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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8'-00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (803) 373.4427 <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />DATE/TI~E = 09/16/96 12:43 ACTIVITY NO = 96-072?8 <br />TYPE : New Manufactured D~eIiing STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED ~ 09/16/1996 <br /> TO EXPIRE : ~3/15/1997 <br /> P~I;E 1 <br /> <br />WORK DESC : MFG HOME - SP ~1,03 - WINDEMERE MEADOWS <br /> <br />SITE ADDRESS : CITY: AUMSVILLE 737 STAFFORD ST SE AM <br /> <br />CROSS STREET : MILL CREEK <br /> <br />PARCEL NUMBER : 56299-080 <br /> PARCEL SIZE : 5170.0SF <br /> <br />OWNER NAME : SANTIAM HOMES <br /> <br />APPLICANT <br />NAME : <br />ADDRESS : <br /> <br />PHONE : <br /> <br />GOMES, RICK <br />CAPITOL. AWNING <br />518 VALLEYWOOD DR SE <br />SALEM, OR <br />769-7744 <br /> <br />CONTRACTOR/ : CARVER ENTERPRISES LLC <br />AGENT : GOMES.RICK <br />PHONE : 769-7~44 <br /> <br />INSTALLER : <br /> PHONE : <br /> <br />UNIT SQ FT : <br /> <br />LAND USE: <br /> <br />U~its <br /> 1 <br /> 1 <br /> 1 <br /> <br />97306 <br /> <br /> OCCB: 8898940 <br />MD LICENSE: <br /> <br />D ..... ~ <br /> I%5~'t¥ a c'Nt ?' ed <br /> State surchartle 1.2.25 <br /> S%~te administrative fee 20.00 <br /> <br /> Assessed fees 277.25 <br /> AdjustMents .00 <br /> Total f~es 277.25 <br /> PAYEE: GOMES,RICK Total payments: .00 <br /> Balance due : 277.25 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION HOST GO THROUGH A SIMULTANEOUS REVIEW <br /> PROCESS WHERE ZONIHG. SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br /> THE ISSUAMCE DF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICAHT TO ASSURE <br /> THAT ALL HECESSARY IHFORMATIOH IS PROVIDED. AS SODH AS ALL REQUIREMENTS OF THE <br /> REVIEW HAVE BEEN HET, YOU WILL BE NOTIFIED THAT YOUR PERMIT NAS BEEN ISSUED. <br /> <br /> SIGMA'lURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PMUNRO <br /> <br />..................................... FOR OFF[CE USE ONLY .............................. <br /> SITE / IIGB: AM FD <br /> HAP: 51 ZONF: i PROPERTY LOCATOR: 081W30 02300 <br /> <br /> REgD SI:.TBACKS~F~o~!~: 10 I..eft~ ..., R:[qht~ 15 Rear: 15 Special: <br /> <br /> ~'LAN REVIEW : 'gA~'Fi: ZONIHG RE¥iEW: DATE: <br /> <br /> <br />