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MARION COUNTY BUILDING INSPECTION
<br />COMMUNI~FY DEVELOPMENT CENTER
<br />
<br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670
<br />Office Hours: la:OO-4:30 - Phone: (503) 589-5147 · 24-HR Inspection Line: (503) 588-7994
<br />
<br /> H~HUFACTURED I)WELLII~ APPLICATION
<br />OATE/TI~] ~ 12/B5/~5 g~:58 ACTIVITY NO = ~5-188~2
<br />TYPE : Ne~ ~,,~ufactured D~e),lin~ STATUS : APPLIED
<br /> T0 EXPIR~ : ~6/81/!996
<br /> PAGE 1
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<br />~J~)RK ~)~:ZSC, = MFG I.-iOHE - SP ~53 - WINDEHERE?HEADOWS
<br /> ~ CITY: AUHSVILLE
<br /> '7E)7 SfAI=F(tRD eT SE AH Un: tis
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<br />OWNI.I N,4NE :
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<br />LAM[- ] E,,.,L, tlOHES
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<br />CARV..R E,,irE.-(PRISES L, LC
<br />:11S7~'~ Mld. L CREEK RD
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<br />PHOHE ,., 769-774.4
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<br />C, ON/RAh [ Ok
<br />A[;EN'I
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<br />)'I,tS'I AL, LIER :
<br /> PHONE
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<br />bAEW,,R .F,,:NTERPRISES LI.,,C,
<br />CARVER I'.::NTi:?RI:'R: SE.S Li,C,
<br />769-7744
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<br />tlNIT OQ FI : 1409)
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<br />9'7S25 1Z
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<br /> ,)CLB,, 009894~
<br />MD I,,,,L ..Lh~ ~ ....
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<br /> Assessed ·Fees 277,, 25
<br /> Tot81 fees .:! 7/,, :!,5
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<br />THIS IS NOT A PERHIT. THIS RPPLICAT[Ofl HUST GO THR~GH A SIMULTANEOUS REVIEW
<br />PROCESS ~HERE ZONINg. SEPTIC (IF APPLICABLE) AH~ SITE PLAN IS CHECKE~ PRIOR TO
<br />THE ISS[JANC[ OF A PERHI~.~ ET IS THE RESPOHSI~ILITY 0F THE :APPLICANT TO ASSURE
<br />THaT ~LL HECESSREY INFORHRTION IS PROV~gE~. AS ~0N AS ALL REgUIRE~EHTS 0F THE
<br />REVI~ HAVE SEEN ~ET~ YOU ~[LL ~E HOTIF[~D THAT YOUR PER~IT HAS ~EEN
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