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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br />DATE: 05/14/91 'fINE.' 12:13:52 <br /> <br /> WOOLSEY. DONALD <br /> <br />SIGNATURE OF APPLtOANT: <br /> DATE <br /> <br /> TAX LOT'. <br /> <br /> CONSTRUCTION TYPE <br /> <br />RESiDENTiAL <br /> <br /> 11226 BEAN ALLE'f ROAD <br /> AUD~VI LLE OR <br /> <br />USE OF BUILDING <br /> <br /> f~ILE HONE <br /> <br />97325 <br /> <br />SE <br /> <br />CONTRACT CITy. JGS: <br />MARION COIJN TY NO <br /> <br />SU BDIVISI©h <br /> <br />OCCUPANT LOAD: <br /> <br /> 2 <br /> <br />sAr, lB <br /> <br />PHONE: 749-2444 <br /> <br /> TOWNSHIP: <br /> <br />18 9 <br /> <br /> UNITS <br /> AC <br /> <br />SITE NUC4BER: ~54 <br /> VALUAT ION: <br /> <br />RANGE ZONE <br /> <br /> 1N EFU <br /> RF~EG LOT NO CORNER'ON <br /> <br />TYPE: rcgEiLE HONE <br /> <br />(%)N TRACTOR, NO. <br />WOOLSEY, DONALD <br />SAME <br /> <br />PHONE: '149-2444 <br /> <br />PEF~IT OR APPLICATION NO: <br /> <br /> i 'rem <br />r4OEILE HOME BASE FEE <br />MCT~ILE HOME S'T'A'I'E FEE <br />MOBILE HOME ZONING SURCHARGE <br />f,~OEILE HONE STATE SURCHARGE <br /> <br />PAYEE= <br />RECEIVED BY: CL <br /> <br />31836 <br /> <br />QUANTITY ~IOUNI' <br /> $89.25 <br /> $15.75 <br /> ~5.25 <br /> 5.25 <br /> <br />TOTAL A~Z~E,~ED FEES <br />PRE¥iOU~ RECBIP'f'$ <br />'rHiSREOEiPT <br /> <br />¢115.50 <br />115.50 <br /> $0.00 <br /> <br />BALANCE BOB $0.00 <br /> <br /> RE%EiP'r <br />TYPE: CHECK ~: 0 <br /> <br /> THIS IS A VALID PERMIT :~ THI~ P~R~IIT EXPiRF_.5 180 OAY8 F'RO~ iTS I,%SUE DATE. iF <br />~ST~CTI~ C~ ~R A PERIOD ~ ;]80 ~;OR IF ~ST~CTI~ FAI~ TO MEET A~ <br />~IR~TS OF STATE ~ ~O ~RI~ ~N~ BUILDING ~D Z~ING ORDIN~O~. THIS PE~iT <br /> L 8~E NU~ ~0 <br /> <br /> SETBACKS: FR 20 LS 10 RS 25 RR 30 SP <br /> RE,~eC~RKS:NH ROmP R~521 , ~PP~V~'~ TCP~'P~C~T FOR <br /> RE~iRES PRIOR ~D USE APP~VAL <br /> <br /> ~ALB E. ~DLEY, ~RI~ ~N'f'Y BUiLDiNG OFFICIAL / BY ..................................................... <br /> <br /> OFFICE COPY <br />FORM ~ MC 15.56 R~. 4/~ <br /> <br /> <br />