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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I arTI portOt'Ffl[Ag work on a property I own or occupy. <br /> <br /> DATE." 10/07/93 TIHE: 7=3~: 11 <br />oWNER; <br /> ~AN'f IAfl HOMES <br /> <br /> ~2~ ~ASPEN ~R -- <br /> AU~SVILLE OR ~7~25 <br /> <br />DATE <br /> <br />57 <br /> <br /> OCCUPANCY. <br />U~I ,56CUPANT LOAO: <br /> <br />USE OF aU,LD,~NUFACTURED STRUCTURE <br /> <br />MAILING ADDRESS' <br /> <br /> ACEHT: CRAIG LUCA8 <br /> <br /> PHONE: 769-7744 <br /> <br />SL BDIVISION; <br /> MILL CREEK ESTATES <br /> <br /> SITE NUHBER: 93-~3468 <br /> VALUATIOM~ <br /> <br />WlOfH; 55 DEPTH; 78 A~EA 4298. UNIT~F tF~.LOT; <br /> <br />TYPE: ~ANUFACTURED STRUCTURE <br />CON'TRACTOR~ NO. ~82~8 <br />Daniel L Carver <br />1137~ Mill Creek Rd <br />AuMsville. 97325-000~ <br />PHONE~ 76¢-7744 <br /> <br />PERHIT OR APPLICATION NO= 985~488 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURE~ STRUCTURE STATE SURCHARGE <br /> <br />QUAHTITY <br /> <br />AMOUNT <br /> $182.00 <br /> <br /> $9.18 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$211.18 <br />$211.18 <br /> <br /> ~ BALANCE DUE $8.88 <br />PAYEE: Del ?Cor~ick k~ j INVOICE 52874 <br /> .......... <br />FOLLOMINg NUST BE COHPLETED. IT ISTflE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL ~ECESSARY ~NFDRHATiON HA~ BEEN PROVIDED. <br /> <br />PLANNING ACTION: <br /> <br /> ZONING: BY DATE <br /> <br /> CITY JURISDICTIOM: BY ......... DATE <br /> REMARKS: fiFE HOHE <br /> <br />SETBACKS: FR 11 <br /> LS-15 <br /> RS-15 <br /> RR-i~ <br /> sP:___ <br /> <br />FORM ~ MO 15-~e REV, 4/¢0 OFFICE COPY <br /> <br /> <br />