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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 />OWN~R:BAI"E. :1.0/.t. 9/9~ TIME. 11.,~4.,_7 iTAXLOT: C"A'T~ORY; <br /> <br /> ')~.,~,1,~'' MATTHIE[J ST NE I ' <br /> AURORA OR MARION COUNTY <br /> NO <br /> ....................................................................................................................~ ~ '~'~bb~s: <br /> HANUFACTURE~ STRUCTURE <br /> <br /> ............. <br /> P0 BOX <br /> DONALD 77~28 ~ SITE NUMBER: <br /> F'HOME, &5~[5' ~ ~--/~/ VALUATION: <br /> <br /> ~[~'K~ ............. ] SECTION= ~fOWNSHIP'. r RANGE; <br /> <br />TYPE: MANUFACTURED STRUCTURE <br /> <br />PERMIT OR APPLICATION NO: 9858778 <br /> <br />IOTA[: AoSE:SSED FEES <br />PRE~IOUS RECEIPTS <br /> <br />CONTRACTOR. NO. <br />GOODE. GARY <br />PO BOX ,~22 <br />DONALD ~'7020 <br />PHONE: ~4-2415 <br /> <br /> ITEN <br />MANUFACTURED STRUCTURE PrACEMENT/CO:HNECTION <br />MANUFACTURE~) ~'rRIJCTURE S~ATE FEE <br />MANUFACTURED STEtlCTURE STAI'E SURCHARGE:: <br />MANUFACTURED STRUCTORE ZONIi,IG SURCMARQ:E <br /> <br />QUANTITY <br /> <br />AHOUNT <br /> $t82.00 <br /> <br /> ~;15.00 <br /> <br /> $0.00 <br />$2~6,.i0 <br /> <br />$0.00 <br /> <br /> ~ THIS IS NOT A PERMIT. ':REVIEW PROCESS WHERE THE <br /> FOLLOWING NUST BE THE APPLICANT TO ASSURE <br /> THAT ALL HECESSARY ~:::: : i: <br /> <br /> :, · <br /> <br />i:' LANNIN6 ACTION. /,...,% I~' ~ <br />PLAII REVIEW. BY__~,~4:-7/ SETBAtkS. FR~ <br />ZONING= BY ~""~ ........... ~AT~'=Z~'~ L~Z <br /> <br /> CITY JUI~I,~ICTION. BY " DATE , SF .... <br /> REMARKS: MS REPLABE L~R~-OT[~KE ~O~P~-~ORM SUBMITTED - .......... <br /> <br />FORM # MC 15.56 REV, 4/90 OFFICE COPY <br /> <br /> <br />