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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 SUBMITTAL <br /> <br />TYPE OF APPLICATION <br /> i ~ DWELLING <br /> <br /> ~ ~ MANUFACTURED DWELLING <br /> <br /> * ~ AG EXEMPT BUILDING <br /> ~ ~ BUILDING DEMOLITION <br /> [ ~ SITE pLAN REVIEW <br /> <br /> L. , ~ SITE EVALUATION <br /> <br />~ I MANUFACTUREO STORAGE ~ ~ SITE EVALUATION/SEPTIC <br /> <br />L.--J PRE-FAB .~ EPTIC <br /> <br />_P..RO,J ECT ADDRESS: <br /> <br />WO.RK DESCRIPTION: <br /> <br /> I <br />t am a registered builder or the authoriz~ed representative of a registered builder, I ~/?-,.- <br />State of Oregon Construction COntractor ¢ Board Registration ¢ ~ ~. <br /> <br />~ ~m t~ a~thori~ed r~pr~sent~ti~ o~ t~e property owner o~ comractor. ~ . '~, <br /> <br />I will be hirin~ a general contractor regis[ered 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 issuance ol~ 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 ,*net, you will be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />SIGNATURE OF APPLICANT;._ <br /> <br /> <br />