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MARION COUNTY BUILDING INSPECTION <br />SEr~ATORBLDG 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 />DARE; 01/08/91 'fil~lE: 15:49..22 <br /> <br />SIGNATtJPE OF APPLICANT <br /> DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCflON TYPE <br /> <br /> CATEGORY <br />§76~.~,-014 R~IDEN I IAL, <br /> <br /> OCCUPANCY <br /> <br /> 9292 ~1i rH RD SE <br />AUI~VI LLE OR 97325 <br /> <br />IVIARi ON COUNTY NO <br /> <br />OCCUP&NT LOAD <br /> <br /> NO OF 8EDR00M5 <br /> <br />P.O. 983 <br />AUI~:~V 1LLE, OR <br />PHONE.. 370-4569 <br /> <br />I CT BLOCK SECTION TOWNSHIP <br /> 51 83 <br /> iii. AC <br /> <br />$11'E NUMBER: 12059 <br />VALUA r i ON .~ <br /> <br />RANOE ZONE <br /> 2W SA <br />IRREO LOT ' ~ORNER <br /> NO NO <br /> <br />MAP <br /> <br /> 51 <br /> <br />~YPE: MOBILE HOt,IE <br /> <br />CONTRACTOR, NO. <br />WIL,5ON, MELVIN <br />P.O. 983 <br />AUMSViLLE, OR <br />PHONE: 370-4569 <br /> <br />PERfflI1 OR APPLICAIlON NO: 9029690 <br /> <br /> ll'FJ~l <br />IvK.181LE HONE BASE FEE <br />IV~DBILE HQ'4E SLATE FEE <br />IvlOSILE HONE ZONING ~URCHARGE <br />MOBILE HOME STALE SURCHARGE <br /> <br />PAYEE: WILSON, JOHN <br /> <br />TOTAL ~E..'..'..'..'..'..~SED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANFiIY <br /> <br />AMOUNt <br /> <br /> 15.~5 <br /> 25.25 <br /> 5.25 <br /> <br />$115.50 <br /> $o.oo <br />$115.50 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIP'r 31369 <br /> <br /> RECEIVED BY: CL2 TYPE: CK CHECK ~t.- 305 <br /> <br />~ THI~ l~ NOT A PEI~IIT. THIS APPLICATION I~IUST l~O THROUGH A REVIEW PROCEE~ [~HERE THE <br />FOLLOWIN6 f4UST BE COMPLETED. IT iS THE Rli'~PON$IBiLITY OF THE APPLICANT TO ~R£ THAT <br />ALL NECE~c~RY INFORI'4ATION HAS BEEN PROVIDED+ <br /> <br /> ZONING: .BY ~].-~/ DATE /-/o - '¢/ SEIBACI<,.S: F'R,.2k~ ' LS,,z'Z¢O_.7_ RS /0 : RR ~ ' SP <br /> R~RY-~. Iv~_',/~E.~ENF R~E852 ....................... <br /> <br /> PLANNING ACIlON: CU 90~97 <br /> <br />FORM # MC 15-56 REV 4i90 OFFICE COPY <br /> <br /> <br />