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IZoning -Validati0n: ff'ff <br /> <br />MARION COUNTY, BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St, NE . Roo~n 132 <br /> Salem, Oregon 97301 <br /> 8:00amM:$0pm ~ <br /> <br />COMPLETE ALL SECTIONS, I THROUGH 4 <br />1. JOB DESCRIPTION <br /> <br />RESIDENTIAL <br />( ) Addition ( ) R¢loeatloa <br />( ) Atieratlon ( TOther <br /> <br />COMMERCIAL <br /> ( ) Addition <br /> <br /> ( ) Alteration <br /> <br />( ) New <br /> <br />( ) Sign <br /> <br />Other: [ Height: <br /> <br />LOCATION OF INSTALLATION ~.0, ~ ~-7~, <br /> <br />fl~bdJ¥i~ion [ , Lot Block <br />Moblb Ho;'¢ Park WI~0 ~ ~ ~ [~, ~ ~ ~ 7 <br /> <br />, I ~vate Well ( ) $p~ng <br />~tWid~h W~' ~tDep~ 1~ A¢~s I~g,~t ~ Com,r ~0, CommunityW~ll < ) City <br /> <br />3. ~ONTRAeTOR iNFORMATION -- PLEASE INI)IeAIE ~.ttO iS DOING THE WORK <br /> <br />( ) <br /> <br />:l Phone: <br /> <br />I hereby certify that the abovo information is correct. <br /> <br />Name of Applicant (Plea~~ ¢ ~'~'~ <br />Sig,ature of Applietlnt: ~e'~~ <br />MC 15-73 Rev 1/95 <br /> <br /> <br />