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Rec~ivad By: ..... ~ <br /> <br /> MARION COUNTY BUILDING INSPECTION r city Setback Requirements: 1 <br /> <br /> BUILDING ~ MOBILE HOME ~ SEPTIC ~ PERMIT APPLICATION . <br />~PropertyOw~er / . ~ · I Phone:~~MailingAddress ~-~~ ,~z~ <br /> <br /> Jo~d~,es~ ~ ~....~ ..... ~ ~i ~, ~ sit..o . J Cro~ Std..t= <br /> ~ % , - _ I Property Tax Eot NO.: I F~/C Zone: <br /> <br /> MO ilo Home Park Sp ¢' ~ Tea ¢ Spaces ~ <br /> <br /> Lo id:h; ~tD~th; I A~s; / , I Irreg.~ ~- J Corner: / /~/ ~//~ ~ ~ . <br /> <br /> .... ~ / ~7" . ...... ~::'~ Il l ~ <br /> <br /> Contractor B,~lness Na~e and NO: Phone: I Address: ~' ,.~ Z~.9:' /_.Y: ] <br /> Arohitem/Englneer: Phone: I ] <br /> <br />~-oi~lls Home /'" I Mo'bile Home "' ¢ Bedrooms: 0~ <br />Width: -'~. 7/ I Length' <br /> ':'~%/2 / ' -~" ~ ~ ,, ~ ....... <br /> <br />Proposed Septic Installation; <br /> Previous Site Evaluation #: <br /> Type of System: <br /> <br /> Test Rotes Ready: <br /> Will call when holes reedy; .P.t~posed Bedrooms; <br /> Existing Septic System: <br /> , Existing Tank Size: S-~ ,,d.~h (¢ <br /> Existing <br /> Drainfield <br /> <br /> Date TankPumped: ¢~ Existing Bedrooms; ~ <br /> <br /> the st~e of Oragon an¢ ~¢~rdinanoes of Marl~n Ooum~ ," <br /> <br /> PERMITS REQUIRe?bY THlt DEPT.: PLUMBING, MECHANICAL, ELECTRICAL <br />~HER <br /> <br />Use of Build~; <br /> <br />Sq, Fl, Garage: Other: <br />Occupant Load; <br /> <br />COM [] <br /> <br />Valuation: <br /> <br />Bldg, Fee: $. <br />Mobile Home Fee: <br /> <br /> <br />