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12022546
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Last modified
1/29/2024 10:10:49 AM
Creation date
1/25/2024 3:33:42 PM
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Template:
Permits
Permit Address
17085 WALL LN SE
Permit City
Jefferson
Permit Number
555-22-000657-PRMT
Parcel Number
103W13AA00300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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I hereby certify the above to be true as of this date. <br /> t/ (r <br /> DATED: April 25, 2018 ((4,.tj)4 17. • _: /e,!.et.--' <br /> Albertine J. Gause <br /> STATE OF OREGON ) <br /> ) ss. <br /> County of Polk ) <br /> This instrument was acknowledged before me on April 25, 2018 by Albertine J. Gause as acting <br /> Trustee. <br /> f:►, OFFICIAL STAMP <br /> '` ' SALLY E MCCLURE // G / / <br /> :;;� COMMISSION) NOTARY PUBLIC <br /> SNO. <br /> AP IL 07,5N Q.,t f ; • `) ?I f '1y <br /> MY COMMISSION EXPIRES APRIL O7,2020 Notary Puc for Oregon <br /> My C'Ommission Expires: e • 7-d?c _—__- <br /> T .1 r- ,-,T'•T T•T Tl 11 •T1/\1 7 /YT TTNT 1 f1T <br />
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