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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: 888-7904 <br /> <br /> Of her <br /> <br /> DATE: 10/07/9~ TIME: 7: 19:1& <br />OWN~R~ MARTINO, SAVERIO <br /> <br /> 259 BELLEVUE DR -- <br /> AUMSVILLE OR 97~25 <br /> <br />TAX LOT <br /> <br />c~"~EN'f' I AL <br /> <br />OCCUPANCY. <br /> <br />OCCUPANT LOAD <br /> <br />use oF 8U,LO,~c~NU'FAcTUREB STRUCTURE <br /> <br />'bIAILING ADDRESS1 <br /> <br />AGENT: CRAIG LUCAS-SANTIAM HOMES <br />769-7744 <br />PNONE: ~2~-~501 <br /> <br />MILL CREEK ESTATES <br /> <br /> SITE HUHBER: 73-~3466 <br /> VALUATION: <br /> <br /> LOT: BLOCK' B E CTI'(~'h~: ....... TOWNSHIP RAN ~E. <br /> <br /> 94 <br />'~lO'i~: ' 5~ ~.~T.: 84 *.~A;' 4/~2~".~ U~IT~ ...... '~°l~8 <br /> <br />TYPE= HANUFACTURE~ STRUCTURE <br />CONTRACTOR~ NO. ~8288 <br />D~niel L Carver <br />1137~ Mill Creek Rd <br />Aumsville~ 97~25-80~0 <br />PHONE: 7~?-7744 <br /> <br />PERH[T OR APPLICATIOH NO: ?050477 <br /> <br /> ITEM <br />MANUFACTURED STRUCTURE PLACEMENT/CONNECTION <br />MANUFACTURED STRUCTURE STATE FEE <br />MANUFACTURED STRUCTURE STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />MAP <br /> <br />AMOUNT <br /> $182.00 <br /> $20.00 <br /> <br />$211.10 <br /> $0.00 <br />$211.18 <br /> <br /> /-~.,~ / BALANCE DUE $0.00 <br />PAYEE: Del ~cCor~ickk , \~~ . INVOICE 52872 <br /> <br />~ THIS IS NOT ~ PERHZT. THIS APPLICATION HUST GO 1HROUGH A REVIEW PROCESS WHERE THE <br />FOLLO~IRC HUST DE COHPLETED. ZT IS THE RESPOHSIBZL[T¥ OF THE APPL[CRNT TO RSSURE <br />THAT ALL NECESSARY INFORH~TION HAS BEEH PROVIDED. <br /> <br />PLANNING ACTION: <br />PLAN REVIEW: BY <br />ZONING: BY .......... DATE <br /> <br /> CITY JURISDICTIOM: ~Y ............. DATE .......... <br /> REMARKS= MFS HOME <br /> <br />SETBACKS: FR il <br /> LS-15 <br /> RS-i§ <br /> RR-10 <br /> sPZ___ <br /> <br />OFFICE COPY <br /> <br /> <br />