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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 />Iofame reglstc reda regi,Steredbuilder.bUilder OR the authorized represen 8 ive <br />The work will be performed by ~ registered builder, <br />Other <br /> <br />.OWN~,rE: 04/26/91 <br /> <br />CARTY. PATRICK <br /> <br /> 305 LAKECREST <br /> DETRO.[ T <br />USE OF gglkglNGi <br /> <br /> OR 97342 <br />............... DETRO! 'I <br /> <br />MAILING ADORESS: F1C~ILE HOD1E <br /> <br />563t ~ADE <br />N~'I' LINN, OR 97058 <br />PHONE: 656-455? <br /> <br />LOTz BLOCK: <br /> <br />WIDTH: ? DEPTH. 5 <br />110 <br /> <br /> TAX LOT: ' CATEGORY: <br /> 90250-500 RES J, DEN'I iAI <br /> <br />bONT"^6~ C~TY~ ~ U~e; ~0CCU~AN+ LO~~ <br /> NO ~No'o~ ~D~O0~S: <br /> <br />SUBDivisiON; <br /> 2 <br /> <br /> SITE NUMBER*. 12775 <br /> ......... VALUA'L[ ON <br /> SECTIONI I TOWNSHIP: RANGE: ZONE: , MAP: <br /> <br />, AREA: 2'~ UNITS: <br /> <br />TYPE: NO~iLE HONE <br /> <br />CON'I'RAC'IOR, NO. 38238 <br />SAN'¥1.NVl [viP[tILE HOMES <br />11373 MILLCREEK RD SE <br />AUMrCVILLE OR 9?325 <br />PHONE: '159-'7744 <br /> <br />i'r~'4 <br />MOBILE HOME BASE FEE <br />MOBILE HOME STALE FEE <br />MOBILE HONE STATE SURCHARGE <br /> <br />PAYEE: CAR'~Y, PATRICK <br /> <br />PERMIT OR APPLICATION NO= 9031778 <br /> <br />QUAN'f' 1 TY <br /> <br />AFIOUN[' <br /> <br /> 15. ~5 <br /> <br />TO'[AL Afl.ED FEES $110.25 <br />PREWIOUs RECEIPTS $0.00 <br />THiS RECEIPT $110.25 <br />8AL.N'4CE 0gE $0.00 <br /> <br />INVOICE <br /> <br /> 33553 <br /> RECEIVED DY: PR : .::. : : TYPE: .~N CHECK ~; 0 <br /> * THZ$ .IS NOT BA C(~/~T; THIS THROJ(~-i A,RE"VlEIN PROCE~ if,HERE THE <br />FOLt.O~ING MU~T E L.ETED. :,:iT iS,THE: ~,tBI'I_[TY OFTHE APPLJ[CANT TO A*.,q...~RE THAT <br />ALL. NECE~E~Cd~'Y II'.IPO~ATION HAS REEN PROVIDED. <br /> <br />ZONING: 8Y DATE SETBACKS: FR 20 L¢5 5 RS 5 RR 5 SP <br />REMARKS: MOE'I'EE'"'R0~E PLACEMENT .......................... <br /> <br />PLANNING ACTiON: <br /> <br />DATE <br /> <br />:ORM # MC 15-56 SEV. 4/90 OF FICE COPY <br /> <br /> <br />