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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH 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 />have road and agree ~o the terms stated on the reverse side of DATE: <br /> <br />04/01/91 TIME: <br />~A'f ER~, BRIAN <br /> <br />TA~ LO~: <br /> ?5300-65 <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br /> 8633 "A" ~HAW MARE RD SE COhYmA~T CITY: <br />AU¢4S¥i LLE OR 9?325 ;~RION COUNI'Y.; <br /> <br /> SA~E <br /> PHONE: 363-4597 <br />LO'f:SLOCK <br /> <br />WIDTH: OEP'f H: <br /> 121 285 <br /> <br />SE~floN: <br /> <br />AREA: <br /> <br />MAP: <br /> <br />TYRE; MOBILE HONE <br /> <br />CONr RACTOR, NO. <br />~AI'ER~, BRIAN <br /> <br />PHONE: 363-4597 <br /> <br />PEP, NiT OR APPL] <br /> <br />R(.,~ILE HO~E ttASE FEE <br />~4OSILE HOME STATE FEE <br />¢40~ILE HOfflE ZONING ~$URCHAR~E <br />~3t~lLE H0f4E STAFE 19JRC'HARGE <br /> <br />PAYEB: ~ATERS, BRIAN <br />RECEIVED BY: P~ <br /> <br />* THI~5 1!5 NOT A <br />FOU_i~IN~i {~U~T I~E <br />ALL NECi~a, ARY <br /> <br />9031248 <br /> <br />TO'rAL'ASS~EO?EES <br />PREVIOUS RECEIPTS <br />i[HI~RECEIPT <br /> <br /> BALANCE ~JE <br /> <br /> TYPE: CK <br /> <br />C}UAN I' 1 TY <br /> <br /> $89.25 <br /> $15.75 <br /> $5.25 <br /> $5_25 <br /> <br />$115_50 <br /> $0.00 <br />$1~5_50 <br /> <br /> $0~00 <br /> <br /> RECEIPT 32999 <br /> CHgCK ~: 5320 <br /> <br /> A REViIEV~ PROCE~.~ ~,'IERE THE <br /> iT tSTHE.RE~PONSIBtL[TY:OF THE APPLIC~T TO ~ THAT <br />H~E~ P~IDED~ <br /> <br />PLAN REVIEW: BY ..................................... 0ATE ................................ <br />3EP'I'IC: BY ............................................... OA'fE .................................................. CITY JURi~GIC'flON: BY ............................... DATE ............................. <br /> <br />ZONING; BY DATE SEfBACKS: ER LS RS RR ................... ~P ............... <br />REMARKS: fcll~'IEE'"'R~E PLA~ERB~IT'-'R~5320 ................................................ <br /> <br />,PLANNING ACTION: <br /> <br />For~r~ ~ MC ~-"~ ReV. 4~S0 OFFICE COPY <br /> <br /> <br />