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[ FC~R. OFISI¢t; USS 9NLY] ~ aisn S~ ~ FOe OFFICE USE ONLY} <br />/ Re,,,yea bv:.o ~ 2 ~./ Salem, OR9~9 ~ (~ <br /> ~W ~a~equlr~ts: <br />/ Zoning nlidat,on_~ ~, ] : '' ~ W~, <br /> <br /> MANUFACTURED STRUCTURE PL'A~ENT <br /> <br />2. Location of Installation <br /> <br />S~bdivlai~ L~ ] al~k = Urban G~w~h <br /> <br /> I Range Wa~r <br />l~Wid~ ~/ ~tDa~ ~t ~ Ac~s I,~g,~t ~O C°m~r~d CommudtyWcfl( ) City (l~ <br /> <br />3. Contractor Info~mation <br /> <br />( ) l o~, msid~ ~, or wffi ~side ~ the completed s~um. <br /> <br />irrane~.ately no~.fify Marion County of th, ,ame of th~ contractor, Oq ~ S q~ ..... <br /> <br />4. Fee Schedule <br />A. (1) Manufactured Home <br /> or Modular Unit Placem~t./Cormectlon <br /> <br /> (4) ~ing Sum~ (15,~ ff appheabl~) <br /> <br />B. (1) Mfg,'d Stractu~ Storage Fcc <br /> (2) Mfg.'d Strtletn~ Storage Renewal <br /> <br /> (3) Zonlng Surcharge (15,00 if applicable} <br /> <br />20.00 <br /> <br />25,00 <br />l~,0o <br /> <br />C. Addition~ Imp,etlon <br /> or Rdnspectlon <br /> <br />D. Investigation Fcc <br /> <br />@ $60.00 ::---. <br /> <br />E, Other iaspectlons riot ~sted <br /> @ a0,00 per hour (2 hour minimum) <br /> <br />@ $40.00 =~ _ <br /> <br />TO*I~.L-- $..o~/¢~0 <br /> <br /> <br />