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MARION COUNTY BUILDING,INSPECTION SENATOR BLDG. NO, 225 220 HIGH STREI=T NE SALEM, OREGON 97301 of a registered builder, The work will be performed by a regi~teTed b~ildef, Other PHONE: 588-5147 8:00., 4:30 f-- 24 HOUR CODE-A-PHONE: 588-7904 SIGNATURE OF APP~IOAN I have read and egree to the terms stated on the reverse side of this documer~t. DATE; 10/16/92 TIME: 12:56:00 ....... -fAx LOT: ....... CATEGORY: MORRISON, RONALD 56115000 RESIDENTIAL SITUS ~01RE~; .......... ~p~'- ........ ~CUPANC~[ 9844 KEENE kN SE CON'rRACTC~TY; UGB: OCCUPANT LOA~: ~UHSV[LLE OR 97~25 H~ZON COUNTyi NO NO OF BEDROOMS: USE OF BUILDING[ MANUFACTURED STRUCTURE MAILING ~dDReS~; S~l~l~i~N: ................. SAME _.~,~"/,~,/~ SITE NUHBER: 92-0~697 PMO E: 74 -iOiB VALUATION: SSO , $21 i 197980. SF 46R NO ~ NO TYPE: MANUFACTURED STRUCTURE CONTRACTOR, NO. MORRISON~ RONALO SAME PERHIT OR APPLICATION NO: 904~26& PHONE: 749-1018 ITEM MANUFACTURED STRUCTURE PLACEMENT/CONNECTION MANUFACTURED STRUCTURE S~ATE FEE MANUFACTURED STRUCTURE STATE SURCHARGE MANUFACTUREO STRUCTURE ZONING SURCHARGE TOTAL ASSESSED FEES PREVIOUS RECEIPTS THIS RECEIPT BALANCE DUE PAYEE: MORRIBON, RONALD RECEIYEO BY: CL TYPE: CA QUANTITY AMOUNT $182.00 $20.00 $9.10 $15.00 $226.10 $0.00 $226.10 $0,00 RECEIPT 45347 CHECK ~: 0 * THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL NECESSARY INFORMATION HAS BEEN PROVIOED;.~.[V~.-~-~v PLANNING ACT~N: ~-~ PLAN REVIEW: 8Y ,,~)~__ ~ OATE'~ '~'~ ~'J""~ CITY JURISDICTION; DY ........ DATE RE~ARKS: SETBACKS: LSj~ OFFICE COPY FORM # MC 15-56 REV.