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Applt¢oHon is mode fo <br /> <br />Address <br /> <br /> DEPT. OF IBUILDING INSPECTION <br /> Mar;~ County <br /> <br />R.H, WITHROW, BLDG. ADMINISTRATOR <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Permit No. /~7~ '/.,"/~ / - <br /> <br />Valuation $ 10.25 <br /> <br />Permit Fee $ <br /> <br />Surcharge <br /> <br />~eptlc Tank <br /> <br />Total Fee $ <br /> <br /> Relocate Building <br />Aller o <br /> Demolish Structure Tbls permit covers <br />""P°'¥B& ¢.,, <br /> <br />121 x 285 <br /> <br />Mobile home <br /> <br /> Waldo Hills Pruit Farms NO. 3 <br />-- ABdition ,, <br /> <br /> Size o~ Bldg. b~drooln .... <br /> <br />25 <br /> <br /> Mobile home <br /> <br />Sewuge O{~po~d ........ ~eptic /Wofe~ Supply Well <br /> / <br /> <br /> Ed. N~ Neuschwande£ Addre ~'-p.:t~ 9n <br /> R <br /> <br />Builder & Bo. Addrest <br /> <br /> 362-0252 <br />Phone -- <br /> <br />Phone <br /> <br />ArchlleCt Addrei~l Phone <br /> <br />DESCRIPTION OF WORK <br /> <br />Conditional Use Partitioning <br /> <br />Variance Case No. <br /> <br />Zone Change No .................................. <br /> <br />ONLY WORK DESCRIBI~D ABOVE, INCLUDED IN PERMIT <br /> <br /> I agree ko build according Io above description, plans and speciJications and lI~e Building Code ot Marion Counly. <br /> <br /> APPLICATION <br /> RECEIVED <br /> <br />j gale ,, , , Oole .......... , ........... <br /> <br /> <br />