Laserfiche WebLink
ReeeivedSy ~'¢~ ¢ ~ <br />City <br />Zoning Validation <br /> <br />Date '~7~'~ ¢ ' <br /> <br /> M^R ON COUNTY BY C+,ON I Requirements <br /> 2ZO High St~E ~' ~ ' . ," IFr~Rt /¢ <br /> <br /> Phone 588-S147 · ~ ~ ' ~ '.:~ ~ I ] Side /¢ Side <br /> <br />BUILDING ~ MOBILE HOME ~ SEP~C~'"'~¢~MI¢ ~P~ICATION <br /> <br />Pro e~J4/Owper <br /> <br />Job Address <br /> <br />Subdivision <br /> <br />Range <br /> <br />Mot~d.~ Home Park ¢ /. / ~. <br /> / Lot Depth <br /> <br />Phone:: Mailing Address' <br /> <br /> ~ite NO <br /> 1 o7O <br /> <br />Property Tax Lot No <br /> <br />Lot <br /> <br />Cross St_,~ee t <br /> <br />Fleet S/C Zone:: <br /> <br />Block <br /> <br />Total # Spaces <br /> <br />Acres lrreg~L,~t <br /> <br />Mobile Home <br />Width <br /> <br />Ty~e of Pa?; I New ~ Addition [3 Demo <br /> <br />Height of Building <br /> ~' NO S~des Sq Ft Main Floor <br /> ]' ~obile Home ~ Bedrooms <br /> ~Length <br /> <br />Tach <br /> <br />Review [- <br /> <br />Sq Ft 2nd Floor <br /> <br />Occupancy <br /> <br />Use of Building I RES <br />Sg "-"""°' <br /> <br /> Valuation <br /> <br />Proposed Septic InstaLlation <br />Previous Site Evaluation ,,~ <br /> <br /> Will call when holes ready Proposed Bedrooms <br /> Existing Septic System <br /> <br />Type of System <br />L D:~.~,n,k Pumped: Existing Bedrooms <br /> <br /> the state of Oregon and the ordinances of Marion County <br /> <br />SIGNATURE OF APPLIO ,/ t~ * ~ <br /> <br />OTHER PERMITS REQ~II~ED BY THIS DEPT,:: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />State Surchar. se , <br /> <br />Plans Check Fee <br /> <br />City Fee ,, <br />TOTAL FEE __=~--~z- <br /> <br /> <br />