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Fire Zooe '~__ <br />Type of Bulldmg ~ <br /> <br />Application ls mode fo <br /> <br />Address <br /> <br /> DEPT. OF BUILDING IN~:PECTION <br /> Marion County <br /> <br />R,,H. WITHROW, IBI..DG. ADMINISTRATOR <br />5J~[-~ 147, CourthOuse <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br /> Relocate Building <br />Alter a <br /> <br />Valuation <br /> <br />Permit Fee $ 23.00~ <br />Surcharge ~ <br /> <br /> Septic Ten~,~ <br /> 23.25 ;/~y~ <br /> Total Fee $~ __~ <br /> Exco¥oflen ,~-0-~ ,~- <br /> Repair Demolish Structure This permil covets Co~slrucHon <br /> <br />R~ 2, ~x 519 - B~ ~~ <br /> <br />Lol ...... Block- Addition <br />Lo~ Size ~ ~'~ <br /> <br />12 X 24 - addition <br /> <br />Height in feet <br /> <br />Occupancy or use ~d_dSj~ion to a mo~ile hotly,, <br /> <br />exi~ting~mept ~ ~ ean~ <br /> <br />Wote~ Supply <br /> <br />Value DJ el;tire work when completed, including Jobar and moteriOIs:: $ <br /> <br /> Ronald Bohnstedt same <br /> Address <br /> <br />Builder & No. <br /> <br />Phone <br /> <br />Address ~/~ <br />Addres,s <br /> <br />Phone <br /> <br />Phone <br /> <br />581-8844 <br /> <br />DESCRIFrlON OF WORK <br /> <br />Conditional Use ........ Partitioning ....... Variance Case No ........ <br /> <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PEEMIT <br /> <br />Zone Change Ne <br /> <br />OTHER PBRMITS REQUIRI~D BY THIS DEPARYMENTJ Heeting <br /> <br />,~/PL~ [XAMINER / PERMIT ISSUED <br />PJumbin9 <br /> <br /> <br />