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MARION COUNTY BUILDING INSPECTION <br /> COMMUNll~f DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Sale.l, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone; (503) 588-5147 · 24*HR Inspection Line: (503) 588-7904 <br /> <br />F-, ~S= Pwe!t'inD addii'ioD/ettel'atiOl~ APPLIED <br />ogd, t .... R-~ <br /> <br /> , , :<, " AD~)T'T"FF N RF. NO AN'O ~. k~ %, NG <br /> <br />,IA :,, ~ NOR!:?',~',S At4THONY <br />~YFDRi'-'SS :: F'(' BOX <br /> <br /> f'lT ANI'~,EL,~ OR 97382 <br />I:'l.-I('l~,!lil ,,: 84,5 8:t2!8 <br /> <br /> A !: !? I,I "~' <br />F:' - (} '1 E <br /> <br /> Assessed '?ecs 766.5~-~ <br /> :A d ii u s '~ Pt ~,? i"r t' s .80 <br /> To'L",,'~ l fees 766,, <br /> , ~ ;~ -Fot'~l payment'iiH~ <br />PAYET:: MI E~ ..~ ANTHONY V Balance dLte : ,, <br /> <br />THI~ IS ~OT A PER~IT. TfllS APPLI~ATIO~ MOST ~O THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> <br />ISSUANCE OF A PERMIT. IT l~ THE RESPONSIBILITY OF THE APPLICANT TO A~SURE THaT A <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENT~ OF THE REVIEW HAVE <br />BEEN MET: YO~J WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />F:~3[Cbh%'T'URE OF APPLICANT: ................................................................................................. <br /> <br />DOhfCtI9 E. Wf)OI)LEY~ MART[f')N COUNTY [4UtLDIN~ OFFICIAL / BY [,fBUL, L <br />...................................................................................... EOR OFFICE USE ONLY ........................................................................ <br /> <br />MA~::' : 4 ZONE: EFU PROPERTY LOE;A'i"OR~ 041W18 <br /> <br />:hq ::',N ~:U:V]':::kl:: OA'TE: Z[)hii',,H., R':"¢.f""/h: <br /> <br /> <br />