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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br /> <br />TYPE OF APPLICATION <br /> <br />'1 <br /> <br />BUILDING ~ ~ AG EXEMPT BUILDING <br />DWELLING ~ ; BUILDING DEMOLITION ~ ~ MINOR EL LABEL <br /> <br />MANUFACTURED DWELMN ANICAL <br />MANUFACTURED STORAGE ~ ~ ~ ~,~; = t:VP, LUP, ~ ~UN;a~:P1 ,C I I DRIVEWAY <br />PRE-FAB ~' SEPTIC ~ ~ INFORMATION <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />I am pedorming the work on prope~ I own or occupy. %~P~¢ <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Constru~ion Contra~or's 8oard Registration $ <br />FAXg <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br /> I will be hiring a general c, ontractor registeredwit.h,_~the Gonstructiogr C~tractors Board. <br /> <br />This app ica ion may go ,hrou-8~ a simu/a~ne~h~ere z~g, septic (if apphc~e, ~; <br />construction requirements are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review have been met, you will be notified that your permit has been <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />