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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HI~H..STBEET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or occupy. <br /> <br />DATE: 07/24/91 'riME= 10:44:42 <br /> LUCAS, ROD'NEY <br /> <br />~ c^YEe0n¥: <br /> RES i DEN'I' 1AL <br /> <br /> : OCOUPANOY: <br /> <br /> 6?92 NiT7EL ROAD SE <br />I'uRNER OR 9?392 <br /> <br />USE OF BUILDING: <br /> <br />f~)81LE HOC4E <br /> <br />2 <br /> <br />5771 LIBERTY RD S <br />SALEM, OR 97305 <br />PHONE: 364-0528 <br /> <br />LOT: BLOCK: <br /> <br /> SITE NUMBER: 9066 <br /> VALUAI' I ON <br />' ~EOTION: : TOWN~HIP: RANGE: ZONE ! MAP: <br /> <br />AREA; I L]N¢¢S: LRRE~. LOT: <br /> <br />I'YPE: I~'BILE HONE <br /> <br />ooNr RACTOR, NO. <br />LUCAS, RODNEY <br />5771 LIBERTY RD S <br />~4~,LEM, OR 9?305 <br />PHONE: 364-0528 <br /> <br />PER~II' OR APPLICAI'ION NO-* 33664 <br /> <br /> I I'ET4 <br />MOB I bE HONE BASE FEE <br />MOBILE HONE S'T'A'rE FEE <br />I'¢L~tLE HONE ZONING SURCHARGE <br />MOBILE HONE Si'ATE SURCHARGE <br /> <br />TOTAL AE~ED FEELS <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUAN'IT¥'Y <br /> <br />AMOUNT <br /> ~89.25 <br /> 15.75 <br /> ~5.25 <br /> 5.25 <br /> <br />2115.50 <br />115.60 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT <br />RECEIVED BY: BI'4 TYPE: CHECK ~: 0 <br /> <br /> THIS IS A VALID P~R~IT ~ THIS PER~4IT ~XPi~180 DAY~ FROP4 ITS IS.~JE BATE. <br />~T~CTI~ ~ ~R A ~X~ OF 180 ~,OR iF ~ST~i~ FAI~ TO ~T ALL <br />II--TS OF STATE ~ ~O ~i~ ~N~ BUILOIN~ ~D ~[N60~iN~. THIS ~iT <br /> L 8~E NULL ~D ~10. <br /> <br />SETBACKS= FR 20 LS lO RS 10 RR..30 ~P <br />REt&ARKS: MH PLACENER'T' R~66~7 <br /> <br />PLANNING ACTION: <br />DONALD E. NOODLEY, MARION COUNI'Y BUILDING OFFiCiAL / BY <br /> <br />FORM # MC 15,56 REV. <br /> <br />OFFICE COPY <br /> <br /> <br />