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F.OR~ OI~TICE USE ONLY <br />"Received By: . <br />Zoning Validatio1:x <br />Date; ......... <br /> <br />MARION COUN7~ BUiLDING INSPECTION <br /> <br /> Sal~, Og ~301 <br /> <br />$:00 *~m. - ~',30 pm plmn~ 588-5147 <br /> Godc-A-Phoa* 588-7904 <br /> <br />1. Location ailnstallation SITE ]gVALUkTION AN'D/OR SE~iC PE~IT ~PLICA~ON <br /> <br /> d v ~ o*"' , ,, ' ....~t Blo~ <br /> ~ile ffg~ Park _ ' .... ,, I ~h~ ~ .......... <br /> <br /> ~i~ gvaluallon ~m 1000 gal D$~ 24100 <br /> ~i~? Evalu~t ~., e~ ad~J. 5~ gal D~F 75.00 20.00/m <br /> Standa~ S7~cm m~m than 1009 ~. <br /> Cappkl~ Fill 4liO0 I0-00 <br /> <br /> ~~al Sum I20,00 10.90 . , <br /> ~;.~v~.~ m.o0 ~0,~ <br /> ,,. ¢~,~9m Di~ution 350,~ ' 10.00 <br /> ,gedBndant Sy~m 24~,~ I0,00 <br /> ~cpag~ Tren,ch , .... <br /> S~ocp S ope ,, 24~ 00 10.00 <br /> Til¢ Dc~a~¢~n~ Sy~m ~,0-~ , ,10.00 <br /> -- (F~y ~avh ~d~ional 5~ ~h B~ 25 00 ', 00 <br /> ~ 7szo to oo · <br />~Constmcfio,n Pe~it Rvn~wal (Fidd V~) '", t~.O0 'i0.00 ..... ' <br />A~zual Zv~uatiou of Alternative ~m 150,00 i0,00 <br />_~umper T~c~D~p~n ~t track, 50,~ .00 <br /> <br /> ' " <br /> <br />) I am a ~Sisered builder & ( ) thc ~ulhodz~4 ~p~u~tiv~ <br />) Other <br /> <br />ge~eipx No. <br /> <br />~r/~[E OF ;~PLICANr (please prinO: <br />SIGNA URE OF APPLICANT: D~TE: <br /> <br />MC 15JI REV 2/93 <br /> <br /> <br />