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MARION COUNTY BUILDING INSPECTION <br />SENATOF~ B, LDG, 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 />9ATE: 10/07/73 TIME: 8:00:40 <br />SANTIAM HOMES <br /> <br />SIGNATURE OF APPLICANT~ <br /> <br />¢~-~L~ H T I AL <br /> <br />OR 97325 <br /> <br /> 2r~8 BELLEVUE DR 1 <br /> AUMSVILLE <br /> <br />use or BU~LO~NUFACTURED STRUCTURE <br /> <br />MAILING ADDRESS: <br /> MILL CREEK ESTATES <br /> AGENT: CRAIG LUCAS <br /> SITE NUHBER: 93-83472 <br /> PHONE: 769-7744 VALUATION: <br /> <br />CONSTRUCTION TYPE: OCCUPANCY~ <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMZT OR APPLICATION NO: <br />CONTRACTOR, NO. 38238 <br />Baniel L Carver <br />11373 Mill Creek Rd <br />Aumsville, 97~25-0800 <br />PHONE: 7&~-7744 <br /> <br /> ITEM <br />MANUFACTURE~ STRUCTURE PLACEMENT/OONNECTION <br />MANUFACTURED STRUCTURE STAT~ FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br /> TOTALASSESSEQ FEES <br /> PREVtOUSRECEIPTS <br /> THIS RECEIPT <br /> <br />9~5B486 <br /> <br />QUANTITY AMOUNT <br /> $182.00 <br /> $28.00 <br /> <br />$211.10 <br /> $0.00 <br />$211.1~ <br /> <br /> ~-~A ...... ~ ) ~/'BALANCE DUE $0.00 <br />PAYEE: ~ol M:~o~q,~ck ~ . INVOICE. 02881 <br />RECEIVED BY: DM2 TYPE, IN CHECK ~. 0 <br />* THIS IS NOT A PERHIT. :THIS APPLICATION HUsT':GO~ROUCH A REVIEW PROCESS WHERE THE <br />FOLLO~HC HUST ~E COHPLETED.:::IT:~S,THERESPONS[8~L[TY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY TNFO~AT[ONHASgEENPROV[~ED. <br /> <br />PLANM~NG ACTIOH: <br />PLAM REVIEW: BY_;~LA__ ...... BATE <br />ZONIM¢: BY DATE <br />~EPTIC: BY ................ DATE <br /> <br /> CITY JURISDICTION: BY DATE <br /> REMARKS: flFG HOME <br /> <br />SETBACKS: <br /> <br />FR ll <br />L.S-15 <br />RS-15 <br />RR-10 <br />sP: <br /> <br />OFFICECOPY <br /> <br /> <br />