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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE J'IEE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 \L/ <br /> builder OR the authorized representative S GNATUR, O, AFFL CA~_~.~ <br />~)! ~ r~r ~°gr ~stw~J~g eb ~) el ¢*%r; m ° O bY a ' eOi'tered builder- . ' J~-'~J' ¢ ........ -~ . <br /> <br /> this document. <br /> DATE;;; 06/23/9~ <br /> <br /> C,~OPENFIAVER, MAR];A <br /> <br />SITUS ADDRESS; <br /> <br /> '1~3~3 H~[_L CREEK RD <br /> AU~SV ];L.I,.,E <br /> <br />i 4 ,, 0,3.4 ,'~ <br /> <br /> SE <br />O~ 97325 <br /> <br />TAX LOT; c,~[. ,~:E N T :1: A L <br />g~'~:{~,Ecf,~cll[~UJ~Ty U,¢tl~ OCCUPANT LOAD; <br /> <br />use OF eU~LDI~d,MF, AC,T, LiRED STRUCTURE <br /> <br />tf~%~t-iN6 ADDRESS: <br /> SAME <br /> E'Fi0NE: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> SECTION; TOWNSHIP; <br /> <br />DEPTH; SS2 AREA; 418,~2. DNIT'~JF <br /> <br />126 <br /> <br />YALUATION: <br /> <br /> 1W AR <br /> IRP~, ~OT; <br /> <br />MAP; <br /> 48 <br /> <br />TYPE: HANUFACTURE~ STRUCTURE <br />C, ONTRACT~.R, i'iO. <br />~OFENflAVER~ HAI~ZA <br />SAHE <br /> <br />F'HONE: 769-2264 <br /> <br />PERHIT OR APPLICATION HO: <br /> <br /> :1: Ti-- H ': <br />MANUFACTURED STF;UCTUF~F ZOh ] N(; ,,,DF ~HAFd ..... <br />~'IANttF'ACTLIR£D STRLI¢-f'U',~E STORAGE PERMIT <br /> <br />PAYEE: COF'ENHAVEF <br />h[:C,I:,IVED BY: MB <br /> <br />* THIS I$ NOT A PERMIT. <br />FOLLOWING MUST BE <br />THAT ALL NECESSARY <br /> <br />TOIA. ASSE,~SED ,FEES <br />F' ~E'Vtous :::ECEIPTS:; <br />THIS RECEII: <br /> <br />~47~67 <br /> <br /> QUANTITY AHOUNT <br /> $15,00 <br /> $25.80 <br /> <br /> $48.88 <br /> $0.00 <br /> $40.00 <br /> <br /> $0.00 <br /> <br /> RECEIPT 5028~ <br /> 6K CItECK ¢: 181 <br />i~iA~':}REVIEW PROCESS WHERE THE <br /> ~HE APPLICANT TO ASSURE <br /> <br />Pi..ANNI N6 ACTION: :: <br /> PL, AN REVIEW: BY ~ '::'' '' <br /> ZONING: ~Y .,$~],_~,~ ........................ '" , <br /> SEPTIC: }:.Y ....................................... ;~ ,': <br /> <br /> ~]'Y ,J~R~SD~CT'[Oh: BY DATE <br /> REMARKS: MOSelLE MOME, <br /> <br />SETBACKS: FR *~ <br /> L.S-- .... <br /> RS"'~.Z'- <br /> <br /> 6 HOBSTORA ;E"EI~MITAI'];ON <br /> <br />FORM # MC l J-56 REV, 4/~0 OFFICE COPY <br /> <br /> <br />