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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Sa[em, O~egon 97301-3670 <br />Office Hours: 8'.00-4:80 * Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br /> I,M#UF~e~ ~IELLZI~. APPLII'.ATION <br />DATE/TIHE : B2/186/97 ~9:59 ~CTIVITY NO ~ ~-~725 <br />TYPE = ~ Ha~factured D~ell~ng ~A~ = ~PPLIED <br />OCCUP~Y = R-3 ~PLZED ~ ~2/~5/1~7 <br /> TO EXPZRE = BB/B4/1997 <br /> <br />~['tRK ~ESC : NMF~/~ZN~EHERE ~DW~ MHP SP~37 <br /> <br />SITE A~DRE~S : CITY: AUMSVILLE 927 YORK S~ SE AM <br /> <br />CROSS SI'REFT ~ MILL CREEK <br /> <br />PARCEL NUHBFR : 562?9-088 <br /> PARCEL SIZE : 5580.0SF <br /> <br />OWNER NAME : DAVIS,9. <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />: RICK GOMES <br />: CARVER ENTERPRISES LLC <br /> 11~7~ HILL CREEK RB <br /> AUMSVILLE, £)R <br />: 76?-7744 <br /> <br />,ONTRAC~OR/ <br /> AGENT <br /> PHONE <br /> <br />CARVER ENTERPRISES LLC <br />RICK GOMES <br />769-7744 <br /> <br />INSTALLER <br />PNONE <br /> <br />UNIT SQFT <br /> <br />LAN~ USE: <br /> <br />97325 <br /> <br /> OCCB: 8098?48 <br />fid LICENSE: <br /> <br />IJ~its De~,gription Fee <br /> <br /> ] State surcharqe 12.25 <br /> 1 State ad~iuis~'ative fee 28,88 <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .00 <br /> Total fees : 277.25 <br /> PAYEE: RICK GOMES Total paxMents: 277.25 <br /> Balance due : .aS <br /> <br /> THIS IS NOT A PERHIT. THIS APPLICATION ~UST GO THROUGH A SIHULT~qEOUS REVIEW <br /> PROCESS #HERE ZONIH~, SEPTIC (IF APPLICABLE) AHD SITE ~ IS CHECKED PRIOR TO <br /> THE ZSSUAHCE OF A PERH~T. IT IS THE RESP(~SIDZLITY GF THE APPLICAHT TO ASSURE <br /> THAT AI.L NECES~RY IHFORHATIOH IS PROVIDED. AS SOON AS AkL REQU[REHENTS OF THE <br /> REVIEW HAVE BEEN HET, YOU~ZLL BE NOTIFIED THAT YOUR PERH1-T HAS BEEN ISSUED. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONAI..~ E WOODL. EY, MARION COUNTY BUILDING OFFICIAL / BY PRYON ~.J~_._. <br /> <br />..................................... FOR OFFICE USE ONLY ......................... <br /> SITF / UGB: A~ F~ <br /> MAP: 51 ZI.)N~: I PROPERTY LOCATOR: 081W~8 82388 <br /> <br /> REQD SETBACKS:Front: ~0 Left, ~0 Right: 10 Rear: 10 Special: <br /> <br /> PLAN REVIEW ~ DATE: ZONING REVIEW: DATE: <br /> <br /> <br />