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City <br />Zonir~9 Vahdation <br /> <br /> MARION COUNTYSenator:B:~lem,~20 High BUILDING o~ego. BIdg.street N~.9730t NE 22S INSPECTION ~C~ty Left FrontSetbaB~qu~em~nts Right Rear <br /> <br /> BUILDING ~ MOBILE HOME ~ ~EPTI~ PERMIT APPLICATION <br />Propo~y ~ner. . Phone: ~-~ ~-~ ~iling'~d~ess' .. <br /> <br />$~l~div~ston <br /> <br />Mobile HOme Park,, <br /> <br />Property Tax Lot No. Fleet S/C Zer~e <br />Lot: <br /> <br />Irreg Lot <br /> <br />Phone,, <br /> <br />Phone <br /> <br />T,,ype of Permit: / New 17~ Addition [] Demo; [~ Tach <br /> Alter ~ Relocation O 0CC Chg.: ~ Review:: <br /> <br />Width -- Leith: I 3 j <br /> <br />Usa of Building <br /> <br />Sq- Pt Garage <br />O¢oupan~ Load <br /> <br />Other <br /> <br />W~ter Supply <br /> <br />Proposed Septic Installation <br /> Previeu~ Site Evaluat[oe ¢¢ <br /> <br />Test Holes Ready. <br />Existing Septic System <br /> <br />Existing Orainfield Le~,th I <br /> <br />Existing Bedrooms, <br /> <br />the st~le of Of~go~ a. nd ~e o~dinances of Marion County <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.: pM.IM~BJNG, MECHANICAL, ELECTRICAL <br />MC !5-6 <br /> <br /> Valuation $ <br /> BIdg Fee $.__ __ <br /> <br />Fleet Surcharge <br /> <br />Zoning Burcher~e <br /> <br />Bite Eve, luB, tJon Fee <br /> <br />Sepbo Permit Fee <br /> <br />DEQ Surcharge <br /> <br />Technicsl Review Fee <br /> <br />Investigatio~ Fee <br /> <br />City Fee <br /> <br />TOTAL ~E <br /> <br />RECEIPT NO <br /> <br /> <br />