Laserfiche WebLink
„ R- DD 9 i3J i <br /> SITE P FOR PROPOSED RESIDENTIAL DEVELOPMENT 0 E C E V <br /> �.AN D <br /> Site Address:ig�7a// d47 a S//comer Ci /7 JULi 2022 <br /> Township .Range Section Tax Lot Total Acres � <br /> Subdivision Block Lot MARION COUNTY <br /> BUILDING INSPECTION <br /> ❑ Drawn to Scale: Not Drawn to Scale -OR- 1 square= feet <br /> d <br /> J <br /> /,„„ North <br /> d k,..1.7, N V if77) <br /> i N 2 ,i L <br /> /;tl!.'5' f/” <br /> o LVI- OnVebiky <br /> iv...3. <br /> __` '. -- e o <br /> cg <br /> • / 3 /,qua ,,W, i -,(, <br /> ire <br /> yo, <br /> fie /n& Ce/Or161/ yam. <br /> I <br /> APPROVED FOR SEPTIC I <br /> INSTALLATION ONLY" ' N. <br /> It is the responsibility of the STATE CERTIFIED <br /> applicant to coordinate these Environmental Health Specialist I 1 <br /> requirements with ail others. f ;EH-S-10,:•540 <br /> r ia. ammw� <br /> Robert Goodwin <br /> q 1,(1),..2.-. . . . . . . <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ ]Owner or[ ]Authorized Agent. <br /> NAME(please print): Herbert C. Wilson Telephone# 503 - 873 - 7157 <br /> Applicant's Signature: Date:; — <br /> Applicant's Mailing Address:8778 Cascade Hwy. NE <br /> - <br /> city: Silverton Zip: 97381 Applicant's email: Ionepineseptics8778@gmail.com <br /> S-31-1-2017 <br />