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ACTIVITY # <br /> <br />~PtEASE FIt,L OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRE(]J~I~t~'~[~iE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN, <br /> <br /> ' PR <br /> APPLICATION SUBMITTAL AmON <br /> <br />TYPE OF APPLICATION <br /> <br /> ~J SUILOING ~ AG EXEMPT SUILIDING ~ ~ ELECTRICAL <br /> ~ ) DWELLING ~ I BUILDING DEMOLITION ~ I MINOR EL LABEL <br /> <br /> ( ( DWELLING LABEL [ ~ SITE PLAN REVIEW ( ( PLUMBING <br /> <br /> ~ MANUFACTURED DWELLING ~ ~ ) SITE EVALUATION ~J MECHANICAL <br /> ~ t MANUFACTURED STORAGE ~ r SITE EVALUATION/SEPTIC L.~ DRIVEWAY <br /> [ J PRE-FA~ I J SEPTIC <br /> <br />NAME OF APPLICANT: _ ~'~¢,-L.. <br /> <br />wo. <br /> <br />I am performing the work on property ) own or occupy, <br /> <br />I am a registered builder or the authorized representative of a registered builder, <br />State of Oregon Construction Contractor's Board Registration # <br /> <br />I am the authorized representative of the property owner or contrac;or. <br /> <br />I will be hirin8 a general contractor registered with the Construction ContractOrs Board, <br /> <br />This application may go through a s multaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit, It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />FOr; OffiCE' USE ONLY: <br />REVMAP PAGE~L~ ZONE~ CROSS STREET: ~'~ ~~~ T'/O( AOCT#= 316195 <br /> <br /> <br />