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City Setback Requir~mentS; <br /> <br /> BUILDI~J~~E ~ SERiO ~PERMIT APPLICATION <br /> ~o-e~t,, O~eF' <br /> <br /> ,, . t qO~-~O [ W .... <br /> ___ ~-~x ~¢U~~~O ~( '1 J I' / ,_ <br /> ~le Home ~r~: - <br /> <br />~ ~-I ~n~r 6u~ne~ N~ a~o- ~ ~one~ I ~d~ <br /> <br />Type of Permit:: <br /> <br />New: ~l ,~diticn: ~ <br />Altec [] Re~.atic~; [] <br /> <br />Proposed 8eptlo lnstellatica; <br />Previous ~l~ Evaluation #: <br /> <br /> Type of <br /> Test Holes <br /> WlJl caJl when <br /> Ex~stt~ ~ptic ~ys~: <br /> <br /> Date T~k ~mped; <br /> <br />OTHER P;RM~ <br /> <br />cou u <br /> <br />O~upaat Load; <br /> <br />Other: <br /> <br />Wats? Supply: <br /> <br /> $. <br /> <br /> E~:lg. Fee~ <br /> <br /> Mobile Home Fee; <br /> <br /> Fleet ~urcha,~e: <br /> <br />Z,:,nlr,~ Surcharge~ <br /> <br />State Surcharge; <br /> <br />Plans Chec~ Fee; <br /> <br />Site Evalua6On Fee; <br /> <br />Septic Permit Fee:: <br /> <br />DEQ ~urcharge; <br /> <br />Technical Review Fee; <br /> <br />lave&tigatlon Fee:: <br />City Fee;; <br /> <br />TOTAL FEE: <br /> <br />RECEIPT NCX:: <br /> <br /> <br />