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BUILDING [] <br /> <br />MARION COUNTY BULL, _D~G--[N.SpEC'[ION ,~4[qi~,~,etbeck Requirements <br /> aenat°rBIdg ~]~[t$;= I'~ i!'' II \t/ I:,/._[t'1~ ..... <br /> <br /> SEPTIC ~"'~'PE~M ~ ~P~LICATION <br /> <br />MOBILE HOME [] <br /> Phone;: <br /> <br />Subdivision <br /> <br />Mobile Home Perk~N <br />Section J <br /> ~.~ Tow~)hip <br /> ~ ~ Acres:: <br /> <br />Lot Width, <br /> <br />Site NO Cross Street <br /> F eel S/C Zone <br /> <br /> Total # Spaces <br /> <br />Map <br /> <br />Co~e~ <br /> <br />z°~?~0 ~ <br /> <br />ICont.(actor Sus,~ess Name and No Phone <br />Archfteot/Engi er Phone:: <br /> <br />Address <br /> <br />Add ess <br /> <br />Use of Building RES .~ <br /> %¥ OOM <br /> <br />x)pe of Permit [ New ~ Addition [] <br />.~/~..¢ ¢ ', I Alter [] Relocation:: [] <br />Height gf Building <br /> <br />Mobile Home <br />Width <br /> <br />No Stories <br /> <br />Mobile Home <br />Length:: <br /> <br /> Oeo. Chg.. [] Review:: [] <br />Sq Ft Main Floor Sq Ft 2nd Floor <br /> <br />Occupant Load Water Supply <br /> <br />Proposed Septic Installation <br />Previous Site Evaluation # <br /> <br />Type of System <br /> <br />Test Holes Reedy.,,,, <br />Will cell when holes ready <br /> <br /> Existing Septic System <br />_ Existing Tank ~ize <br /> Exis!!¢g Orainfield Length:: <br /> Type of System <br /> <br />Date Tank Pumped <br /> <br />Proposed Bedrooms <br /> <br />Existing Bedrooms <br /> <br />f/~.j I agree to build accordi.~te~e su~.~uJJ:~d plans and s.J~clflcations: the laws of <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.:: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br /> Valuation:: $ <br /> <br />BIdg P*e <br /> <br />Mobile Home Fee <br /> <br />Fleet Surcharge, <br /> <br />Zoning Surcharge <br />State Surcharge /' ~'-,~ <br />Plans Check Fee __ <br />Site Evaluation Fee <br />Septic Permit Fee <br />BEQ Surcharge:: <br />Technical Review Fee <br />Reinspection Fee:: <br /> <br />Investigation Fee <br />City ~ee /. <br /> <br />RECEIPT NO <br /> <br /> <br />