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DEPT. OF BUILDING IN,?,PECTION <br /> Marion County <br /> R,H. WiTHROW, BLDG. ADMINISTRATOR <br /> __L~__~n.~..__ ~5147, Court~ <br /> <br /> ,~ APPLICATION FOR BUILDING PERMIT <br /> <br /> ~reCl Relocate ~uil~ing <br />Application is mode to Demolish o <br /> <br />Alter <br /> <br />Valuation $ <br /> <br />Permit Fee $ <br /> <br />Surcharge __~ <br /> <br />~pt~: Tan 25 <br /> <br /> Block .... Addition <br />/Appx. 8 <br /> <br />S)ze of Bldg, 2 bedz'oom <br /> <br />Number of Slories -- <br /> <br />Height in feel <br /> <br />S.wuge Disp~sol -- <br /> <br />~obi 1 ¢,! hom,~, <br /> <br />Water Supply Well already c~l property <br /> <br /> Volue o~ entire work wh.n compleled, ncludJng Iobor olid materiak.= s -. <br /> <br /> C~ri 1,, Zu~' Address Same <br />~ D~uqh~er in Mo~[le home - Je~nice Go~gen <br /> 8u~ldeK · No, Address -- <br /> <br />Phone <br /> <br />A,c hHe¢t -- Addt'e~ ..... Phon. <br /> <br />DESCRIPTION OF WORK <br /> <br />.l~:i.,l t'.xce~ti¢~ w~s dpproved 5eD/, 25~ '73; <br /> <br />Conditional Use __ Partitioning Variance Case No. <br /> <br />ONLY WORK DE$CRIBEi:) ABOVE IN(~LUDED IN PERMIT <br /> <br />I ,~ee to build u~_cordh',g t~ abo-.,e description, plott~ ond spe¢if)calions and the Building Code of Marion Co/~y <br /> <br /> <br />