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MARION COUN'rY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Streel NE · Room 132 o Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 o 24-HR Inspection Line: (503) 588-7904 <br /> <br /> NANUFACTIJRED D~ELLZN~ APPI.I~TZON <br />DATE/Tl~E : 11/S8/~5 88=46 ACTZVITY NO : 95-27444 <br />TYPE : New Hanufac~ured O~elltng STATUS = APPLIED <br />U~CUPAHCY : R-~ APPEZED : 11/a8/1795 <br /> TO EXPIRE = ~5/06/i976 <br /> PAGE <br /> <br />WORK DESC : HANF PLACMENT <br />~I'I'E ADORES$ = CITY: MARION COUN'FY <br /> <br />CROS= STREET : NIJDDARD CUTOFF <br /> <br />PARCEL NUMBER <br /> PARCEL ST'ZE <br /> <br />OWNER NAMF : DAWSON~ JOt LY <br /> <br />APPLICANT <br />NAME : DAWSON.JOLL. Y <br />ADDRESS : 14018 KEIL RD NE <br /> ALII~ORA OR <br /> <br />970~2 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />V~LIJE HO~LE HONES <br />DAW$ON~JOLL, Y <br />777-97~7 <br /> <br />C)CC~: 64112 <br /> <br />UNIT SQ FT : 1~44 <br /> <br /> J~iCs Demcrip~ion Fee <br /> 1 Sta'~e surcharge 12.~5 <br /> 1 S~a~e adMinis~ra'~ive fee 20.00 <br /> <br /> rr, cI <br /> ~s~essed fees ~ 297.2~ <br /> · A~ust~en'~s : <br /> · ,To~al fees : 297.25 <br /> ~Total payments: 297.25 <br /> PAYEE: DAWSON.JOLLY ,Balance due : <br /> <br /> TH~S IS HOT A PE~IT. THIS A~ICATIOH flUST GO ~ROUGH ~ SI~LTAHEOUS REVIEW <br /> PROCESS ~HERE ZONZN~ SEPTIC (ZF a~L~CASEE) AND SiTE PLAN <br /> T~ ISSUANCE OF A P~IT. IT IS THERE~SIBILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL HECESSRRY ~HFORHATIGN ~S PROVIDE~. AS ~OH RS ALL REGU~REHEHTS OF THE <br /> REVUE8 NAVE BEEN HET~ YOU ~ILL ~E HOT~F~E~ THAT ~UR PERHIT H~S ~EEH ISSUED. <br /> $~GHA[UR~ OF ~PPL~CAHT: ......... i ....~ <br />******************************************************************************* <br />DONALD E WOOOLEY, NARION COUNTY 81JILDING ;OFFICIAL / BY MBIJLL. <br />...................................................... FOE QFF~I E USE ONLY <br /> <br /> HAP: 3 ZONE: EFO P~OPERTY LOCATOx. 841WILD <br /> <br />' ~' MD LICENSE: <br />TN, IAL. LER : <br /> PHONE : <br /> <br /> <br />