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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 /> HN~tJFACTURED I~LII~ APPLI~TIBN <br />DATE/TINE : ~1/29/97 18:84 ~CTIVITY HO : 97~8575 <br />TYPE : He~ Hanufactured D~elling STATUS : ~PPLIED <br />OCCUP~CY : R-3 APPLIED : ~1/2~/1~7 <br /> TO EXPIRE : 67/28/lf~7 <br /> PAGE 1 <br /> <br />WORK DF'SC : NHFG/WINDEMERE HDWS SP~79 <br /> <br />SITE AODRESS : CITY: AUMSVILLE 80& ABBFY LN SE AM <br /> <br />CROSS STREET : MILL. CREEK <br /> <br />F'ARCEL NUMRER : 5&299-000 <br /> PARCEL S'[ZE : 5500.0SF <br /> <br />OWNER NAME' : QIAZ,GREGORIO <br /> <br />APPI.ICANT <br /> NAME <br /> AORESS <br /> <br />f:'HflNF : <br /> <br />R~CK GOMES <br />CARVER ENTERPRISES [..LC <br />F',O. BOX 4234 <br />SALEM.OR <br />50J-769-7744 <br /> <br />97302 <br /> <br />LAND USE: <br /> <br />EONTRACI*OR/ : CARVER ENTERPRISES t. LC OCCB: 0098940 <br />A~ENT : RIOK GOMES <br />PHONE : 769-7744 <br /> <br />INSTALLER : MD LICENSE: <br />PHONE <br /> <br />Oescr 'i.o t'i, on Fee <br />~'-'F~TF~T~ ~'~3":~ <br />State surch~rge 12.25 <br />State mdMi~:is~r~tive fee 2~.88 <br /> <br />IINIl' SQ FI <br /> <br /> Assessed fees : 277.25 <br /> AdjustMents : .00 <br /> Total fees : 277.25 <br /> FAYFE~ RICK GOMES Total pay~,~ents: 277.25 <br /> B~lance due : .00 <br /> ******************************************************************************* <br /> <br /> THIS IS NOT A PERNIT. THIS APPLICATION NUST GO THROUGH A SINULTANEOUS REVIEW <br /> PROCESS WHERE ZONINg, SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br /> THE ISSUANCE OF A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSP~RY INFORHATIUR IS PROVIDED. AS SOON AS ALL REOUIRENEHTS OF THE <br /> REVIEW HAVE BEEN HET~ YOU ~ILL DE NOTIFIED THAT YOUR PERNIT HAS BE. EH ISSUED. <br /> <br /> SI(;NATORE OF APPLICANT: <br /> <br /> ******************************************************************************* <br /> P(]NALD E WOODLEY, MARION COUNTY BUlL, DING OFFICIAL / BY FRYON (~.~ . <br /> <br />....................................... FOR OFFICE USE ONLY ............................. <br /> S)'H~ / UGB: AM FD <br /> HAP: 51 ZONF: I PROPERTY [.OCATOR: 081W30 02300 <br /> <br /> RFQD SE'[BACKS:Fro~'~t: ~0 Left: ~0 R~ght: 10 Rear: 10 Special: <br /> <br /> PIAN REVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />