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Received ,By <br /> <br />Zoning Validation//~_~__/~~-'~ <br /> <br />BUILDING [] <br /> <br />MARION COUNTY BUILDII~ <br /> .~enetor Bldg. No,: <br /> 220 High <br /> ~alem, Oregon 97301 <br /> <br /> Phone 588-$147 <br /> Code-A-Phone 4::30 <br /> <br />MOBILE HOME <br /> <br />Property Owner <br />Job Address -d <br /> <br />Subdivision <br /> <br />7 7~ <br /> <br />Site No <br /> <br />Property Tax Lot NO:: <br />Lot ] <br /> <br />Mobile Home Park:: <br /> <br />Right <br />Side <br /> <br />Lot Width <br /> <br />Fleet S/O Zone <br /> <br />Block <br /> <br />IContractor Business Name and NO:: ......... ] Phone <br />Architect Engineer ~ j,, Phon~ <br />L <br /> <br />Address <br /> / <br /> <br />-'~yt~e of Permit <br /> <br />Height of Building <br /> <br />Mobile Hemal%_ J <br /> <br />New ~'"~'-' Addition [] Demo [] Tach Use of ~Building;: <br />Alter [] Relocation:: [] Oce Chg [] Review [] <br /> <br /> ...... NO Stories <br /> <br />Proposed Septic installation:: <br />Previous Site Evaluation # <br /> <br />Type of System <br /> <br />Test Holes Ready.:~ <br />Will call when holes ready:; <br /> <br />Existing Septic System <br />_ ~!_sting Tank Size:: <br /> <br />Existing Orainfleld Length <br />Type of System <br /> <br />E~ate Tank Pumped <br /> <br />Proposed <br /> Bedrooms:: <br /> <br /> ~'×isting Bedrooms <br /> <br />Valuation <br /> <br />Bldg Fee $ <br />Mobile Home Fee:: <br /> <br />Fleet Surcharge <br />Zoning Sumharge <br />State Surcharge, <br />Plans Check Fee <br />Site Evaluation Fee <br />Septic Permit Fee <br />DEQ Surcharge <br />Technical Review Fee <br />Reinspection Fee <br />Investigation Fee <br />City Fee <br /> <br />TOTAL FEE:: <br />RECEIPT NO <br /> <br />RES <br /> <br />COM [] <br /> <br /> <br />