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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING iNFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br /> APPLICATION SUBMITTA.L., <br /> <br />DWELLINO J, ] BUILDING DEMOLITION <br />DWELLING LABEL ~ SITE PLAN RE¥1EW <br />MANUFACTURED DWELLING ~ SITE EVALUATION <br />MAnUFACTUrED ~TO~AGE ~. ~]TE EV~LUATIO~/~E~TIC <br /> <br />MINOR EL LABEL <br /> <br />MECHANICAL <br /> <br />DRIVEWAY <br /> <br />I am performing the work on property I own or occupy. <br /> <br /> 'l 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 wlll 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 prior to iss6ance 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 />SIGNATURE OF APPLICANT: .~,~/4'~ ~, (,/~ ~ _ .': - - .- <br /> <br />FOR OFFIC~ USE oNLY; <br /> <br />MAP PAGE: <br /> <br />REV al6/S5 <br /> <br />ZONE: _/~ C~ROSS STREET: <br /> <br /> <br />