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SALEM OREGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> this document <br /> <br /> DAiE: 03,./13/92 ] ir4E *. <br />OWNER <br /> SOO f. L. D- <br /> <br />SITUS ADDRESS <br /> <br /> ?05 4IH ST <br />AUP45Vi LLE OR 9Y325 <br /> <br />USE OF BUiLDiNG <br />MAILING ADDRESS <br /> <br />RB51D~f£AL ACCESSORY 5TFdJC]URES <br /> <br />DATE <br /> <br />TAX LOT <br /> 3v355-540 <br /> <br />CONSTRUCTION TYPE <br /> <br />CONTRACT CiTY UGB <br />AU~V! LLP NO <br /> <br />SgBDIVISIQN <br /> <br />CATEGORY <br /> RESi DEN" 1AL <br /> <br />OCCUPANCY <br /> <br />OCCUPANT <br /> <br /> PO BOX 515 <br /> AUNbViLLE OR 9'732b <br /> PHONE: '/49-2821 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> 25 <br />WIDTH 80DEPTH ]00AR~A 8000, UNITS <br /> <br /> 5i'fE NUMBER; 92-09938 <br /> VALUA F iON *_ $4,. 800.00 <br /> <br /> RANGE ZON~ MAP <br /> <br />8B 2W RES <br /> IRREG LOT CORNER <br />5F NO NO <br /> <br />TYPE: BUiLO~NG PER~IT OR APPLiCATiON NO: <br /> <br />CONfRACf'OR. NO. <br />;-'X¢OI1. L.D. <br />PO 8OX 516 <br />AUIV~ViLLE OR 9?325 <br />PHONE: 749-2821 <br /> <br /> iTEM <br />BUiLDiNG FEE <br />PLAN R~ViEW <br />BUILDING ~FATE ~RCHARGE <br /> <br />PAYEE: <br /> <br /> 38543 <br />ARCHIIECT/ENGINEER, NO, <br /> <br />PHON~: <br /> <br />TOTAL A~E~ED FEE~ <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUAN]ITY <br /> <br />A~OUNT <br /> $50_50 <br /> <br /> $2_53 <br /> <br />$85.86 <br />$85.86 <br /> $0_00 <br /> <br />BALANCE 0tJE $0.00 <br /> <br /> RECEIVED BY; P8 ~YPE; CHECK <br /> <br /> THiS 15 A VALID PERMII * THtS PERI~II EXPIRES 180 OAY~ <br />C'ONSTRUCIiON CEASES FOR A PERIOD OF 180 DAYS. OR IF CONSTRUCTION FAIL~ IO ~gEf ALL <br />REQUIRENENIS OF STA16 LAW~ AND MARION COUNIY BUILDING AND ZONING ORDINANCES, ]HIS <br />~ALL ~ECOq~ NULL ~O VOID. <br /> <br />5B]BACKSt PR 20 L5 5 R5 5 RR 5 SP <br />RE~R~5: 5fORAGE 8LOG <br /> <br />H~iGHf~ ~1 tOIAL SO PTi ,400 5fORiESt ] <br /> <br />DONALD E. WOQDLEY, IV~ARtON COUNTY BUILDING OFFICIAL / BY <br /> <br />LAN. AC T iON: <br /> <br />OFFICE COPY <br /> <br /> <br />