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f• curs.rttUPUSI•U RESIDENTIAL DEVELQpjytE V�T as-b b aLA o D <br /> p x <br /> , • 1-7r5� G�� IV.E. �l <br /> _ AneiL*.e.•rvt dr, 97071 <br /> a, e ni iam+n�+ror•nw TAX LOT aamwNSIURRNoasECTICK iuum Total Acres_Septic Site PAR <br /> ' °° 555-22 002406 PRMT <br /> Drawn to Scale.' �0 Not Drawn to ScaleOR- 1 square=mr <br /> Lib feet 1755 BIG AL LN NE,WOODBURN <br /> .ra • . .051WO9B 00402:2 'aa�48 <br /> 266,131 _L_� <br /> 1 <br /> . . . . . . . . . . . . .. .. .. .. .. .. . . RECEW .1 . <br /> .MAR 2 2022. <br /> • . . . . . . . . . . . MARION.COUNTY <br /> BUILDING INSPECTIO . <br /> STATE CERTIFIED <br /> Ti l 3 ur 2 Emriianmental Health specialist <br /> 1 _!',' EH-S-10206540 <br /> reg`acetAc�i' . r <br /> Robert Goodwin <br /> 1 - . 5 (9)-- <br /> L:1 TY tr <br /> • . ?re?o.L d ' • .10 PPROVED FOR SEPTIC, <br /> :_ <br /> c -•r INSTALLATION ONLY <br /> i k o.usc • • •llt i'. the responsibility of tf< <br /> { dap;•ficant to coordinate the: <br /> y„ �+.yo:/ ;ire•wrements with all other <br /> a �L hr. . I0s.4 • <br /> ��1V (pY✓ti p4�j.�meRk1 � ` k <br /> 11 .M.� <br /> : - ,.� <br /> .W49YG.(...04 cytiG Q•. '! IIJJ .� <br /> 1Q <br /> • . . . • • • ,ta, • • 6499 • 1 ,j ' I'I, ' '' ' ctil)-1- <br /> • <br /> • <br /> ▪ ( .41944,4:e0• : . .cam . Pg . 1 • , i <br /> 'f Any ws , <br /> is Lw <br /> �. 6 , I _- <br /> �-- <br /> e kkvj'q emA6 -z vx <br /> �pui-lt*:�. of -F k. •ID0' • . . . . . . �. <br /> iftle-t of •4s5Jryliov oh. 1Olt <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[l Owner or 4 Authorized Agent. <br /> Telephone#-.--3-=-1r? -34 V- <br /> NAME(please:print):_ It.r..t- H v v''c 5 <br /> Date:ph-- ,.// '� <br /> Applicant's Signature:—1--_ <br /> Applicant's Mailing Address: l Ian !r I cdr r. r <br /> Applicant's email: _ l'^ • - <br /> arm <br /> Zip: 9 �+ . .J <br /> ePue\FORMS4S 31a SepticSystemSitePlaaRequirerneats for SITEI E ALS 7:18.2019.dnc <br /> S 31-1-2D17 Or WOfl S4S <br />