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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 Houre: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Icepecflon Line: (503) 373-4427 <br /> <br /> BUILDING APPLICATIOH <br />BATE/T~HE = le/81/96 12=18 ACTIVITY HO : ?6-87788 <br />TYPE = Change of Occupancy STATUS = APPLIED <br />CLASS : HisceIIaneous I~en APPLIED : 18/81/19~6 <br />OCCUPANCY : R-3 TO EXPIRE : B3/3B/l??7 <br />COHST~T]ON = V-N PAGE <br /> <br />VALUATION : $. 00 <br /> <br />WORK QESC :CNANGE OF OCC FROM RES l*O GHEST HOME,NO EITCHEN <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 13748 CEDAR CT NE AR <br /> <br />~.ROS$ SIREET : [AUREI. <br /> <br />PARCEl.. NUMBER : 70510-868 <br /> PARCE[ SITE : .2~ AC <br /> <br />OWNER NAME : CONNINGHAM,SHARON <br /> <br />APPLICANT <br />NAME <br /> <br />CIINNINGHAH~ SHARON <br />],~740 CE1)AR Cl' NF <br />AURORA, OR <br /> <br />PHONE : 678-5842 <br /> <br />97082 <br /> <br />CONTRACT(IR/ : OCCB: <br />AGENT : CONNINGHAH, SHARON <br />PHONE <br /> <br />BUILDING SO FT: STORIES: 1 HEIGHT: <br /> <br />Units Descri ~tion Fee <br />.... ~ Iha~§e of Occupancy <br /> <br /> A~sessed fees : 58.08 <br /> Adjustments : .00 <br /> Total fe~s : 58.00 <br />PAYEE: CNNNINGHAM, SHARON Total payme~ts: 58.08 <br /> B~]anc~ due : .00 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION HUST GO TI~OUGN A $IHULTANEOUS REVIE# PROCESS <br />#HERE ZONIHG, SEPTIC (IF APPLICABLE) ~d~ COHSTRU~'TIOH PLAHS ARE CHECKED PRIGR TO THE <br />ISSUA~ICE OF A F~R~IT. IT I5 THE RESPI~IBILITY OF THE APPLICN~T TO ASSURE THAT ALL <br />NECESSARY IHFORHATION IS PROVIDED. AS SOON AS ALL RE~UIREHEHTS OF THE REVIEW NAVE <br />BEFH HFT, YOU HILL BE NOTIFIED TSAT YOUR PERNIT H~S BEEN ISSUED. <br /> <br />SIGNATURE OF APPLICANT: .......................................... <br /> <br />;)ONAI.O E. WOOQLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br />......................................... FOR OFFICE USE ONLY ....................... <br />SITE / UGO: <br />MAP : 3 ZflNF': AR PROPERTY LOCATOR: 841WllC002500 <br /> <br />REQD SETBACKS: Front: [_eft: Right: Rear: Special: <br /> <br />PLAN REVIEW : DATE: 7lINING REVIEW: DATE: <br /> <br /> <br />