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z <br /> <br /> MARION,COUNTY BUILDING INSPECTION <br /> <br /> ,, 3150 ~r Dr. N.E. * SuRe C · Salem, Oregon 97305-1398 <br />/Offl~ Houre:8:00,4:3~ ~ phone: (803) 588-5147 * 24-HR Iflspectlon Line: (5031 373-4427 <br /> <br />BATE/TIHE <br />TYPE <br />OCCUPANCY <br />PAGE <br /> <br />ON-SITE APP~.ICATION <br /> <br />ACTIVITY NO : 78-~8723 <br />STATUS : APPLIED <br />SE APPLIED : 81/27/1778 <br />gP APPLIEB : 88/88/,~8 <br /> EXPIRE : e7/28/199B <br /> <br /> CITY: MARION COL)NTY <br />F')"r~'z Ri?.I)I~IOMS[ PROPO]ED ~EDRI]OMS.: ~ LAND USE: P97-66 <br />FX!ST EMPLOYEE: PROPOSED EMPLOYEFS: MAF': 4.R ZONE: <br /> <br />-,. . A))DRE,qS <br /> <br />SHAW .Q SE AM <br /> <br />PARCEL NUMHER <br />PARCEL SIZE <br /> <br />UWNE'R <br /> <br /> LOT: 2 BLOCK: <br />SILVER FALLS HY <br /> <br />MC <br /> 4.~27 AC <br />POT'TER I~ONROW J & M)L;)RED S CONTR/A(~ENT: POTTER MONRO~ J <br />9~2~ 8HAW SQ SE A~F4ESS: 9224 SHAW SQ SE <br />AUH~IbEE AUMSVILLE <br />OR ~ .. 97325 OR ~7325 <br />~2-6168 PHONE: 362-6i68 <br /> OCCB: <br /> <br /> Fee <br />......................... <br /> 3[~. 00 <br /> <br /> Ass<~sed 'fees : S28.00 <br /> Ad jus*Men~s : <br /> Tota] tees <br />~ A EE.. POTTER ~NR~ 'd &~M[_DRED S Tota] p,~y~en'cs: <br /> B~] ~nce due ' <br />************************************************************************************ <br />THIS IS ~T A P~N~, ,THIS ABDICATION ~T ~0 ~R~GH A REVIEW PROCESS WHERE <br />SOIl ,-~I~"IHST~LATION RE~UIREHENTS ~E CHECKED PRIOR TO THE ISSUAHCE <br />OF ~ ~d~. I~ IS,~ THE ~SPOHSIBIL~TY OF THE AP~ICANT TO 'ASSURE THaT aLL <br />~CESS~RY IHF~HAT-i~~ I~-,P~VIDED; aS SOon'rag ALL REGU~ OF THE REVIEB <br />~AVE BEEN ~T. Y~I~.BE HOTIFI~. __ ~ . <br /> <br />t)t~hlAi.'O E~ ~O0~I.~Y;', M~R):ON CIIUNTY BU.IID[N~ P~F'TF:rAL / BY ~ULL <br /> <br /> <br />