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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO, 225 <br /> 220 HIGH STREET NE <br /> SA,~M, OREGON 97501 <br /> <br /> PHONE 588-514'7 <br /> CODE-A-PHONE 430 PM - 8 00 AM <br /> <br />'ar¢, a registered bulJder O~ , the avthorlzed ,spro~entative SIGNATUSE OF APPLIC~,NT- ~"~/?~.. ~ <br /> <br /> 03129/90 TIME: <br />^oo,~OOLSEY ' BRF~NBA <br /> <br />12:38:27 <br /> <br />RESIDEN ~I~L <br /> <br /> 936? SNODBY DR <br />AUMSVILLB <br /> <br />PHONE: ?59-3858 <br /> <br />OR 87325 ~.~ MARION COUNTY NO NO O~ SEOnOOMS <br /> SUBDIVISION 2 <br /> <br /> SITE NUMBER: <br />BEOTION '~OWNSNIP 8*,A/:ALUAT I ON: ZONE <br /> <br />,AC NO NO <br /> <br />TYPE; M08~LE HOME <br /> <br />CON-F~ACTOR, NO, <br />NOOLSEY, BRENDA <br />SAME <br /> <br />PHONE; 759~3853 <br /> <br /> ITEM <br />FE)B[LE HO~B STOA~GB FEE <br /> <br />PAYEE: WOOLSEY, BRENDA <br /> <br />PERMIT OR APPLICATZON NO: 9022809 <br /> <br />TOTAL ASSESSED PRES <br />PREVIOUS RECEIPTS <br />TH~S RECEIPT <br /> <br />QUANT I TY AIvlOUN T <br /> $25_ 0D <br /> <br />$25_00 <br /> $0,00 <br />$2580 <br /> <br />BALANCE E~JE <br /> <br />RECEIPT 24167 <br /> <br /> RECEIVED BY: PR TYPE: OK CHECK ~; 511 <br /> <br />~ THIS IS NOT A PER~IT. THIS APPLICATION I~IJST GO THROU~-I A REVIE~ PROCESS t, EtERE THE <br />~OLLO~ING I~ST BE COMPLETED. IT ZS THE RESPONSIBILITY OF THE APPLICANT TO ~..SSURE THAT <br />ALL NECESSARY INFOI:~4ATION HAS 8~.N PROVIDED. <br /> <br /> PLAN REVIEW: BY DATE <br /> <br /> ~5~PT[C: BY DATE CITY JURZSDZCTZON: BY DATE <br /> ZON~Ne: BY ..~., DATE.~;~D.~ SETBACKS: FR 'T'-' LB...--- RR.7.-. SP <br /> <br />REMARKS: MH STORAGE R:~6593 <br />Pt.,ANN lNG ACTION ~ <br /> <br />COPY <br /> <br /> <br />