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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: (503) 373-4427 <br /> <br /> HAHUFACTURED DWELLING APPLICATIOH <br />DATE/TIME = 81/24/97 12=28 ACTIVITY NO = 97-8B472 <br />TYPE = Flew Hanufactured Dwelling STATUS = APPLIED <br />OCCUP&NCY = R-3 APt~LIED = 81/24/1977 <br /> TO EXPIRE = 87/23/1777 <br /> PAGE 1 <br /> <br />WORK DESC : MD REPLACING OLD HOUSE <br /> <br />SITE A!)ORESS : CITY: MARION COUNTY <br /> 73051SCHULIZ RD NE AR <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />RARCEL STZE <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> AOORESS <br /> <br /> PHONE : <br /> <br />f:ONTRAC TOR/ : <br />AF, FNT : <br />PHONE : <br /> <br />1 NSTALLER : <br /> PHONE : <br /> <br />UNIT SQ F'¥ : <br /> Units <br /> <br /> l <br /> 1 <br /> <br />FARGO <br /> <br />40226-000 LAND OSE: <br /> ~2.8AC <br /> <br />MOORE~ROBERT J A <br /> <br />MOORE,ROBERT ,J,A <br />23051SCHUI./IZ RD NE <br />AURORA <br />OR <br />678-1256 <br /> <br />97002 <br /> <br />MCMINNVILLE FACTORY HOMES INC <br />MOORE,ROBERT J A <br />472-4148 <br /> <br /> OCCB: 002077~ <br />MD LICENSE: <br /> <br />Oescriptioo <br /> Menuf~c~ured dwelling f~ <br /> State surcharqe <br /> stere adm~in.~s~rative fee <br /> Zone surcharge <br /> <br />Fee <br /> <br />12.25 <br />20.00 <br />20.80 <br /> <br /> Assessed fees 297.25 <br /> Adjustments .00 <br /> Tote) fees 297.25 <br /> F'AYEE: MOORE~ROBERF J A Total p~×Ments: 297.25 <br /> B~]ance ~ue : .00 <br /> ******************************************************************************* <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIFdJLTAHEOUS REVIEW <br /> PROCESS WHERE ZONING, SEPTIC (IF A~LICAE~_E) AHD SITE PLAN IS CHECKED PRIOR TO <br /> THE ISSUAHCE OF A PERMIT. IT IS THE RESPONSIDILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY IMFORMATIOH IS PROVISO. AS ~OH AS ~L REQUIREMENTS OF THE <br /> REVIEW HAVE DFEH NE-T, YOIJ HILL ~E NOTIFIED THAT YOUR PERMIT HAS BEEH ISSUED. <br /> SIGNATURE OF APPLICANT: ~~ <br /> DONAI.0 F WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br />......................................... FOR OFFICE USE ONLY ........................... <br /> S(I'E / UGB: FO <br /> MAP: 4 70NEi: EFU PROPERTY LOCATOR: 041W05 01580 <br /> <br /> REQD SETBACKS:Front: 999 Left: 999 Right: 999 Rear: 999 Special: 999 <br /> <br /> PLAN REVIEW : DA*IF: TONING REVIEW: DATE:: <br /> <br /> <br />