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R. eceived ~Byl <br />City <br />Zoning Validation; <br /> <br />Property Owner: <br /> <br />Job ~,ddr(~ss: <br />/ ~/'? o d, <br /> <br /> MAR'ON COUNTYsenator220 HighB U I II~t~ll~ [l~C~"l~Bldg'l~i[~225g.filE'''' ~u V ~ ~ ~etback RequirementS:Rear:Right <br /> se'"~',,o.~°~"°"..~"'~°' JUL 2 1 199~ [ Sde: Side: <br /> Cod~A-P.one 4-30 .... PM - 8'~.. -- <br /> C-UNT%OV n"~ATI N <br />BUILDING ~ MOBILE HOME ~ SE~ ~r~,~ 0 <br /> Phone: Mailing ~dross: '~ ~ ~'~' ~oG'Z <br /> <br />Subdivision; <br /> <br />Mobile Home Park; <br /> <br />~'~, / <br />Site NO.: Cross Street: <br /> <br /> Property Tax Lot NO.: Fleet S/C Zone; <br /> <br />Lot: <br /> // <br /> <br />Sp. #: <br /> <br />Block; <br /> / <br />Total # Spaces; <br /> <br />LOt Width: <br /> <br />Township: Range; <br />Lot Depth; Acres: <br /> <br />, Map; <br /> Irreg, Lot: Corner: <br /> /Us ¢¢ ,xf~-.s' .... <br /> <br />Contractor Business Name and No.: Phone; Address; <br />ArchiteCt/Engineer: Phone; Address: <br /> <br />Type of Permit: New; f~f Addition: [] Demo; [] Tach. Use of Building: ~--~"' ~ <br /> .~,,.to-/-Cr.._ Alter: [] Relocation: [] Ccc, Chg.: r"q Review: [] ~: ~ / j COM E2 <br /> <br /> Other: <br /> <br />Height of Building; <br /> / -l~, I <br /> <br />Mobile Home <br />Width; <br /> <br />NO. Stories; <br />MobiJ~"~Ome <br />Length: <br /> <br />Sq, Ft. Main Floor; I Sq, Et, 2nd Floor: <br /> <br /> Bedrooms; Occupancy: <br /> <br />Sq. Ft, Garage; <br />Occupant Load: <br /> <br />Water Supply; <br /> <br />Proposed Septic Installation: <br />Previous Site Evaluation #: <br /> <br /> Test Holes Ready: <br /> Will call when holes ready: Proposed Bedrooms: <br />Existing Septic System: <br />Exlst!n~g- Tank Size: <br /> ~xisting Drainfield Length; <br /> Type o(.S__ystem: <br /> Date Tank Pumped; Existing Bedrooms: <br /> <br />( ) I have read this application in its engrety and certify that the stated information is <br />( ~ ) I am a registered builder OR ( ) the authorized representative of a registered <br />( ) Other <br /> <br />OTHER PERMITS REQUIRED ElY THIS DEPT.: PLUMBING, MECHANICAL, ELECTRICAL <br /> <br />Bldg, Fee; <br /> <br />Septic Permit Fee: <br />DEQ Surcharge: <br /> <br />./..~ o , oo <br />....... <br /> <br /> <br />