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zonYin Validation <br /> <br />oats; ,. <br /> <br />MARION COUNTY IBUII_I~Cc~F,..~CT..IQ~ I City Setback Requirements'. <br /> aetem, 0~go~9~01 .. ~- ~t-' <br /> <br /> [~UO Code-A-Phone 4;30 P,M. - 8:00 A.M. <br /> BUILDING BILE HOME [] SEP~T~I'~TAPPLICATION <br />Pro~:~erty Owner'. , Phone; <br /> <br />Jo~ Addr~s~ Site No.: C os ; <br /> <br />Property Tax Lot No.: <br /> ..... <br /> <br />Fleet SIC Zone: <br /> <br />Block; <br /> <br />Subdivision; - <br />Mobile Home Park: Sp, #: Total ,# Spaces: <br />Section: <br /> <br />Lot W~dth; <br /> <br />Township: I Range; <br />Lot Depth'. Acres: <br /> <br />Map; <br />Co(Der: <br /> <br />ractor Business Name and, No.: <br /> <br />Phone; <br /> ~1-~1~1 <br /> <br />~lvt~e of Permit: New; [] Addition: [] Demo: [] Tach, Use of Building; RES [] <br />~t¢~,~'L'/ Alter: ~'* Relocation; [] Occ. Chg,: L~ Review: [] "~l'~/'eF~/~'~u-*-~'~''~; eOM <br /> <br /> Height of Building; Sq, Ft, 2nd Floor: Sq, Ft, Garage: Other: <br /> <br />Mobiie Home <br />Width; <br /> <br />No. Stories; / Sq, Ff. Main Floor: <br /> <br />Mobile Home # Bedrooms; <br />Length; <br /> <br />Occupancy: <br /> <br />Occupant Load: <br /> <br />Valuation; <br /> <br />Proposed Septic Installation: <br /> Previous Site Evaluation ,~; <br /> Type of System; <br /> <br />__ Te~t_H_oJ.es= Ready: <br />Will carl when holes ready: Proposed Bedrooms: <br />Existing Septic System: <br />E, ~i.s_~j.n_9 Tank Size: <br /> <br />~_x.i_stin_~.?..r ain field Length: <br />Type of System; <br /> <br />Date Tank Pumped; _ Existing Bedrooms; _ <br /> <br />I have road this application in its entirety and certify that the stated information is <br />true and correct to the be~t of ngy knowledge, <br />I am performing work on a property I own or occupy. <br />I am a regiCered builder OR ( ) the authorized representative of a registered <br /> <br />The work will be performed by a registered builder. <br />Other- <br />I agree to build according to the submieed plans and specifications, tho laws of <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT,: PLUMBING, MECHANICAL, ELECTRICAL <br />MC 15-6 <br />Rev, 12/87 <br /> <br />Mobile Home Fee; <br />Fleet Surcharge: <br />Zoning Surcharge: <br /> <br />State Surcharge; <br /> <br /> ~¢. <br />Plans Check Fee: <br /> <br />Site Evaluation Fee; <br /> <br />Septic Permit Fee: ............ <br /> <br />DEQ Sumharge: .................. <br /> <br />Technical Review Fee: <br /> <br />Reinspedion Fee; <br /> <br />Investigation Fee; <br /> <br />City Fee; ~-~ <br /> <br /> <br />