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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br /> <br />APPLICATION SUBMITTAL <br /> <br />BUILDING ~ AG EXEMPT BUILDING ~ ~ ELECTRICAL <br />DWELLING ~ BUll. DING DEMOLITION i i MINOR 15L LABEL <br />DWI~I. LiNG LABEL SITE PLAN REVIEW ~ ~ PLUMBING <br />MANUFACTURED DWELLING ~ SITE EVALUATION ~ ~ MECHANICAL <br />MANUFACTURED STORAGE ~ SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br />PRE-EAB ~ SEPTIC <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />7) /c/7 /9 W i DDX I O <br /> <br />I am performing the work on properb/I 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 contractor. <br /> <br />I will be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zoning , septic (if applicable) and <br />construction requirements are checked prier 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~ave been met, you will be notified that your permit has been <br />issued and ready ,o be picked up,//~/ <br /> <br />SIGNATURE OF APPLICANT _ _ . ,.,, <br />REV <br /> <br /> <br />