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9 :.~ OF AURORA <br /> <br />~,pplicatinn 8e¢~,ived: <br /> <br /> CITY OF AURORA <br /> <br />21420 Main Street NE <br /> P.O, Box 100 <br /> Aurora, OR gYO02-OIO0 <br /> [503) 678-1283 <br /> <br />Did{, Permit No,._~/_~_Z~.-- <br /> <br />Permit No, <br /> <br />Type of Permit: ............................................................... ~ ................ p ....... <br /> <br />Sui{der No. · Sub's Tax Lot Hu,: Section: Tovnship; <br /> ..................... ~-)~-~-~? ..................................... ,, ........... <br /> ..... .......... I <br />O~n~r; .... ~_~ ................ Ph ........ A~r~s .................................... Qt~ ................ State ........ <br /> <br /> Plans 8vt Ph,,. ........... ty ................ <br /> .............................' Address,. ' ............................... C~' <br /> <br /> { Map No,: ; Zone: { Zone Change: I Fart,l { Conditional Use: { Varience/Ad~,{ I Occupancy: : Type of Constructinnl <br /> ; Use of Building: : No. Sedrooms/O~c. LdJ: <br /> <br /> inn[ Type: ................................................ Truse/etict: .............. Va{ultion:..X ................................ ~__. <br /> <br /> H;atin0 System:. ....................... ~ood Stove: ................. -....Water He[er <br /> <br /> SePtiC Tank Si~e Evaluation: ........................................... Ney Installation; ~obile <br /> <br /> E~i~ting System: ...... No, of Balluns: Plumbin,~ Fee , $..~_,~..~_ <br /> <br /> Pllnnin{ Commission Chlitman ~ ......................................... Oatm: ................. Fl{ns Cfle(l Fe~: $ ........ . .... <br /> System Dev. Fee: { ....... , ..... <br /> Kistori¢ Review ~nard Chairman: ...................... Oat~: Sign Permit <br /> <br /> City omdam: .......................................... Tit{e ............. U~{e: ................. <br /> <br /> f~e~l} EX~tRfS if IHt WORK S NOT OMMENCE WITHIN 0 DAYS ~ ' ......' ..... <br /> ................. I ...... ~ ....... ~ ........ i~ ...... · , <br /> <br /> ( ) [ am peJforlJng work on 4 property [ own ......................... <br /> ( ) J am a teOisiered builder OR ]OTA~ FEES: t , <br /> ( ) [ am the authorized representative of 4 registered builder ................... <br /> ( ) The york vii{ he performed by a registered builder <br /> ( ) Other iP{e3se <br /> have read this appl}cation in~ntlrety and <ertify the stated information is true and correct to the be~t <,f my knowledge, <br />~L~4~_~!E~ Orivevay 4nd~{d~nsp~ction~re re~uiT~by Pub~rksi (503) 678-1283 <br />SIH{ATURE Of ArPLICANT ~_f~,, ~.~~ <br /> <br />~MAR[S: ........... <br /> <br /> <br />