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ACTI'V IT~ # <br /> <br />PLEASE FILL OUT THE i:OLLOWING INFOP~tAT[ON AND YOU WILL BE DIRECTED TO 'THE NE×l- <br /> <br />APPLICAI ION SUBMITTAL <br /> <br />TYJE OF <br />~ DW~LUNO ~ SUILD[NQ O~OLff)ON (, ~ MINOR EL LABEL <br />~ MANUPACTURED DWELLING ,. . ~ z ~ECHANICA~ <br /> <br />i am performing the work on property I own or occupy. <br /> <br />I am a m§istered builder or the authorized representative of a registered builder. <br />State Of Oregon Construction Contractor's Board Registration # ~, <br /> <br />I am the authorized representative of the prop~K'y owner or ¢ontr~v,.'tor, <br /> <br />I will be hirin§ a §eneral contractor registered with the ConstruCtion Contractors 8oard, <br /> <br />This application may go throu§h a Simultaneous t~eview process where zonJn8, septic (if applicable) and <br />construction requiremen~ are checked prior to issuance et a permit. It is the responsibJlih, or' the applicant <br />to assure that al} necessary information has been provided. <br /> <br />As soon as ail requirements of the review have been met, you will be notified that your permit has been <br />issued and ready to be picked up, <br /> <br />SIGNATURE OF APPLIC..ANT: <br /> <br />REV 316/e5 <br /> <br /> <br />