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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 * Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone; (503) 588-5147 · 24-HR Inepection Line: (503) 588-7904 <br /> <br /> BUILDZHG APPLICATION <br /> <br />TYPE : Ro~d. de~Yt'J, al 6~ccessory ~TUct ST~TU~ <br />CLASS : Other ~om'~eside~tia~ B~.~ild~ APPLIED <br />OC:[]U;~ANCY ~ M-~ TO EXPIRE <br />CONST?..~C7 !ON : ~-h' PAGE <br /> <br />95-i6979 <br /> <br />04/16/t996 <br /> <br />· t. ~'S'I S'['E:U~fi<At'!P lEO SE AM <br /> <br />(%~!'}{!:R i'.!¢-,!~!~: ~' t.<[l. SON~f.'f!..EI'.!?.] S & ALZCf"_-' M <br /> <br />A!':'PL 1 CA]f{' <br />}'4Ah~lf : '~(dlt:R?{EY 'I"tMO't'HY <br />AT)DRFSS .... 49::q':.! KALE ST NE <br /> <br />¢, S't at'e surc h,:u"g e 6,, <br />J. Y.l:)y)e st.~l"~:ha¥',r...te 6. ¢3 <br /> <br /> "/'o'ka] f~:;,es :: 714. :'~9 <br /> "~"~ ....... ~"~ . :To?al pay~le~'yts;', ~...:.4:,37 <br />!::'~Y,:~::::j:~ ~.Y ~ ~,~ ~FIh Bo:,..~'~1c~? due : <br /> <br />THIS ~S NOT A PERNIT. THIS APPLICATION HUST ~O THROUGH A SIMULTANEOUS REVIEW PROCESS <br />WHERE ZONIHG~ SEPTIC (IF APPLICABLE) AND CONSTRU~ZON PLA~ ~F o~P~ ~'ro~, ~ <br />.,S~UANCE OF A PER~tT, IT IS THE EESPONSIBIL!TY OF THE APPLICANT TO ASSU~E THAT A~ 1. <br />NECESSARY I~FORHAT~OH iS PROVIDE~. AS SOON AS ALL EEQUIREMENTS OF THE REVIEW <br />~EEht ~ET~ YOU WILL BE WOT[FZE~ THAT YOUR PE~IT HAS BEEN ISSUEO. <br /> <br />~;'~7;;I,~AI'U~E ~"lF APPL. 2;CANT: ............................................ . ........................................................... <br /> <br />!)¢)hh'~LD E., WSGi)LEY~ H4RtON COUNTY BU:E[.,~)IN~[; OFFICIAL / BY MBULL, FOR OFi~];~::(~; U~;E ONLY .......................................................................... <br /> <br /> <br />