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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 /> BUILBING APPLICATION <br />DATE/TIHE : B4/17/97 12:17 ACTIVITY NO : 97-81996 <br />TYPE : Resident. addition/alteration STATUS : CANCEL <br />CLASS : APPLIEO = 83/26/1797 <br />OCCUPANCY : TO EXPIRE ~ 83/26/1797 <br />CONSTRUCTION = PAGE 1 <br /> <br />VALUATION : $~ BO <br /> <br />WORE DESC : SEE AE BLDG 97-0212 <br /> <br />SIrE ADDRESS : CITY: MARIOH COUNTY <br /> 9467 STAYTON R~ SE ST <br /> <br />;RI}SS St'REET ; <br /> <br />f-.ARCEI., NUMBER : 61922-237 <br /> I ARc..EL SIZE : .00 AC <br /> <br />~WNER NAHE ~ HART MICHAEL <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />F'HONE <br /> <br /> ~' T <br />: HARTsM..CHAEL & J(IDY <br />: <br /> 946'7 STAYI'ON RD SE <br /> ALIMSVIL, LE~OR <br />: CELL 871-891~ <br /> <br />97~25 <br /> <br />CONTRACTOR/ : <br />AF, EN? : HART~MICHAEL & JODY <br />PHONE : <br /> <br />OGCB. <br /> <br />STORIES: 1 HEIGHT: <br /> <br />[h'~its Descr ip. tion Fee <br /> 1.0 F].an Review Fee .00 <br /> <br /> Assessed fees .00 <br /> Ad juste~ents .00 <br /> Total fees .00 <br />PAYEE: ' . <br /> HART~MICHAE & JODY Total paymeots: 80 <br /> Balance due : .00 <br />************************************************************************************ <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A BIMULTANEOUS REVIEW PROCESS <br />WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIBED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br />BEEH MET, YOU WILL BE NOTIFIEB THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGHATURE OF APPLICANI': <br /> <br />************************************************************************************ <br />DONALD E. Wf)ODLEY~ MARION COUNTY BUILDING OFFICIAL / BY DSTONE <br /> <br />......................................... FOR OFFICE USE ONLY ......................... <br />SITE / UGB: <br />MAP : 7(INE: CR PR(.IPERIY LOCATOR: 092W24 00100 <br />L. AI,ID USE CA,SE N(),-, <br />RE(lO SETBACKS: Fr~m'[: 1.eft: Right: Rear: Special: <br /> <br />Pi.AN REVIEW : DATE: ZONING REVIEW: DATE: <br /> <br /> <br />