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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NEi · Room 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 * Phone; (503) 588-5147 * 24-tlr inspection Line: (503) 588-790¢ <br /> <br /> AUTHSRiZRTIOt :~PPR~VAL <br />DRTE/TIHE : 11/17/95 12:54 ' PERHiT HO : 75~17445 <br />TYPE -' SP STATUS : ISSUED <br />OCCUP~HCY : R-3 ISSUED : 11/17/1~ <br /> TO EXPIRE : 11/1~/I~ <br /> P~E 1 <br /> <br /> WORK DESC ~ AUTH/HD PLACEMENT <br /> <br /> SI'rE ADDRI~S ~ CITY: HARMON COUNTY 14~i8 KEIL RD NE AR <br /> <br />SUBDiVI.r,~ION ; LOT~: BL. OLK,, <br /> <br />CROSS STREI{T : HUBBARD cu'rOF'F <br /> <br />PARCEL NUMBER r. 40~86-.000 <br /> PARCEl., SIZE : 1.1 AC <br /> <br />OWNER NAME : I)AW=ON,JOLLY <br /> <br />APPLICANT <br /> NANE <br /> ADDRESS <br /> <br />I)AWSOI% JOLLY <br />14818 I(EIL RD NE <br />AURORA OR <br /> <br />PHONE : ~97--47;~4 <br /> <br />97002 <br /> <br />PROPERTY LOCATOR: 041WllD 003~10 <br /> ZONE: EF'U <br /> <br />CONTRACTOR : ~E[I LICENSE,-, <br />AGENT ." OCCB: <br />PHOI'IE ; <br /> <br />DescriDt~gr <br /> <br /> Surcharge <br /> <br /> A~semsed f'ee~ 247.00 <br /> · Ad, jus'~?s .~ <br /> T~al fees 247.,00 <br /> · Total pmymervIYs: 247.80 <br />PAYEE~ DAW~Q~4.JOLLY B~lla¥~ce due : <br /> <br />THIS AUTHORIZATION IS HOH-TRAHSFERASLE AH9 EXPIRES.3~5 DAYS FROM ISSUE <br /> <br />DONA[I) E WOOI)L. EY, MARION COUNTY BUILDIN~ OFFICIAL~ / BY HBULL <br /> <br /> <br />