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MARION COUN'FY BUILDING INSPECTION <br />COMMUNll~f DEVELOPMENT CENTER <br /> <br /> 285 Church Street liE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> MANUFACTURED DWELLIfl~ APPLI~TION <br />~ATE/T[ME : 12/~1/~5 1~:12 ' RCTIVIT¥ NO : 95-I8016 <br />TYPE : Hew Manufactured D.elii~§ : STATUS : APPLIED <br />OCCUPANCY : R-3 ~ APPLIED : <br /> i TO EXPIRE : B5/28/1~76 <br /> PA~E <br /> <br />Al, L1LANI <br /> <br /> AD )R, o,.> : <br /> <br />L,1;.LSURkL, AND H~MES INC <br />r,:'o BOX ' ..... <br /> <br /> !~ALJ.:':H,~ , OR 97Jt04 <br />F'HONF: : 299---~3127 <br /> <br />CONTRACTOR/ <br />AF,,ENT <br /> <br />h,: ~ ALI_,hR <br />PHONE <br /> <br />[XI:TY~ AUM!:N:U,LE <br /> <br />LF:JZI:SUF(ELAIqD HI]WES IIqC <br />299-0:L27 <br /> <br /> OI4,:t ,, 00~.3333 <br /> <br />MD " :' ~'"'" <br /> L[CLNoL, <br /> <br /> Asses!,~ed fees 277. <br /> To'~a , fees '~,,7, ''~ '>'.., <br /> To't*~ 1 payments: ,, <br /> FAYi L,, L.E.[..~URLi, Alii) IIOMt. S IN(, Ba].ance du~ .... 77...,, <br /> <br /> TH~S Ig NOT A PERMIT. THIO APPLICATION M~ST gO ~ROUGH A SIMULTANEOUS REVIEW <br /> PROCESS WHERE ZONZNG. SEPTIC (IF APPLICABEE) AND ~ITE PLAN IS CHECKED PRIOR TO <br /> THE ISSUANCE OF A PERMIT. IT ~S THE REMP~ZBILITY OF THE APPLICANT TO A~URE <br /> T~T ALL flECE~ARY [~FQRMATIOfl IS PROVIBE~. AS ~ON AS ALL RE~UIREflEHT~ OF THE <br /> REVIEW HAVE BE:EM MET~ YOU WILL BE NOTIFIEDI THAT ~UR PERMII HAS BEEN ISSUED. <br /> <br /> ~R ff;NA't'URE OF APPLICANT= ' <br /> <br /> * K~*>; *~ ************************************************************** <br /> DONALD E WOODL, I~Y~ MARION COUNTY BIJILDIN[; OFFICIAL, / BY PRYON <br /> <br />.._: ............................................................ .................................................................... <br />,,t/{~lD 3r'o ~Ll<m,l::~_~ 1_~ f'.'. ~ RJ. gl]'t~--/ I:~:~": <br /> I.:'[ AN F. VI.I:,.W ;,, I)A('I:~:: ZONI'NG R¥]~/ff']Al: <br /> <br /> <br />