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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH S'FREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5S8~5147 5:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ot ~ resistered builder. <br />The work will be performed by a reSistered builder, <br />Other .... <br /> <br />this document, <br /> <br /> OWNER;' ~ATE,~ 04129/93 TIME: 14: 53~'4~ ...... TAX LOT. ' ....... ~'CAT~GGRY; ' <br /> <br /> ~TOS Ao~T~N0~ GREGORY & ~ESORRN ....... CO~ST~UCr~O~ TYPE .... ~'8'~'[~[,:- <br /> .....................CONTRACT CITY: b~ ..... ~ b~A~¥ 'LO~D'. <br /> ~9435 BUTTEV:[LLE R~ NE <br /> AUADRA ........ ~..~2~2 HAR ~ON. COUNTY :. NO ........... } ..... '~ o~',~o~o~s. <br /> <br /> J 2 <br />'~fu~ g~UF~C TU RE~' S-T'RUg'~U~E ................... ~Ose*vls,o~'. ........... <br /> <br /> ,SA~E <br /> <br /> PHONE: 678-2761 <br />LOT; ....... I BLOCK: ................... SEOTION: <br /> <br />WIBTH. DEPTH ' AR ~,~ ........... <br /> <br /> SITE NUMBER: <br /> VAL, UATION: <br />TOWNSHIP; RANGE: <br /> <br />93-81405 <br /> <br />U NIT,~S <br /> <br />"*~JF¢ _UT. co~F~d 6 <br />-' NO ................. NO .................... , <br /> <br />TYPE: HANUFACTURED STRUCTURE <br />CONTRACTOR. N0. <br />BRENTANO~ GREGORY & gEBORAH <br />SAME <br /> <br />PNONE: 678-2761 <br /> <br />PERMIT UR APPLICATION NO: 9B46617 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE ZONING SURCHARGE <br />EANUFACTURED STRUCTURE STORAGE PERMIT <br />MAI,I[JFACI'URE9 STRiJCI'URE REI,IEWAL STORAGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />]'HIS RECEIPT <br /> <br />[~UANTITY <br /> <br />AMOUNT <br /> <br /> $25-00 <br /> $25,,00 <br /> <br />$65.00 <br />$40.00 <br />~25.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />F'AYEE: BRENTAI,IO~ GREGORY & DEBORAH ~ RECEIPT 4?055 <br />RECEIVED B~: LQ .................. TYPE: CK 6NECI( ~:: ~'687 <br />...................................... =~~;~:~:~ ................................ ~ ...................... <br />~ THIS IS NOT A PERHIT. THIS APPLICATION NUST GO TNROU&N ARE¥IE~ P~OCESS ~NERE THE <br />FOLLOWING HUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSUR[ <br />THAT ALL NECESSARY ZNFORNATION HAS ~E~N PROVIDED. <br /> <br />PLANNING ACTIOhI: <br />PLAN REVIEW: BY DATE SETBACKS: FR 20 <br />ZONING: BY ............... DATE ............. L.S-le <br /> <br /> ......................... RR-30 <br /> cz'fy JURISDICTION: BY DATE SF'- <br /> REMARKS: MS:: FOR TEMPOR~¥"~ORAGE--ON[~;"-RO LAND USE APPROVAL FOR A SECOND ~QEELING. UNIT <br /> NOT TO BE OCCUPIED,. <br /> <br />PO~,~ ~¢ ~-~ s~v. 4~o OF FICE COPY <br /> <br /> <br />