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Zoning Validation: ~' ~,¢'. <br /> <br />Date ¢/-//- ¢t <br /> <br />MARION COUNTY BUlL I t-clLT~-[tv~,etbaek Re u~.~entE <br /> <br /> Code-A-Rhone 4:30 P. bl.. 8:01~.~'~i,"1 ~, ~ <br /> ~/ ~ r~,,,pr~4/ u/v COUNTY <br /> BUILDING L~r MOBILE HOME ~ <br />P~o~ Owner; ~ I Phone: ~ ~ Mailing Address: ' <br />Job Address: Site No.; Cross Street; <br /> <br />Mobile Home Park: <br /> <br />Property Tax Lot NO.; <br />Lot: <br /> <br />Sp. #: <br /> <br />Fleet SIC Zone; <br /> <br />Block; <br /> <br />Total ¢~ Spaces; <br /> <br />Section: <br /> <br />Lot Width: <br /> <br />Township: <br /> <br />Lot Depth: <br /> /~4¢ / <br /> <br />Range~ ~ <br /> <br />Map; <br /> <br />Corner; <br /> <br />~.~tracter Busines. A Name and No.: <br /> <br />Phone <br /> <br />Type of PerEnit: <br /> <br />Alter; <br /> <br />Addition: [] Demo; <br />Relocation: [] Ccc. Chg.: <br /> <br />Height of Building: <br /> /¢ <br />Mobile Homo <br />Width; <br /> <br />No. Stories: <br /> <br /> ! <br /> <br />Mobile Home <br />Length; <br /> <br />Sq, Fi, Main Floor: <br /># Bedrooms: <br /> <br /> J Address; <br />/CS' ~ Address: <br /> <br />Tach. <br /> <br />Review: [] <br /> <br />Sq. Ft. 2nd Floor; <br /> <br /> Use of Building: RES <br /> <br />S~':' Fff Garage: Other; <br />~o'ad; Supply: <br /> <br />Proposed Septic installation; <br />Previous Site Evaluation <br />Type of .S, ystem; <br />Test Holes Ready: <br />Will call when holes ready.,i Proposed Bedrooms; <br />Existing Septic System; <br />Existing Tank Size: <br />Existin¢ Dralnfteld Length: <br /> <br />Type of System: <br />Date Tank Pumped; Existing Bedrooms: <br /> <br />( ~ I am a registered builder OR ( ) the authorized representative of a registered <br /> <br />( <br /> <br />OTHER PERMITS REQUIRED DY THIS DEPT.: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Valuation: <br /> <br />Bldg. Fee: <br /> <br />Mobile Home Fee: <br /> <br />Fleet Surcharge; <br /> <br />Zoning Surcharge; <br /> <br />State Surcharge: <br /> <br />Plans Cheek Fee: <br /> <br />Site Evalustlon Fee; <br /> <br />Septic Permit Fee; <br /> <br />DEQ Surcharge; <br /> <br />Technical Review Fee: <br /> <br />Relnspection Fee: <br /> <br />investigation Fee; <br />City Fee: <br /> <br />TOTAL FEE: <br /> <br />RECEIPT <br /> <br /> <br />