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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 /> H~NUFACTURED DliELLING APPLICATION <br />DATEtTZNE : e4/~/97 15~1~ ~T~V~TY ~0 ~ ~2222 <br /> TY~ ~-~ Hanufac~r~ Deelli~ ~ATUS = APPLIED <br /> ~CU~Y = R-3 ~ED = ~/~2/1~7 <br /> TO EXPZRE = e9/29/19~ <br /> P~ <br /> <br /> WORK DESC : NEW MD 3/BED <br /> <br /> SITE AOORE~S : CITY: MARION COUNTY <br /> 1~647 LEVERMAN RD SE AM <br /> <br />CROSS STREET : ALBUS <br /> <br />PARCEL NUMBER : 56466-258 <br /> PARCEL SIZE : 2.5~ AC <br /> <br />OWNER NAME : CONKLIN, RALPH & PATRICIA <br /> <br />APPLICANT <br />NAME : CONKLIN, RALPH & PATRICIA <br />ADDRESS : 1951LADOHA DR <br /> EUGENE, OREGON <br /> 97484 <br />PHONE : 541-688-6144 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />UNIT SQ FT <br /> <br /> Onits <br /> ] <br /> <br /> ! <br /> 1 <br /> <br />WESTERN LIVING HOMES <br />COHKLIN, RALPH & PATRICIA <br />393-7353 <br /> <br />Description <br /> Manufactured dwelling fee <br /> State surcharge <br /> State administrative fee <br /> Zone surcharge <br /> <br />LAND USE: <br /> <br />MDI LICENSE: <br /> <br />Fee <br /> <br />245.B8 <br /> 12.25 <br /> 28.08 <br /> 2~.88 <br /> <br /> Assessed fees : 297.25 <br /> Adjustments : .08 <br /> Total fees : 297.2§ <br /> PAYEE: CONKLIN, RAI.PN & PATRICIA ~o~al payments: 297.25 <br /> ~aiance Due : <br /> <br /> ?HIS IS ~T A ~RHI?. TNIS AP~I~?ION ~? ~0 ll~ROU~ A SIHI~T~I]t~ ~¥I~l~ <br /> P~O~S ~E Z~I~, S~TI~ (I~ A~I~> ~ SI~E ~A~ IS ~EB PRIOR TO <br /> <br /> THAT ~L ~S~Y I~I~ I~ ~I~. ~ ~ ~ ~ ~E~IRE~TS <br /> E~I~ ~E ~N ~T~ ~ILk ~ ~TI~IE~ ~T ~ ~IT ~ ~ IS~. <br /> SIGNATURE OF APPLICAHT~+~ .......................... <br /> <br /> ~ONALD E WOODLEY, MARION COUNTY BUILDIN~ OFFICIAL / BY MBULL <br /> <br />................................... FOR OFFICE USE ONLY ......................... <br /> SITE / <br /> MAP: 48R ZONE: AR PROPERTY LOCATOR: 881W29C <br /> LAND USE CASE <br /> RE~D S~TBACKS:Fro~: 999 Left: 999 Right: 999 Rear: 999 Special: <br /> <br /> PLAN REVIEW : ~ATE: ZONIN~ REVIEW: DATE: <br /> <br /> <br />