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DATE/TIME <br />TYPE <br />OCCUPANCY <br />UGB <br />SITE <br /> <br /> MANUFACTURED DWELLING APPLICATION <br />05/26/99 1I:12 <br />New Manufactured Dwel ling <br />R-3 <br /> <br />FD <br /> <br />WORK ULSC <br />SITE ADDRESS <br /> <br />: 1994 MD REPLACLMENI <br /> <br /> 9913 WISEACRE LN NE AR <br /> <br />ACTIVITY NO 99-03984 <br />STATUS APPLIED <br />APPLIED 05/25/1999 <br />TO EXPIRE 11/21/1999 <br />PAGE 1 <br /> <br />LUCAIDR: 041N2UBAOU200 <br /> CITY: MARION COUN~ <br /> <br />MHP (Y/N) : N <br />HHP /MH SUBDIV: LOT: <br />TAX ACCOUIfT : 75790-060 MAP: 6R ZONE: EFU LAND USE: <br /> PARCEL SIZE : 2.20 AC <br /> <br />PETERSEN LAWRENCE <br />PETERSEN LAWRENCE <br />9913 WISEACRE LN NE <br />AURORA OR 97002 <br /> <br />OWNER <br />APPLICAifF <br /> ADDRESS <br /> <br />PHONE 678-1401 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />PETERSEN LAWRENCE <br /> <br />OCCB: <br /> <br />MDI LICENSE: <br /> <br />UNIT SQ FT HEIGHT; <br />******--***--**--**************************--*--*****--*--********* <br /> Units Description Fee <br /> 1 Manufactured dwelling fee.. 305,00 <br /> 1 State surcharge 15,25 <br /> i State administrative fee 30.00 <br /> i Zone surcharge 20.00 <br /> <br /> Assessed fees 380.25 <br /> Adjustments .00 <br /> Total fees 380.25 <br />PAYEE: PETERSEN LAWRENCE Total p~yments: 380~25 <br /> Balance due : .OD <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW <br />PROCESS WHERE ZONING. SEPTIC (IF APPLICABLE) AND SITE PLAN IS CHECKED PRIOR TO <br />THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILI~ OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON ~S ALL REQUIREMENTS OF THE <br />REVIEW HAVE BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> CALL BEFORE YOU DIG...IT'S THE LAW! Oregon law requires <br />you to follow the rules adopted by the Oregon Utility Notification <br />Center. (503-232-1987) <br /> <br /> Marion County Building Inspection <br />3150 Lancaster Dr. N.E,, Suite C Salem, Oregon 97305-1398 <br /> <br /> <br />