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Becei~ <br /> <br />Zonin9 Validation:: <br /> <br />MARION COUNTY BUILDIN~[~t~'CJT~I~ ~,~i~.s,C~,,~k Requirements <br /> 220 HIg~ ~tr.t NEU ~ ~ ~ O [~ / I ear ~ <br /> <br /> C~Pho"~ 4II~0...... "M 8'00 A" MARION C--OUNT¥ <br /> BU LD . OB LE HOME [] SEPT,C <br /> <br /> .... <br /> <br />Mobile Home Perk:: ~ ~. ~ <br />Se.ion ~ ~' Township( ~ "ang. __ "' '~0.~---' Map <br /> <br />~t Width Lot Depth Aores ~ ~ Irre~ Corner:: <br /> <br /> Mailing Add~:ess:; .... <br /> <br />Bite N° :: _~q t ~)~ <br />Property ~ax Lot No' <br /> <br /> Block <br /> <br /> Total ~/Spaces <br /> <br />Fleet S/C Zone <br /> <br />Phone:: Address <br /> <br />Phone Address:; <br /> <br />Use of Building <br /> <br />RES <br /> <br />COM <br /> <br />Mobile HomL/~_ <br />Width:: - <br /> <br />¢ Bedro%% <br /> <br /> Proposed Septic installation <br /> Previous Site Evaluation # <br /> <br /> Test Holes Raed~/:: <br /> Will calf when holes ready:: Pro..posed Bedrooms:: <br />Existing Septic System:: <br />~istin~ Tank Si~e;; <br />~S~ing grsinfield ~ngth' <br />Type of Syste~:._ ¢ <br /> Date Tank Pumped ~ Existing Bedrooms:~ <br /> <br />( ,2~ ) I have road this application in its entirety and cortgy that the stated information is <br /> true and correct to the best of my knowledge <br /> ¢~' ) I am perfforming work on a property I own or occupy <br /> <br /> the state of Oregon and the ordinances of Mari~n County ,...--j <br /> <br />OTHER PERMI'i~ REQUIRED BY THIS DEPT,; PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Valuation <br /> <br />Sldg, Fee <br /> <br />Mobile Home Fee <br />Fleet Surcharge:; <br />Zoning Surcharge:: <br />State Surcharge <br />Plans Check Fee:: <br />Site Evaluation Fee <br />Septic Permit Fee:: <br />D~:Q Suraharge:: <br />Technical Review Fee:: <br />Reinspectior~ Fee:: <br />Investigation Fee <br />City Fee:: <br /> <br />TOTAL FEE:: <br />RECEIPT NO:: <br /> <br /> <br />