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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 /> I~M~UFACTUREB D~ELLII~ APPLICATIOH <br />DATE/TIME : 02/86/?7 11:58 ACTIVITY NO : 97-08752 <br />TYPE : Ne# Hanufactured Dwelling STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : ~2/06/1997 <br /> TO EXPIRE : 08/~5/1977 <br /> PAGE 1 <br /> <br />WORK ~RSC : NMFG/WINDEMERE MDWS flHP SP~6 <br /> <br />S}TE ADDR~BS : CITY: AUMSVILLE ~2~ YORK ST SE AM <br /> <br />CROSS STREET : MILl. CREEK <br /> <br />PARCEL NUMBER : 56299'"'0~0 <br /> PARCEL SIZE : 5500.0SF <br /> <br />OWNER NAME : CAIN,VIRGIfllA <br /> <br />ARPLICANT <br /> NAME <br /> ADDRES~ <br /> <br />CARVER ENTERPRISES LLC <br />t]~7~ MII.L CREEl( RD <br /> <br /> AIJMSVILLE~ OR 97725 <br />PHONE : 769-7744 <br /> <br />CON I'RA[ [OR/ <br /> AGENT <br /> H <br /> <br />ii NSTALLER : <br /> PHOME : <br /> <br /> ,ARVER ENTERPRISEo [.LC <br />CARVER ENTERFR1SES LLC <br />75~-7744 <br /> <br />!,~41T SQ FT <br /> <br />LAND USE: <br /> <br />OCCB: 00~8~40 <br /> <br />MD LICENSE: <br /> <br />Hni. ts D e se: ['_~jE.~ i on Fee <br /> <br /> I State surcharge 12.~5 <br /> ~ State ad~,~in:i.s~rative fee 2~.80 <br /> <br /> Assessed fees 277.25 <br /> Adjustments .00 <br /> Total fees 277.25 <br /> F'AYI7-~:.' CARVER ENFERFR S.FS L[ C Total pay~e~ts: 277.25 <br /> Bala~ce due : .00 <br /> ********************************************************************************** <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO I'HROUGH A SIMULTANEOUS REVIEW <br /> PROCESS WHERE ZONING, SEPTIC (IF APPLICABLE) ANB SITE PLAN IS CHECKED PRIOR TO <br /> THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br /> THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE <br /> REVIEW HAVE BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> S[gNA'/U~E OF APPI,I~ANT; <br /> <br />DON~iT) E WOO~[EY~ H~E~ON C~UNTY ~U~I.D~NG OFF[~AL / BY P~YOI,I ~ <br />......................................... FOE OFF[CE U~E ONLY .................................... <br /> <br /> REQD SE'r~ACi<S~.,F~'ont~ 10 Left: 1~ R:ight: 10 Rear: 1~ Spec:iai: <br /> <br /> Pi.AN REVIEW : DATE: ZON'(NG REVIEW: DATE: <br /> <br /> <br />