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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: (603) 588-5147 · ~44.1R Inepection Line: (503) 373-4427 <br /> <br /> I~INUFACTUREDD#ELLINGAPPLZC~TION <br />DATE/TIHE I J3/IB/97 15=49 i~CTLV~TY NO = 97-B1~1 <br />TYPE = ~ Hanufac~red ~111ng ST~T~ = ~PL~ED <br />~CUP~Y = R-3 ~ = B3/1~1~7 <br /> TO EXP~ = ~9/e~1~ <br /> P~ 1 <br /> <br />WORK DESC : MF~ REPLACEMENT <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 12364 WEST STAYTON RD SE AM <br /> <br />CROSS STREET : S~AYTON RD <br /> <br />PARCEL NUMBER : 75710-120 <br /> PARCEL SIZE : .7B AC <br /> <br />OWNER NAME : THOMPSON,CURTIS D & MONA JO <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />PHONE <br /> <br />THOMPSON, CURTIS & MONA <br />12364 W. STAYTON R~ <br />STAYTOH OR <br /> 97385 <br />769-7853 <br /> <br />CONTRACTOR/ : <br /> AGENT : <br /> PHONE : <br /> <br />THOMPSON, CURTIS & HONA <br /> <br />INSTALLER : <br /> PHONE : <br /> <br />UNIT SQ FT : <br /> <br />LAND USE: <br /> <br /> OCCB: <br />MD LICENSE: <br /> <br />Units Description Fee <br />1 Manufactured dw'~liln~ fda 245.08 <br />1 State surcharge 12.25 <br />1 State administrative fee 20.08 <br />1 Zone surcharge 28.88 <br /> <br /> A.~sessed fees 277.25 <br /> AdJustments <br /> Tetal fees 297.25 <br /> PAYEE: TH(~MPSON, CURTIS & MONA ~al pa~ents: <br /> ua'zance ~ue : 297.25 <br /> <br /> THIS APPLICATIOH <br /> THIS IS NOT A ZPI~O~H!To Fd~ST ~0 ~ROUGH A SI~T~S R~EW <br /> ~PT~C (XF <br /> P~CESS ~E Z ~, ~[~) ~ SITE PL~ LS ~ PRI~ TO <br /> <br /> ~ ~ H~ YOU WILL ~ ~T~F~ ~T ~R ~T ~S ~ ISSUe. <br /> <br />***************************************************** <br /> ************************* <br />............ : ....................... FOR OFFICE USE ONLY --:~/~ ............. <br />MAP. 6~ ZONE: EFO PROPERTY LOCATOR: ~IW18C <br /> LAND USE CASE <br /> REQD SETBACKS:Front: 999 Left: 999 Right: 999 Rear: 999 Speciai: 999 <br /> <br /> PLAN REVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />