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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 /> IMITI.~TI4F, APF4.TCATTQN <br /> <br />V-Il <br /> <br />ACTIVITY NO a 97--~1135 <br /> = P/*PLIED <br /> s ll2/2B/'t 9~? <br /> <br />Ti~XPIRE a ~/19/1997 <br /> <br /> W)RK OESC = GARAGE ~/CAR <br /> <br /> STTE ADDRF,q,Q : CZTYg NARIOH COUNTY <br /> [tg~ FARG~ RO <br /> <br />~ ~TEFFT g RFHT7 R~ <br /> <br /> P~CFI. HIJHSER s <br /> <br /> ~R-NAME : HAWORTH, OOHAI.O W & ~AR~ARA L <br /> <br /> APP[)~NT ~ N NF <br /> : VAN I lEU ROGER WAYNE <br /> AD~RF~ : ?J4~7 OAK ' <br /> <br /> : ~7B-543? <br /> <br /> ~ VAN I.T;IJ ROGER ~YNE OCCB= <br /> P~ : V~ L TFII R~GFR ~AYNF <br /> : 47R-54~ <br /> <br /> II~s O~;crtption Fee <br /> 1.~ Plan R~v~e~ F~ <br /> ~1. <br /> I Zon~ ~urcharg~ 7.63 <br /> <br />VAN I.TEmJ ROGFR WAYNE <br /> <br />MAP _ 70NF= FFII <br /> <br />RFQO ~FTBACKfl: Front: <br />PlAN RFVYFW : <br /> <br /> . A.~p.~ed fees : 245.89 <br /> Adjus~m~.nts : · 9~ <br /> Tofa) fee,s : 245. B9 <br /> Total pax~nts: 245.89 <br /> R~I ~:e ~ue : .~ <br /> <br /> ) ~ ~I~ TO T~ <br /> ~ ~ T~T ~ <br /> <br /> OF ~PPI.~ChNT= .............................. ,___ ~ <br />~ ................................ FOR OFFT~F lief ONLY ...................... <br /> <br />I.~. ft:.., <br /> <br />DATF: <br /> <br />PROPFRTY [DCATOR: 041W94C~279(~ / <br /> 7ONING REVIEW: DATE: <br /> <br /> <br />