fleet S/C gone <br /> <br />Subdwisio~ ~ Lot I[ <br />Mob~e Home Park .... Sp # <br /> <br />Lot ~idth ~l ~Ot Oepth;: / Acres:: Irreg Lot Corner:: <br /> <br />Block <br /> <br />Total # Spaces <br /> <br />Contractor Business Name and No Phone:: Address <br />Architect~Englneer Phone Addreee:: <br /> <br /> Ty e o.f Permit:: I New:: ~ Addition ~ Demo:: [] Tach <br />'~0¢~1'~u3¢2,¢¢~ Alter [~ Relocation[] Oocll Chg I~ Review [] <br /> <br />Height of Building No Stories <br /> <br />Mobile Home ~ Mobile Home <br />Width ~2~ Length ¢.:i <br /> <br />Sq, Ft Main Floor <br /> <br /> Bedrooms <br /> <br />Sq Ft 2nd Floor:: <br /> <br />Occupancy <br /> <br /> Proposed Septic Installation:: <br /> Previous Site Evaluation ¢/ <br /> Type of ,,System;: <br /> Test Holes Ready' <br /> Will c¢1 when holes ready Proposed Bedrooms' <br /> Existing Septic System:: <br /> <br /> Existing_ Orainfield Length ./~P'Z-' / <br /> T~pe of System .:~ ¢~ -- ~ ~- <br /> Date Tank Pumped M -~/~<~/ E~,ing Bedrooms:: ~ <br /> <br />SIGNA, URE OF APPLIOAN~~/~4~ <br />~HER PERMITS REQUIRED BY THI~ DEPT.: PLUMBING, MECHAniC, ELECTRICAL <br /> <br />Use of Building RES ~ <br /> COM [] <br /> <br />Sq Ft Garage:: Other <br /> <br />Occupant Load Wat~,~,~y <br /> $ (] <br /> <br />Valuation <br /> <br />Bldg Fee <br /> <br />Mobile Home Fee' <br />Fleet Surcharge <br />Zoning Surcharge <br />State Surcharge:: <br />I~lans Check Fee:: <br />Site Evaluation Fee;: <br />Septic Permit Fee <br />DEQ Surcharge <br />Technical Rewew Fee:: <br />Reinspection Fee <br />Investigation Fee:: <br />City Fee <br /> <br />TOTAL FEE <br />RECEIPT NO <br /> <br /> <br />