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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 />Other <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />85/29/91 ¥ I~'IE: t2:42:58 <br /> <br /> 245 EVERGREEN DR <br /> AUtv~V i LLE <br />USE OF BUILDING <br /> <br />OR 9/.325 <br /> <br /> TAX LOT CATEGORY <br /> RkGI D~N 1 [At,, <br /> <br />CONTRACT CITY UaE OCCUPANT LO~ <br />AUC45Vi LLE NO NO <br /> <br />P-O. BOX 635 <br />AUIV~3V 1L LE , OR 9/',.4.25 <br />PHONE: ?49-2?92 <br /> <br />tOT BLOCK SECTION 'OWNSH~P <br /> <br />bVERGREEN ~H kbf AI ES <br /> <br />5lIE NUMBER: q 305'/. <br />VALUAI iON; <br />RANGE ZONE <br /> <br />MAP <br /> <br />6270. <br /> <br /> IRREO LOT CORNER <br />~P NO NO <br /> <br />IYPE:: MOBILE HOME PER,lit OR APPLiCAi'iON NO: <br /> <br />CONfNA(.;IOR, NO,, 14922 <br />SEN f RIAL OI~,E(3X-)N 1'408 l <br />285 ~,PACIPiC HIGHWAY <br />INf, X~OidLJ RN , OREGON <br />PHONE: 9131-3141 <br /> <br />32434 <br /> <br />TOIAL ~B~SEO FEE5 <br />PRE¥iCO5 R~CEIPIS <br />1Hi5 RECEIPT <br /> <br />AMOON 1 <br /> $89.25 <br /> <br /> Sb,2b <br /> <br />$110.25 <br /> <br />BALANCE DUE SO.DO <br /> <br />PAYEE iNVOiCE <br />N~-C'E 1 VEil,) ElY: CL TYPE: CHECK ~: 0 <br /> <br />m THIS 15 A VALID PER'lIT ~ THiS pEI~VllT EXPIRES 180 DAY5 PROlvl ITS iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OE ]80 DAY',OR i~ CONSTRUCTION PALLS TO ~E~T ALL <br />REqUIR~I'~IENTS OF STATE LA~S ANO ~IARiON COUNTY BUILDING AND ZONING ORDINANCES, THIS PER'liT <br />SHALL 8EIii~E NULL AND VOIO. <br /> <br />SETBACKS: FR 10 LS 10 RS 10 RR 18 5P <br />RgMARKS: MH PLACEMNT ......... <br /> <br />PLANNING ACIiON; <br />GONALD E. WCODLEY, MARION COUNIY ~UiLOiNG OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 RE¥ 4/90 <br /> <br /> <br />