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- A <br /> F[5-m- cEilvEn <br /> Lo <br /> )) <br /> SUN 14 2022 U <br /> MAR,0�`+ 0UNT. <br /> MARION COUNTY PUBLIC WORKS �,N <br /> SPECT► ; <br /> BUILDING INSPECTION DIVISION <br /> 5155 Silverton Rd NE <br /> Salem OR 97305 <br /> (503) 588-5147 Fax (503) 588-7948 <br /> http://www.co.marion.or.us/pW/BuildingInspection <br /> NOTICE AUTHORIZING REPRESENTATIVE <br /> I Owen Von Flue, for Noble Built Homes, LLC , have authorized <br /> (Property Owner/ Print Name) <br /> Lone Pine Corner Septics Inc. to act as my agent in performing the <br /> (Authorized Representative/ Print Name) <br /> activities necessary to obtain site evaluations, permits, and other onsite wastewater treatment program <br /> services provided by the Department of Environmental Quality or County Agent on the property <br /> described below in accordance with OAR chapter 340, division 071. <br /> PROPERTY IDENTIFICATION: <br /> 2664 Bodhi Lane NE, Salem, Oregon 97305 <br /> Property Situs or Street Address <br /> And described in the records of MARION County as: <br /> Legal Description PP2022-21 - Parcel 2 Tax Lot #(s) 072W13CB00700 <br /> PROPERTY OWNER: <br /> Printed Name: Noble uilt Homes, LLC <br /> Signature: �jl Date: 5-24-2022 <br /> Address: P.O. B 571 --- Phone:503-973-7698 <br /> City, State, Zip Silverton, Oregon 97381 Fax:NA <br /> E-mail Address vonfluelaw@hotmail.com <br /> AUTHORIZED REPRESENTATIVE: <br /> Printed Name: <br /> Company Name: Lone Plne Corner Septics, Inc. <br /> Signature: Date: <br /> Address: 8778 Cascade HWY NE Phone:503-873-7157 <br /> City, State, Zip Silverton, OR 97381 Fax: <br /> E-mail Address LONEPINESEPTICS8778@gmail.com <br /> r�r� r :______ �7n 177f1L"2 <br />